Durcudoy-Pérez L1, Leppe J1, Sizer PS2, Mauri-Stecca MV1,3
1Universidad del Desarrollo, School of Physical Therapy, Santiago, Chile, 2Texas Tech University Health Sciences Center, Center for Rehabilitation Research, School of Health Professions, Lubbock, United States, 3Advanced Physical Therapy, Physical Therapy, Anchorage, United States
Background: Chronic musculoskeletal pain and depression have been reported as interrelated variables of global relevance, whose effects impact on health-related quality of life (HRQoL). In Chile, according to the 2009-2010 National Health Survey (ENS), musculoskeletal symptoms (MSS) and depressive symptoms (DS) are prevalent conditions. However, objective data indicating how these symptoms affect HRQoL in Chilean population are unknown.
Purpose: To determine the prevalence of DS in subjects with cMSS and viceversa; to determine the HRQoL score (physical dimension PCS, and mental dimension MCS) in Chile; and to determine the relationship between HRQoL, cMSS and DS, when they are presented individually in comparison to when they occur simultaneously, in Chilean population, according to a secondary analysis of data from the 2009-10 ENS.
Methods: A secondary analysis of the Chilean 2009-10 ENS database was performed; primary study conducted in households with a national, probabilistic, stratified and multistage sample of 5,293 subjects, aged 15 and over, between October 2009 and September 2010. The HRQoL, MSS and DS information from the 2009-10 NHS database were measured through the SF-12, CCQ-ILAR and CIDI-SF respectively. ANOVA statistical test with Bonferroni post hoc analysis was used. A multivariate logistic regression model was used to study the relationship between cMSS, DS, both symptoms together and quality of life scores, adjusted by control variables. A 5% level of significance was considered, and the statistical package STATA 15 was used for all analyses.
Results: The DS prevalence in subjects with cMSS is 25% and the cMSS prevalence in subjects with DS arises to 63%. In Chile, the PCS average score is 48.9 (IC 48.5 - 49.3) and the MCS average score is 49.5 (IC 49.1 - 50). Almost a third of the population has “low” quality of life in both dimensions (PCS 28.9% IC 27-30.9; MCS 29.3% IC 27.3-31.5). The comorbidity group (cMSS/DS) shows lower HRQoL scores, in both dimensions, than the groups with symptoms individually (PCS 41.65 (10.2); MCS 38.12 (9.8)); with a higher risk of "low” HRQoL (OR 6.12; 95% CI 4.86-7.71 for PCS, and OR 13.68; 95% CI 10.71-17.47 for MCS) than subjects presenting the symptoms independently.
Conclusion(s): The prevalence of comorbidity symptoms (depressive and chronic musculoskeletal pain) is high. Health related quality of life in both dimensions (PCS and MCS) is worse when both symptoms occur simultaneously, compared to when they occur individually.
Implications: The probability of treating a patient with chronic MSS associated with DS in primary care is high. Therefore, it is important to maintain a multidisciplinary and biopsychosocial approach during the rehabilitation process. Future studies regarding the causes and management of these conditions are suggested in order to improve physical therapy interventions and education.
Keywords: Quality of life related to Health, Musculoskeletal symptoms, Depressive symptoms
Funding acknowledgements: Not funding was granted for this project.
Purpose: To determine the prevalence of DS in subjects with cMSS and viceversa; to determine the HRQoL score (physical dimension PCS, and mental dimension MCS) in Chile; and to determine the relationship between HRQoL, cMSS and DS, when they are presented individually in comparison to when they occur simultaneously, in Chilean population, according to a secondary analysis of data from the 2009-10 ENS.
Methods: A secondary analysis of the Chilean 2009-10 ENS database was performed; primary study conducted in households with a national, probabilistic, stratified and multistage sample of 5,293 subjects, aged 15 and over, between October 2009 and September 2010. The HRQoL, MSS and DS information from the 2009-10 NHS database were measured through the SF-12, CCQ-ILAR and CIDI-SF respectively. ANOVA statistical test with Bonferroni post hoc analysis was used. A multivariate logistic regression model was used to study the relationship between cMSS, DS, both symptoms together and quality of life scores, adjusted by control variables. A 5% level of significance was considered, and the statistical package STATA 15 was used for all analyses.
Results: The DS prevalence in subjects with cMSS is 25% and the cMSS prevalence in subjects with DS arises to 63%. In Chile, the PCS average score is 48.9 (IC 48.5 - 49.3) and the MCS average score is 49.5 (IC 49.1 - 50). Almost a third of the population has “low” quality of life in both dimensions (PCS 28.9% IC 27-30.9; MCS 29.3% IC 27.3-31.5). The comorbidity group (cMSS/DS) shows lower HRQoL scores, in both dimensions, than the groups with symptoms individually (PCS 41.65 (10.2); MCS 38.12 (9.8)); with a higher risk of "low” HRQoL (OR 6.12; 95% CI 4.86-7.71 for PCS, and OR 13.68; 95% CI 10.71-17.47 for MCS) than subjects presenting the symptoms independently.
Conclusion(s): The prevalence of comorbidity symptoms (depressive and chronic musculoskeletal pain) is high. Health related quality of life in both dimensions (PCS and MCS) is worse when both symptoms occur simultaneously, compared to when they occur individually.
Implications: The probability of treating a patient with chronic MSS associated with DS in primary care is high. Therefore, it is important to maintain a multidisciplinary and biopsychosocial approach during the rehabilitation process. Future studies regarding the causes and management of these conditions are suggested in order to improve physical therapy interventions and education.
Keywords: Quality of life related to Health, Musculoskeletal symptoms, Depressive symptoms
Funding acknowledgements: Not funding was granted for this project.
Topic: Musculoskeletal; Mental health
Ethics approval required: No
Institution: Universidad del Desarrollo
Ethics committee: Comité ético científico Universidad del Desarrollo
Reason not required: Not applicable, since the secondary database is available by the Ministry of Health for research purposes.
All authors, affiliations and abstracts have been published as submitted.
