OBJECTIVE Pain is a significant public health issue that may be particularly problematic among injured service members who are at high risk of chronic physical and mental health conditions. The goals of this study were to describe the prevalence and types of low back pain (acute vs. recurrent) among service members injured while on combat deployments, and to examine the differences in posttraumatic stress disorder (PTSD) and depression prevalence and severity, as well as quality of life, for individuals with low back pain compared with those without. METHOD Baseline assessment data from a subset of participants (n = 4,397) in the Wounded Warrior Recovery Project, a large, longitudinal examination of patient-reported outcomes, were used in conjunction with Department of Defense medical records data. RESULTS Almost half of participants had acute or recurrent low back pain diagnoses, and the majority of individuals had no diagnosis of low back pain prior to their deployment-related injury. Individuals with low back pain, particularly recurrent, screened positive for PTSD and depression at higher rates, reported more severe symptoms of these disorders, and demonstrated poorer quality of life than those without. CONCLUSIONS Low back pain was a prevalent issue among service members with deployment-related injury and was associated with worsened mental health outcomes and quality of life. Health care providers and researchers in multiple disciplines should consider the complex relationships between pain and mental health in order to further optimize treatment and outcomes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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受伤服务人员的腰痛，心理健康症状和生活质量。

目标疼痛是一个重大的公共卫生问题，对于处于长期身体和精神健康状况高风险中的受伤服务人员来说，这尤其是个问题。这项研究的目的是描述在战斗部署中受伤的服务人员中腰痛的发生率和类型（急性vs.复发），并研究创伤后应激障碍（PTSD）与抑郁症患病率和严重程度的差异，以及没有腰痛的人的生活质量。方法将来自受伤士兵恢复项目的一部分参与者（n = 4,397）的基线评估数据（对患者报告的结果进行大规模的纵向检查）与国防部的病历数据结合使用。结果几乎一半的参与者被诊断出患有急性或反复发生的下背痛，并且大多数人在与部署相关的损伤之前都没有下背痛的诊断。下背痛患者，尤其是反复发作的患者，PTSD阳性和抑郁症的筛查率较高，报告这些疾病的症状更严重，并且生活质量较无精神分裂症的患者差。结论腰背痛是与部署相关的伤害在服务人员中普遍存在的问题，并且与心理健康结果和生活质量恶化相关。跨学科的卫生保健提供者和研究人员应考虑疼痛与心理健康之间的复杂关系，以便进一步优化治疗和治疗效果。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。