TITLE:
Frequency and Factors Associated with Depression during Chronic Lumbosciatica in Sub-Saharan African Black Patients
AUTHORS:
Charles Sougué, Joëlle W. S. Tiendrébeogo, Fulgence Kaboré, Enselme Y. Zongo, Nicole D. B. Ahongbonon, Camille Sompougdou, Yirozounlomian Tiaho, Dieu-Donné Ouédraogo
KEYWORDS:
Depression, Lumbosciatica, Africa, Burkina Faso
JOURNAL NAME:
Open Journal of Rheumatology and Autoimmune Diseases,
Vol.10 No.4,
November
30,
2020
ABSTRACT: Objective: This study was focused on depression rate and associated factors in chronic lumbosciatica in sub-Saharan African black patients. Patients and Methods: We conducted a prospective descriptive and analytical study in chronic lumbosciatica cases seen in rheumatology/internal medicine, neurology and neurosurgery departement at the Yalgado ouédraogo University Hospital Center from April 31, 2016 to July 31, 2016. The diagnosis of depression was based on Hamilton scale. Its frequency was evaluated and the associated factors were analyzed. Results: One hundred and forty-nine patients were included in the study. Their average age was 49.5 years and the sex ratio was 0.42 (44 men/105 women). Thirty-eight patients lived alone (25.5%). Pain intensity was severe in 46 patients (30.9%) and moderate in 77 patients (51.7%). Neuropathic pain was present in 108 patients (72.5%). One hundred and ten patients had depression (73.8%). Depression was severe in 38 patients (25.5%), moderate in 35 patients (23.5%), and mild in 37 patients (24.8%). Factors associated with depression were living alone (Odds-Ratio 3.5), high (Odds-Ratio 11.1) or moderate (Odds-Ratio 5.9) intensity of pain, and the presence of neuropathic pain (Odds-Ratio 2.5). Conclusion: Depression was frequent during chronic lumbosciatica in sub-Saharan African black patients. Its associated factors were living alone, presence of moderate or severe pain, and neuropathic pain.