Remember Me
Or use your Academic/Social account:


Or use your Academic/Social account:


You have just completed your registration at OpenAire.

Before you can login to the site, you will need to activate your account. An e-mail will be sent to you with the proper instructions.


Please note that this site is currently undergoing Beta testing.
Any new content you create is not guaranteed to be present to the final version of the site upon release.

Thank you for your patience,
OpenAire Dev Team.

Close This Message


Verify Password:
Verify E-mail:
*All Fields Are Required.
Please Verify You Are Human:
fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
Stubbs, Brendon; Koyanagi, Ai; Thompson, Trevor; Veronese, Nicola; Carvalho, Andre F.; Solomi, Marco; Mugisha, James; Schofield, Patricia; Cosco, Theodore; Wilson, Nicky; Vancampfort, Davy (2016)
Publisher: Elsevier
Languages: English
Types: Article
Subjects: anxiety, chronic back pain, Back pain, mental illness, BF, mental health, sleep problems, depression, low- and middle-income countries, psychosis, stress sensitivity

Back pain (BP) is a leading cause of global disability. However, population-based studies investigating its impact on mental health outcomes are lacking, particularly among low- and middle-income countries (LMICs). Thus, the primary aims of this study were to: (1) determine the epidemiology of BP in 43 LMICs; (2) explore the relationship between BP and mental health (depression spectrum, psychosis spectrum, anxiety, sleep disturbances and stress).


Data on 190,593 community-dwelling adults aged≥18 years from the World Health Survey (WHS) 2002–2004 were analyzed. The presence of past-12 month psychotic symptoms and depression was established using questions from the Composite International Diagnostic Interview. Anxiety, sleep problems, stress sensitivity, and any BP or chronic BP (CBP) during the previous 30 days were also self-reported. Multivariable logistic regression analyses were undertaken.


The overall prevalence of any BP and CBP were 35.1% and 6.9% respectively. Significant associations with any BP were observed for subsyndromal depression [OR (odds ratio) = 2.21], brief depressive episode (OR=2.64), depressive episode (OR=2.88), psychosis diagnosis with symptoms (OR=2.05), anxiety (OR=2.12), sleep disturbance (OR=2.37) and the continuous variable of stress sensitivity. Associations were generally more pronounced for Chronic BP.


Our data establish that BP is associated with elevated mental health comorbidity in LMICs. Integrated interventions that address back pain and metal health comorbidities might be an important next step to tackle this considerable burden.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • [1] Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Ann Rheum Dis 2014;73(6):968-74.
    • [2] Murray CJL, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disabilityadjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lan- cet 2012;380(9859):2197-223.
    • [3] FroudR,PattersonS,EldridgeS,SealeC,PincusT,RajendranD,etal.Asystematicre- view and meta-synthesis of the impact of low back pain on people's lives. BMC Musculoskelet Disord 2014;15:50.
    • [4] Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J 2008;8(1):8-20.
    • [5] Stanton TR, Latimer J, Maher CG, Hancock M. Definitions of recurrence of an episode of low back pain: a systematic review. Spine (Phila Pa 1976) 2009;34(9):E316-22. [6] Lambeek LC, van Tulder MW, Swinkels IC, Koppes LL, Anema JR, van Mechelen W.
  • No similar publications.

Share - Bookmark

Funded by projects

Cite this article