DISABILITY AND EMOTIONAL STATE IN CHRONIC PAIN OF THE CERVICAL SPINE POPULATION

Kronična bol u području vratne kralježnice veliki je izazov modernog društva te jedan od čestih mišićno-koštanih poremećaja koji može voditi u kroničnu onesposobljenost i narušiti emocionalno stanje pojedinca. Primarni cilj ovog istraživačkog rada bio je ispitati povezanost stupnja onesposobljenosti i emocionalnog stanja u osoba s kroničnom boli vratne kralježnice. U istraživanju su sudjelovali ispitanici uključeni u proces fizikalne terapije na Zavodu za fizikalnu medicinu i rehabilitaciju KB „Sveti Duh“. Uzorak ispitanika u istraživanju je 50 ispitanika, oba spola, dobi od 18 do 65 godina s dijagnozom kronične boli vratne kralježnice. Upitnik kojim se mjerila razina onesposobljenosti bio je Indeks onesposobljenosti vratne kralježnice, DASS 21 ljestvica koristila se za procjenu emocionalnog stanja ispitanika, Vizualno analognom skalom ispitanici su odredili razinu svoje boli. Rezultati istraživanja pokazuju statističku značajnost između onesposobljenosti i depresije (p=0,017), onesposobljenosti i anksioznosti (p=0,005), onesposobljenosti i stresa (p=0,033). Postoji statistička značajnost između spola i onesposobljenosti (p=0,001), specifično za muški spol u kategoriji lakša onesposobljenost naspram ostalih kategorija dok za ženski spol postoji statistička značajnost u kategoriji srednje teška onesposobljenost. U svrhu ispitivanja odnosa između promatranih varijabli proveden je Spearmanov koeficijent korelacije te se uočava pozitivna korelacija između svih promatranih varijabli. Najveće pozitivne korelacije zabilježene su između onesposobljenosti i anksioznosti (ρ=0,555), razine kronične boli i onesposobljenosti (ρ=0,599) te onesposobljenosti i depresije (ρ=0,486). Dobiveni rezultati ukazuju na potrebu primjene biopsihosocijalnog modela kod pristupa liječenju kronične boli.Chronic neck pain is a major challenge of modern society and is one of the common musculoskeletal disorders that can lead to chronic disability and impair the emotional state of the individual. The main goal of this research work was to determine the connection between the disability and emotional state in individuals with chronic neck pain. Participants involved in the physical therapy process at the Institute for Physical Medicine and Rehabilitation of CH "Sveti Duh" participated in the research. The sample of participants in the research was 50, both sexes, aged 18 to 65 years with a diagnosis of chronic neck pain. The questionnaire used to measure the level of disability was Neck Disability Index, while the DASS 21 scale was used to assess the emotional state of the subjects. Pain level was mesuerd with the Visual Analogue Scale. The results of this research indicate statistical significance between disability and depression (p=0.017), disability and anxiety (p=0.005), disability and stress (p=0.033). There is statistical significance between gender and disability (p=0.001), specifically for men in the category of mild disability compared to other categories, while for women there is statistical significance in the category of moderate disability. In order to examine the relationship between the observed variables, Spearman's correlation coefficient was performed. A positive correlation was detected between all the observed variables. The highest positive correlations were recorded between disability and anxiety (ρ=0.555), level of chronic pain and disability (ρ=0.599) and disability and depression (ρ=0.486). The results indicate the need for a biopsychosocial approach in the treatment of chronic neck pain