{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T01:15:29Z","timestamp":1773105329025,"version":"3.50.1"},"reference-count":84,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T00:00:00Z","timestamp":1747612800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Health-science students frequently experience low back pain (LBP), influenced by stress, academic demands, and sedentary lifestyles. This study investigated associations between pain intensity, subjective disability, psychological factors (perceived stress and anxiety), LBP-related knowledge, daily sitting hours, and weekly sports participation in health-sciences students. It further examines the link between psychological factors and nonspecific LBP among Hungarian health-science students.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In total, 172 students (155 women, 17 men, age: 20.33\u202f\u00b1\u202f1.47, Body Mass Index (BMI): 22.32\u202f\u00b1\u202f3.64) participated in the study. 111 subjects (103 women, 8 men, age: 20.52\u202f\u00b1\u202f1.50, Body Mass Index (BMI): 22.48\u202f\u00b1\u202f3.66) had low back pain (LBP group), and 61 subjects (52 women, 9 men, age: 19.97\u202f\u00b1\u202f1.34, BMI: 22.01\u202f\u00b1\u202f3.61) did not (non-LBP group). The Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), Perceived Stress Scale (PSS), State-Trait Anxiety Inventory (STAI), daily sitting hours, weekly sports participation, and Low Back Knowledge Questionnaire (LKQ) were assessed and analyzed as LBP-associated factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Stress level of the LBP group indicates high perceived stress (PSS: <jats:italic>M<\/jats:italic>\u202f=\u202f27.23, SD\u202f=\u202f8.38), STAI in the complete sample showed \u201cmoderate anxiety\u201d (STAI-S: <jats:italic>M<\/jats:italic>\u202f=\u202f43.30, SD\u202f=\u202f9.75; STAI-T: <jats:italic>M<\/jats:italic>\u202f=\u202f40.33, SD\u202f=\u202f11.43) with a significant difference of STAI-T (<jats:italic>p<\/jats:italic>\u202f=\u202f0.003) between groups. In both groups, a significant, strong positive correlation was found between perceived stress and anxiety (LBP STAI-S: rs\u202f=\u202f0.67, <jats:italic>p<\/jats:italic>\u202f=\u202f0.000; LBP STAI-T: rs\u202f=\u202f0.74, <jats:italic>p<\/jats:italic>\u202f=\u202f0.000; non-LBP STAI-S: rs\u202f=\u202f0.66, <jats:italic>p<\/jats:italic>\u202f=\u202f0.000; non-LBP STAI-T: rs\u202f=\u202f0.73, <jats:italic>p<\/jats:italic>\u202f=\u202f0.000). trait anxiety showed a statistically significant positive association with pain intensity (<jats:italic>\u03b2<\/jats:italic>\u202f=\u202f0.264, SE_\u03b2\u202f=\u202f0.120; <jats:italic>b<\/jats:italic>\u202f=\u202f0.051, SE_b\u202f=\u202f0.023; <jats:italic>p<\/jats:italic>\u202f=\u202f0.031), and ODI also had a significant positive correlation (<jats:italic>\u03b2<\/jats:italic>\u202f=\u202f0.731, SE_\u03b2\u202f=\u202f0.052; <jats:italic>b<\/jats:italic>\u202f=\u202f0.438, SE_b\u202f=\u202f0.031; <jats:italic>p<\/jats:italic>\u202f&amp;lt;\u202f0.001). No relationship was found between the sitting hours and the other variables of the study in either group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This study found a significant association between trait anxiety and personal experiences of LBP in Hungarian health science students. No link was found between LBP and daily sitting hours or sports participation. Given the high prevalence of stress and anxiety among future healthcare professionals and their established link to LBP, health science curricula should include comprehensive education on the psychosocial aspects of LBP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical trial registration<\/jats:title><jats:p><jats:uri>ClinicalTrials.gov<\/jats:uri>, identifier NCT05487729 (04\/08\/2022).<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1463414","type":"journal-article","created":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T05:15:20Z","timestamp":1747631720000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Investigating the impact of perceived stress and anxiety on nonspecific low back pain among future health care professionals in Hungary: a cross-sectional study"],"prefix":"10.3389","volume":"16","author":[{"given":"Blanka Bernadett","family":"Kasza","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kinga","family":"N\u00e1kity","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regina","family":"Finta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"P\u00e1sztor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayuki","family":"Kurokawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariann","family":"S\u00e1pi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Domj\u00e1n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1046\/j.1365-2923.2001.00726.x","article-title":"Anxiety, depression and stressful life events among medical students: a prospective study in Antalya, Turkey","volume":"35","author":"Aktekin","year":"2001","journal-title":"Med. Educ."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1007\/s00590-017-2034-5","article-title":"Prevalence of low back pain among health sciences students","volume":"28","author":"AlShayhan","year":"2018","journal-title":"Eur. J. Orthop. Surg. Traumatol."