2018, Number 2
Rev Hosp Jua Mex 2018; 85 (2)
Hernández-Gálvez GA, Gómez-Zarco A, Becerra-Gálvez AL, Hernández-Solís P
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ABSTRACTIntroduction: Low back pain is a painful syndrome that significantly affects the patient’s work and family spheres, because pain does not allow him to perform his activities naturally, therefore the patient may present psychological alterations that hinder medical treatment. The present clinical case aims to illustrate the importance of the psychological support of the Behavioral Doctor to increase the sensation of pain control and the anxious and depressive symptomatology. Clinical case: Allowing adaptation to illness and daily life of a 44-year-old male patient with recent diagnosis of acute low back pain + discitis L5- S1 + herniated disc L4-L5 L5-S1. A cognitive-behavioral intervention was designed consisting of seven sessions of approximately one hour carried out in the hospitalization area of the Hospital Juarez de Mexico, later a monitoring of mood and perception of pain was carried out. The perception of pain was measured by the visual analogue scale (VAS), and the levels of anxiety and depression by the analogue related scale (ERA). The result was that the levels of pain, anxiety and depression decreased and remained at lower levels after the intervention, furthermore the patient applied the knowledge acquired to his daily life, therefore. Conclusion: It is concluded that the intervention allowed the patient to perceive pain control and decision making which in turn eased the adjustment into his medical condition.