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Does Chronic Facet Pain Cause Depression in Rural Indian Population?

Deepak B Anap, Keerthi Rao and Subhash Khatri

Background: Chronic pain and major depression commonly occur together. Major depression in patients with chronic pain is associated with decreased function, poorer treatment response and increased health care costs.

Purpose of the study: To estimate the prevalence of depression in persons with chronic facet pain and correlation of depression with Pain intensity and age. Method: Cross sectional Questionnaire based study. Total 80 subjects with chronic low back pain were included in the study. Out of which 40 were with diagnosis of facet pain in lumbar region and 40 with chronic low back pain of any other cause. Patients were assessed using ‘Patient Health Questionnaire 9’ (PHQ-9) and Visual analogue scale.

Result: High prevalence (78.75%) of depression among chronic pain patients without any difference in chronic facet pain and chronic low back pain of any origin, there was strong relation between pain severity and depression (r=0.86).

Conclusion: Our study revealed a high prevalence of depression amongst patients with chronic facet pain and chronic low back pain of any origin.