In today’s society, such as the pressure of school. The pressure of work, the pressure of life, etc., people are extremely prone to anxiety and depression, but people also have to consider the long-term chronic disease, which brings psychological pressure to the patient. If patients can not properly understand and correctly view the occurrence of the disease. Development and homecoming will inevitably cause psychological problems of varying degrees in patients, and this is also true for patients with long-term low back pain.
The degree of pain experienced by each individual is different under the prerequisite condition of a lumbar disc herniation with the same degree of imaging diagnosed disease. In addition to the disease itself, it is also related to one’s own physical fitness, age, gender, experience, educational background, family status, and personality, which are often, and sometimes very importantly, factors that influence the efficacy of patient treatment. How to screen out the unfavorable factors affecting the efficacy of treatment as early as possible and dispose of them is a problem that doctors should consider while treating the disease.
If a patient has a long history and a high number of recurrences, it is important for the patient to have an anxiety and depression assessment before treatment to help him or her and the doctor. When telling your doctor your VAS score, you should also tell your doctor your anxiety and depression scores.
The mood self-rating scales introduced into China are divided into SAS (Self-rating Anxiety Scale) and SDS (Self-rating Depresion Scale)
Anxiety Tendency Scale
There are 20 items below. Please read each item carefully to understand the meaning, and then choose according to your actual situation in the past week. (1) Rarely = no or little time; (2) Sometimes = little time; (3) Often = quite a lot of time; (4) Constantly = most or all of the time.
1.Feeling easily nervous and anxious than usual ①Seldom ②Sometimes ③Frequently ④Continuously
2.Fear for no reason ①Seldom ②Sometimes ③Often ④Continuously
3.I feel easily disturbed or frightened ①Seldom ②Sometimes ③Often ④Continuously
4.Feeling like going crazy ①Seldom ②Sometimes ③Often ④Continuously
5.Feeling that everything is fine and nothing bad will happen ①Seldom ②Sometimes ③Often ④Continuously
6.Hands and feet tremble ①Seldom ②Sometimes ③Often ④Continuously
7.I am distressed by headache, head and neck pain and back pain ①Seldom ②Sometimes ③Frequently ④Continuously
8.Feeling easily weak and tired ①Seldom ②Sometimes ③Frequently ④Continuously
9.Feeling calm and easy to sit quietly ①Seldom ②Sometimes ③Often ④Continuously
10.Feeling a fast heartbeat ①Seldom ②Sometimes ③Frequently ④Continuously
11.I am distressed by a bout of dizziness ①Seldom ②Sometimes ③Frequently ④Continuously
12.Fainting episodes or feeling like fainting ①Seldom ②Sometimes ③Frequently ④Continuously
13.I feel easy to breathe in and out ①Seldom ②Sometimes ③Frequently ④Continuously
14.Numbness and tingling in the hands and feet ①Seldom ②Sometimes ③Frequently ④Continuously
15.I feel distressed because of stomach pain and indigestion ①Seldom ②Sometimes ③Often ④Continuously
16.I often have to urinate ①Seldom ②Sometimes ③Frequently ④Continuously
17.Hands are often dry and warm ①Seldom ②Sometimes ③Often ④Continuously
18.Flushing and heating ①Seldom ②Sometimes ③Frequently ④Continuously
19.Falls asleep easily and sleeps well ①Seldom ②Sometimes ③Frequently ④Continuously
20.Nightmares ①Seldom ②Sometimes ③Frequently ④Continuously
Scoring instructions:
For questions 5, 9, 13, 17, 19, ①=4 points; ②=3 points; ③=2 points; ④=1 point. For the rest of the questions, ①=1 point; ②=2 points; ③=3 points; ④=4 points.
Score calculation.
The scores of the 20 questions were added up to the total score, and the total score was multiplied by 1.25 to get the whole number, which was the standard score.
Note on scores: The cut-off value for anxiety rating in China is 50, the higher the score, the more pronounced the anxiety tendency. 49 or less is normal; 50-59 is mild
Below 49 is normal, 50-59 is mild, 60-69 is moderate, and 69 or more is severe.
Self-rating Depression Scale
Depression Scale
There are 20 items below. Please read each item carefully to understand the meaning, and then choose according to your actual situation since the last week. ①Seldom = no or little time; ②Sometimes = little time; ③Frequently = quite a lot of time; ④Continuously = most or all of the time.
1. I feel emotionally frustrated and depressed. ①Seldom ②Sometimes ③Often ④Continuously
2.I feel in the best mood in the morning. ①Seldom ②Sometimes ③Often ④Continuously
3.I need to cry or want to cry. ①Seldom ②Sometimes ③Frequently ④Continuously
4.I don’t sleep well at night. ①Seldom ②Sometimes ③Frequently ④Continuously
5. I eat as much as I usually do. ①Seldom ②Sometimes ③Often ④Continuously
6.I feel as happy as before when I have contact with the opposite sex. ①Seldom ②Sometimes ③Frequently ④Continuously
7.I feel that I have lost weight. ①Seldom ②Sometimes ③Frequently ④Continuously
8.I suffer from constipation. ①Seldom ②Sometimes ③Frequently ④Continuously
9.My heart beats faster than usual. ①Seldom ②Sometimes ③Often ④Continuously
10.I feel tired for no reason. ①Seldom ②Sometimes ③Frequently ④Continuously
11.My mind is as clear as usual. ①Seldom ②Sometimes ③Often ④Continuously
12.I do not feel difficulty in doing things as usual. ①Seldom ②Sometimes ③Often ④Continuously
13.I am restless and have trouble staying calm. ①Seldom ②Sometimes ③Often ④Continuously
14.I feel hopeful about the future. ①Seldom ②Sometimes ③Often ④Continuously
15.I get angry more easily than usual. ①Seldom ②Sometimes ③Often ④Continuously
16.I find it easy to decide what to do. ①Seldom ②Sometimes ③Often ④Continuously
17.I feel that I am useful and indispensable ①Seldom ②Sometimes ③Often ④Continuously
18.My life is very meaningful. ①Seldom ②Sometimes ③Often ④Continuously
19.If I die, others will have a better life. ①Seldom ②Sometimes ③Often ④Continuously
20.I still like the things I usually like. ①Seldom ②Sometimes ③Often ④Continuously
Scoring instructions: Questions 2, 5, 6, 11, 12, 14, 16, 17, 18, 20, ①=4 points; ②=3 points; ③=2 points; ④=1 point. For the rest of the questions, ①=1 point; ②=2 points; ③=3 points; ④=4 points.
Score calculation.
The scores of the 20 questions were added up to the total score, and the total score was multiplied by 1.25, rounded to the nearest whole number, to get the standard score.
The higher the score, the more obvious the depressive tendency.
Below 52 is normal; 53-62 is mild depression, 63-72 is moderate depression, and 72 or more is severe depression.