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"9","DOI":"10.5455\/njppp.2015.5.1909201574","article-title":"Perceived stress and sources of stress among first-year medical undergraduates in a private medical college, Tamil Nadu","volume":"6","author":"Anandhalakshmi","year":"2016","journal-title":"Natl. J. Physiol. Pharm. Pharmacol."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"966","DOI":"10.1016\/j.ejpain.2010.02.012","article-title":"Self-reported pain interference and symptoms of anxiety and depression in community-dwelling older adults","volume":"14","author":"Arola","year":"2010","journal-title":"Eur. J. Pain"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"E281","DOI":"10.1097\/BRS.0b013e318195b257","article-title":"Spinal mechanical load as a risk factor for low back pain: a systematic review of prospective cohort studies","volume":"34","author":"Bakker","year":"2009","journal-title":"Spine"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1177\/1403494818758843","article-title":"Total sitting time, leisure-time physical activity and risk of hospitalisation due to low back pain","volume":"47","author":"Balling","year":"2018","journal-title":"Scand. J. Public Health"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2018\/5457870","article-title":"Emotional and motivational pain processing: current state of knowledge","volume":"2018","author":"Becker","year":"2018","journal-title":"Pain Res. Manag."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"95","DOI":"10.2147\/JPR.S40740","article-title":"Psychological factors in low back pain patients","volume":"6","author":"Bener","year":"2013","journal-title":"J. Pain Res."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"909","DOI":"10.1002\/da.22400","article-title":"Preventing child and adolescent anxiety disorders: overview of systematic reviews","volume":"32","author":"Bennett","year":"2015","journal-title":"Depress. Anxiety"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"205","DOI":"10.2174\/1573397118666220821143041","article-title":"Low back pain among students of the Medical University of Tunis","volume":"19","author":"Boussaid","year":"2023","journal-title":"Curr. Rheumatol. Rev."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.socscimed.2018.03.015","article-title":"Discrimination hurts: the effect of discrimination on chronic pain","volume":"204","author":"Brown","year":"2018","journal-title":"Soc. Sci. Med."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"332","DOI":"10.1007\/s11121-020-01093-8","article-title":"How sedentary are university students? A systematic review and meta-analysis","volume":"21","author":"Castro","year":"2020","journal-title":"Prev. Sci."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1007\/s00420-009-0410-0","article-title":"Sedentary lifestyle as a risk factor for low back pain","volume":"82","author":"Chen","year":"2009","journal-title":"Int. Arch. Occup. Environ. Health"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"534","DOI":"10.1016\/j.jmpt.2012.07.004","article-title":"Musculoskeletal symptoms among office workers using computers","volume":"35","author":"Cho","year":"2012","journal-title":"J. Manip. Physiol. Ther."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"478","DOI":"10.7326\/0003-4819-147-7-200710020-00006","article-title":"Diagnosis and treatment of low back pain: ACP\/APS guideline","volume":"147","author":"Chou","year":"2007","journal-title":"Ann. Intern. Med."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"385","DOI":"10.2307\/2136404","article-title":"A global measure of perceived stress","volume":"24","author":"Cohen","year":"1983","journal-title":"J. Health Soc. Behav."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1002\/ajim.20750","article-title":"Risk factors for work-related musculoskeletal disorders","volume":"53","author":"da Costa","year":"2009","journal-title":"Am. J. Ind. Med."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"e088","DOI":"10.5435\/JAAOSGlobal-D-17-00088","article-title":"Validation of digital vs paper VAS pain scoring","volume":"2","author":"Delgado","year":"2018","journal-title":"J. Am. Acad. Orthop. Surg. Glob. Res. Rev."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1016\/S0887-6185(01)00060-3","article-title":"State and trait anxiety revisited","volume":"15","author":"Endler","year":"2001","journal-title":"J. Anxiety Disord."},{"key":"ref21","volume-title":"Women in the health sector\u2014statistical overview","year":"2021"},{"key":"ref22","first-page":"271","article-title":"The oswestry low back pain disability questionnaire","volume":"66","author":"Fairbank","year":"1980","journal-title":"Physiotherapy"},{"key":"ref90001","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1007\/s00586-010-1646-9","article-title":"Increased prevalence of low back pain among physiotherapy students compared to medical students","volume":"20","author":"Falavigna","year":"2011","journal-title":"Eur Spine J."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"3269","DOI":"10.3390\/ijerph18063269","article-title":"Stress, anxiety and depression among health sciences undergraduates","volume":"18","author":"Fauzi","year":"2021","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1566","DOI":"10.1080\/02640414.2020.1748359","article-title":"Sitting behaviours and perceived stress in college students","volume":"38","author":"Felez-Nobrega","year":"2020","journal-title":"J. Sports Sci."