This is the 3644th article of Da Yi Xiao Nursing
In the daily outpatient consultation, once patients hear that they have lumbar disc herniation, they often complain: "Hey, my usual regular life and exercise, how did I get sick at a young age?" "At the same time, the heart is tight, the emotional fluctuations are obvious, and the psychological pressure has increased sharply, especially among young people!"
Mood swings caused by lumbar disc herniation are often attributable to the following points. First of all, due to the urgency of the disease, the rapid development, the patient's own lack of mental preparation, coupled with the low back pain caused by lumbar protrusion, resulting in anxiety, nervousness, insomnia and irritability and other anxiety mood swings; secondly, patients in the conservative treatment of lumbar protrusion, often need to lie in bed for a period of time, or can not sit for a long time, affecting normal work and life; if the condition is serious, surgery is needed, it is easy to produce depression and other depressive mood swings. The above emotional fluctuations will also interact with each other during the occurrence and development of lumbar protrusion, forming a vicious circle and eventually leading to mental illness.
However, there is still a certain difference between emotional fluctuations and mental illness, which is mainly reflected in four aspects:
(1) The mood swings of patients with lumbar protrusion are usually for a certain reason, often attributed to the pain in the waist can not be tolerated and pain affects daily life and work, while the emotional fluctuations caused by psychological diseases are pathological emotions, which will not occur for no reason, or although there are undesirable factors such as pain is unbearable, patients will usually "make a fuss".
(2) The mood fluctuations of patients with lumbar protrusion are time-bound within a certain range, and the lumbar protrusion can be quickly adjusted and returned to normal through the internal self-regulation function under the cooperation of the outside world, while the bad emotional symptoms of patients with mental illness often persist and cannot be regulated through self-regulation, and usually need the help of a psychologist. The possibility of psychological illness can be considered if the mood swings persist intermittently for more than one month, and the possibility of mental illness should be consulted in time.
(3) The normal mood fluctuations of patients with lumbar protrusion generally do not completely destroy the original rhythm of life and seriously impair social functions, while patients with severe lumbar protrusion are often bedridden and unable to take care of themselves, which affects the patient's daily work, life, interpersonal communication, etc. to varying degrees according to the severity of the disease, thereby inducing psychological diseases.
(4) Most of the normal emotional fluctuations of patients with lumbar protrusion can be regulated by self, will not cause emotional loss of control, there is no desire to escape or even liberate the thoughts or behaviors, and patients with mental illness will integrate the negative thoughts generated by the symptoms of mental illness into their daily life and work, can not extricate themselves and are extremely painful, thus generating the idea of wanting "liberation".
With the development of medicine and the transformation of medical models, the cross-links between different disciplines have gradually become closer, and people are increasingly aware of the inextricable connection between psychological state and physical discomfort. Psychological state will also affect the physical sensations of patients with lumbar protrusion, and even amplify the severity of symptoms, affecting the treatment effect.
In fact, suffering from lumbar protrusion is not terrible, the appearance of certain mood swings is also the common sentiment of people, do not let lumbar protrusion become a psychological obstacle, to take the initiative to seek help from a professional orthopedic doctor, adjust the mood, follow the doctor's advice, and lumbar protrusion say bye bye bye! If it is found that there is a combination of mental illness, do not hesitate to seek help from a clinical psychologist and treat the body and mind together, in order to harvest better efficacy.
Author: Chen Xun
Guidance: Dong Jian
Unit: Department of Orthopedics, Zhongshan Hospital, Fudan University
Institute of Medical Science and Technology, Fudan University
This article is supported by the following projects: Shanghai Municipal Science and Technology Commission Science Popularization Project
(No.: 20DZ2312000, 21DZ2302900)
Shanghai Municipal Health Commission Outstanding Discipline Leader Project
(No.: GWV-10.2-XD11)