{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T17:30:23Z","timestamp":1762018223605,"version":"3.40.5"},"reference-count":50,"publisher":"Wiley","issue":"21-22","license":[{"start":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T00:00:00Z","timestamp":1564358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim and objective<\/jats:title><jats:p>To explore the disability, emotional distress and well\u2010being of patients with lumbar spondylolisthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Few studies have investigated the correlations between disability, emotional distress and well\u2010being of patients with lumbar spondylolisthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>This study used a cross\u2010sectional research design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants were 133 patients aged over 50\u00a0years who were experiencing lumbar spondylolisthesis. The research instruments included a demographic information questionnaire; the Numeric Rating Scale (NRS); the Charlson Comorbidity Index (CCI); the Chinese versions of the Oswestry Disability Index (ODI), State\u2010Trait Anxiety Inventory\u2010State (STAI\u2010S) and Center for Epidemiological Study\u2010Depression (CES\u2010D); and the Psychological Well\u2010being (PWB) Scale. Emotional distress was measured by the STAI\u2010S and CES\u2010D. Pearson's correlations coefficient, multiple linear regression and a mediating effect model were introduced to explore correlations between the variables and predictors of psychological well\u2010being, and details of the methods are reported in coherence to STROBE criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010six participants (64.6%) had moderate and severe anxiety, and 42 (31.6%) experienced depression. Participants reported medium to high levels of well\u2010being; \u201csatisfaction with interpersonal relationships\u201d was rated the highest and \u201cphysical and mental health\u201d the lowest. Disability, depression and anxiety had significant negative correlations with well\u2010being. Depression and anxiety mediated the relationship between disability and well\u2010being. Moreover, depression, family support, educational background and anxiety were predictors of well\u2010being, accounting for 39.1% of the total variance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Disability and emotional distress among patients with lumbar spondylolisthesis had a negative impact on well\u2010being. Anxiety and depression were closely correlated with and substantially influenced well\u2010being.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Health professionals will enhance the understanding of important factors influencing well\u2010being among patients with lumbar spondylolisthesis. This study suggests the conduct of depression and anxiety evaluations at outpatient clinics and prior to surgery, so that clinicians will be aware of the emotional distress status of patients with lumbar spondylolisthesis and, therefore, enhance their well\u2010being.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.14992","type":"journal-article","created":{"date-parts":[[2019,7,11]],"date-time":"2019-07-11T11:04:09Z","timestamp":1562843049000},"page":"3866-3878","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Disability, emotional distress and well\u2010being among patients with lumbar spondylolisthesis"],"prefix":"10.1111","volume":"28","author":[{"given":"Hui\u2010Chen","family":"Hsu","sequence":"first","affiliation":[{"name":"Department of Nursing Cathay General Hospital Taipei City Taiwan"},{"name":"School of Nursing National Taipei University of Nursing and Health Sciences Taipei City Taiwan"},{"name":"Department of Neurosurgery Cathay General Hospital Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chih\u2010Ju","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Cathay General Hospital Taipei City Taiwan"},{"name":"Department of Medicine School of Medicine, Fu Jen Catholic University New Taipei City Taiwan"},{"name":"Department of Mechanical Engineering National Central University Taoyuan County Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9843-9924","authenticated-orcid":false,"given":"Heng\u2010Hsin","family":"Tung","sequence":"additional","affiliation":[{"name":"School of Nursing National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8714-5530","authenticated-orcid":false,"given":"Tsae\u2010Jyy","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing National Taipei University of Nursing and Health Sciences Taipei City Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4684-2253-5"},{"issue":"5","key":"e_1_2_12_3_1","first-page":"534","article-title":"Surgical results of degenerative spondylolisthesis patients over 70 years old: A single\u2010center experience and clinical outcomes","volume":"22","author":"Atabey C.","year":"2012","journal-title":"Turkish Neurosurgery"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60610-7"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6131.158476"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S40740"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-012-0121-y"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_2_12_9_1","first-page":"27","article-title":"Xiuding Qingjing yu Tezhi Jiaolv Liangbiao zhi Yanjiu (Study on the revision of the State\u2010Trait Anxiety Inventory)","volume":"31","author":"Chung S.\u2010C.","year":"1984","journal-title":"Psychological Testing"},{"volume-title":"Monthly Bulletin of Interior Statistics (Population)","year":"2016","author":"Department of Statistics, Ministry of the Interior","key":"e_1_2_12_10_1"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2015.03.020"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.55.1.34"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-012-2398-0"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.07.005"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0038665"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cku221"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0153606"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-013-3041-5"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.4097\/kjae.2015.68.5.481"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.34347"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/0091217415573937"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2016.1211293"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02598279"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/pri.1591"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-3788-2"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2007.00296.x"},{"key":"e_1_2_12_27_1","first-page":"269","article-title":"The relationship among role playing, social support, and well\u2010being for adult students","volume":"13","author":"Lin T.\u2010W.","year":"2000","journal-title":"Journal of Cheng Shiu University"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31818018d8"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000569"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2013.06.101"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10902-015-9626-8"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/60355971"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.3233\/BMR-140578"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0000000000000182"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2014.01.047"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2011.10.008"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.2466\/pr0.1993.73.3f.1291"},{"issue":"6","key":"e_1_2_12_39_1","first-page":"688","article-title":"Association between chronic low back pain, anxiety and depression in patients at a tertiary care centre","volume":"63","author":"Sagheer M. A.","year":"2013","journal-title":"Journal of the Pakistan Medical Association"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.5455\/ijtrr.00000068"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2013.0119"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/790387"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215515570379"},{"volume-title":"Xingfu Gan Laiyuan yu Xiangguan Yinsu zhi Tantao [The source of perceived happiness and relevant factors]","year":"1994","author":"Shih J.\u2010B.","key":"e_1_2_12_44_1"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-013-3144-3"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05738.x"},{"issue":"1","key":"e_1_2_12_47_1","first-page":"117","article-title":"Schizophrenia patients in Taiwan: Socio\u2010cultural characteristics and treatment outcomes","volume":"2","author":"Tseng T. A.","year":"1985","journal-title":"Formosa Journal of Mental Health"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-017-0446-y"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61729-2"},{"volume-title":"Mental health: A state of well\u2010being","year":"2010","author":"World Health Organisation (WHO)","key":"e_1_2_12_50_1"},{"volume-title":"Global Burden of Disease Study","year":"2012","author":"World Health Organization (WHO)","key":"e_1_2_12_51_1"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.14992","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocn.14992","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.14992","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T09:10:48Z","timestamp":1694250648000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.14992"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,29]]},"references-count":50,"journal-issue":{"issue":"21-22","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1111\/jocn.14992"],"URL":"https:\/\/doi.org\/10.1111\/jocn.14992","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"type":"print","value":"0962-1067"},{"type":"electronic","value":"1365-2702"}],"subject":[],"published":{"date-parts":[[2019,7,29]]},"assertion":[{"value":"2018-03-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-06-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-07-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}