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1177\/14034948000280030201","article-title":"Is sitting at work associated with low back pain?","volume":"28","author":"Hartvigsen","year":"2000","journal-title":"Scand. J. Public Health"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1423","DOI":"10.1249\/mss.0b013e3180616b27","article-title":"Physical activity and public health: updated recommendations","volume":"39","author":"Haskell","year":"2007","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/s12909-016-0841-8","article-title":"Perceived stress in first-year medical students","volume":"17","author":"Heinen","year":"2017","journal-title":"BMC Med. Educ."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"826","DOI":"10.1007\/s00586-010-1680-7","article-title":"Physical activity and low back pain: systematic review","volume":"20","author":"Heneweer","year":"2011","journal-title":"Eur. Spine J."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"849093","DOI":"10.3389\/fpubh.2022.849093","article-title":"Enhancing mental health and active lifestyles of university students through exercise programmes","volume":"10","author":"Herbert","year":"2022","journal-title":"Front. Public Health"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"12024","DOI":"10.3390\/ijerph191912024","article-title":"Disease-specific knowledge and physical functioning in chronic non-specific LBP","volume":"19","author":"Hock","year":"2022","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref31","volume-title":"Students in BA\/BSc and MA\/MSc training by field and sex","year":""},{"key":"ref32","doi-asserted-by":"publisher","first-page":"e11055","DOI":"10.7717\/peerj.11055","article-title":"Low back pain among Serbian medical students","volume":"9","author":"Ilic","year":"2021","journal-title":"PeerJ"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1136\/bjsports-2012-091287","article-title":"Exercise for anxiety disorders: systematic review","volume":"48","author":"Jayakody","year":"2014","journal-title":"Br. J. Sports Med."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"2685","DOI":"10.1186\/s12889-024-20188-3","article-title":"Sedentary time, physical activity and chronic back pain: UK biobank cohort","volume":"24","author":"Jiang","year":"2024","journal-title":"BMC Public Health"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"1184804","DOI":"10.3389\/fpsyg.2023.1184804","article-title":"Increasing content relevance enhances student motivation","volume":"14","author":"Johansen","year":"2023","journal-title":"Front. Psychol."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"CD000963","DOI":"10.1002\/14651858.CD000963.pub3","article-title":"Multidisciplinary biopsychosocial rehabilitation for chronic LBP","volume":"2014","author":"Kamper","year":"2014","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"217","DOI":"10.3233\/BMR-220004","article-title":"Knowledge related to low back pain: a cross-sectional study","volume":"36","author":"Kanaan","year":"2023","journal-title":"J. Back Musculoskelet. Rehabil."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1556\/2066.2022.00053","article-title":"Personal experience in contemporary health behaviour: narrative review","volume":"4","author":"Kapit\u00e1ny-F\u00f6v\u00e9ny","year":"2021","journal-title":"Dev. Health Sci."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1017\/S0033291719003350","article-title":"Trends in psychological distress among tertiary students, 2010\u20132018","volume":"51","author":"Knapstad","year":"2021","journal-title":"Psychol. Med."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1016\/j.pneurobio.2011.11.007","article-title":"Cognitive and behavioural effects of physical exercise in psychiatric patients","volume":"96","author":"Kn\u00f6chel","year":"2012","journal-title":"Prog. Neurobiol."},{"key":"ref41","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.jos.2017.11.007","article-title":"Association between brain and low back pain","volume":"23","author":"Konno","year":"2018","journal-title":"J. Orthop. Sci."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"1663","DOI":"10.1556\/650.2019.31484","article-title":"Hungarian validation of the low Back pain knowledge questionnaire","volume":"160","author":"Kov\u00e1cs-Bab\u00f3csay","year":"2019","journal-title":"Orv. Hetil."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1093\/occmed\/kqr092","article-title":"Occupational physical activity and low back pain: systematic review","volume":"61","author":"Kwon","year":"2011","journal-title":"Occup. Med."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1007\/s00586-006-0143-7","article-title":"Sitting and occupational low back pain","volume":"16","author":"Lis","year":"2007","journal-title":"Eur. Spine J."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1016\/j.jad.2013.01.014","article-title":"Lifestyle factors and depression pathways","volume":"148","author":"Lopresti","year":"2013","journal-title":"J. Affect. Disord."