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Background: Low back pain (LBP) is a common public health problem, and has a multifactorial etiology that includes not
only physical risk factors, but also psychosocial factors. There were several studies that investigated physical and psychosocial
factors and their relationship with LBP. However, up to the researchers� knowledge, no studies have been conducted in Saudi
Arabia.
Aim: To investigate physical and psychological factors in Saudi population with LBP.
Settings & Design: A case-control study using self-report measures.
Materials & Methods: Arabic versions of the following self-report measures were applied: A 10-cm Visual Analogue Scale
(VAS) to measure pain intensity; the International Physical Activity Questionnaire (IPAQ) to record average physical activity
levels over the last 7 days; and Depression, Anxiety and Stress Scale (DASS) to measure the negative emotional states of
depression, anxiety and stress. The above self-report measures were handed to the participants and were collected immediately.
31 patients with LBP and 31 control participants matched in body mass index and age participated.
Statistical Analysis: Independent t-tests and Pearson Correlation Analysis were used to calculate differences in VAS, IPAQ and
DASS between the two groups.
Results: Patients with LBP had moderate stress compared to control participants (19.8 and 4.4 respectively, P=0.0013). Both
groups did not present with anxiety or depression. No significant difference was found in any level of activity between the
groups.
Conclusions: Stress was present in the group of Saudi patients with LBP. Targeting psychological factors associated with LBP,
not only on physical factors may help improve the management of patients with LBP.