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"1167","DOI":"10.1590\/S1807-59322009001200006","article-title":"Development and validation of the low Back pain knowledge questionnaire (LKQ)","volume":"64","author":"Maciel","year":"2009","journal-title":"Clinics"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"20150057","DOI":"10.1515\/ijnes-2015-0057","article-title":"Low back pain in student nurses","volume":"13","author":"Menzel","year":"2016","journal-title":"Int. J. Nurs. Educ. Scholarsh."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"454","DOI":"10.20344\/amp.9996","article-title":"Anxiety, depression and academic performance among Portuguese students","volume":"31","author":"Moreira de Sousa","year":"2018","journal-title":"Acta Medica Port."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1093\/bja\/aen123","article-title":"Psychology of pain","volume":"101","author":"Morley","year":"2008","journal-title":"Br. J. Anaesth."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1590\/1806-9282.63.01.21","article-title":"Depression, stress and anxiety in medical students","volume":"63","author":"Moutinho","year":"2017","journal-title":"Rev. Assoc. Med. Bras."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/1471-2474-4-22","article-title":"Is physiotherapy study a risk factor for LBP?","volume":"4","author":"Nyland","year":"2003","journal-title":"BMC Musculoskelet. Disord."},{"key":"ref52","doi-asserted-by":"publisher","first-page":"2791","DOI":"10.1007\/s00586-018-5673-2","article-title":"Clinical practice guidelines for non-specific LBP management","volume":"27","author":"Oliveira","year":"2018","journal-title":"Eur. Spine J."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"370","DOI":"10.1186\/s12909-020-02294-z","article-title":"Anxiety, perceived stress and coping strategies in nursing students","volume":"20","author":"Onieva-Zafra","year":"2020","journal-title":"BMC Med. Educ."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"2051","DOI":"10.1016\/j.spinee.2018.04.003","article-title":"Sitting time, low physical activity and chronic LBP in adults >50 years","volume":"18","author":"Park","year":"2018","journal-title":"Spine J."},{"key":"ref55","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1097\/AJP.0000000000000466","article-title":"Symptoms of depression and risk of low back pain: a co-twin study","volume":"33","author":"Pinheiro","year":"2017","journal-title":"Clin. J. Pain"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"2735","DOI":"10.3390\/ijerph16152735","article-title":"Global prevalence of anxiety among medical students: meta-analysis","volume":"16","author":"Quek","year":"2019","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1016\/j.nedt.2019.01.018","article-title":"Nursing students\u2019 commitment and the mediating effect of stress","volume":"76","author":"Riley","year":"2019","journal-title":"Nurse Educ. Today"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.spinee.2009.09.003","article-title":"Awkward occupational postures and low back pain: systematic review","volume":"10","author":"Roffey","year":"2010","journal-title":"Spine J."},{"key":"ref59","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1016\/j.nlm.2008.06.010","article-title":"Noradrenergic activation of the basolateral amygdala modulates memory","volume":"90","author":"Roozendaal","year":"2008","journal-title":"Neurobiol. Learn. Mem."},{"key":"ref60","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1016\/j.jpsychires.2016.02.023","article-title":"Exercise as treatment for depression: meta-analysis adjusting for bias","volume":"77","author":"Schuch","year":"2016","journal-title":"J. Psychiatr. Res."},{"key":"ref61","first-page":"216","article-title":"Depression among medical students from Poland, Portugal and Germany","volume":"27","author":"Seweryn","year":"2015","journal-title":"Psych. Dan."},{"key":"ref62","first-page":"142","article-title":"A State-Trait Anxiety Inventory (STAI) magyar nyelv\u0171 v\u00e1ltozat\u00e1val szerzett els\u0151 hazai tapasztalatok. In: 75 \u00e9ves a Magyar Tudom\u00e1nyos Akad\u00e9mia Pszichol\u00f3giai Int\u00e9zete. (Az 1977. November 21-24-i tudom\u00e1nyos \u00fcl\u00e9sszak el\u0151ad\u00e1sai). MTA Pszichol\u00f3giai Int\u00e9zet, Budapest","volume":"35","author":"Sipos","year":"1978","journal-title":"M. Pszichol. Sz."},{"key":"ref63","first-page":"123","article-title":"A State-Trait Anxiety Inventory (STAI) magyar v\u00e1ltozata","volume-title":"Pszichodiagnosztikai Vademecum 2. r\u00e9sz B\u00f6lcs\u00e9szettudom\u00e1nyi Karok, Egys\u00e9ges Jegyzet (2. kiad\u00e1s) Nemzeti Tank\u00f6nyvkiad\u00f3 RT, Budapest","author":"Sipos","year":"1998"},{"key":"ref64","doi-asserted-by":"publisher","first-page":"1103","DOI":"10.1002\/acp.3552","article-title":"Meaningfulness and prior knowledge in memory performance","volume":"33","author":"Skinner","year":"2019","journal-title":"Appl. Cogn. Psychol."},{"key":"ref65","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1111\/j.1440-1854.2004.00620.x","article-title":"Musculoskeletal disorders among rural Australian nursing students","volume":"12","author":"Smith","year":"2004","journal-title":"Aust. J. Rural Health"},{"key":"ref66","volume-title":"Manual for the State-Trait-Anxiety Inventory: STAI (form Y)","author":"Spielberger","year":"1983"},{"key":"ref67","first-page":"292","article-title":"State-Trait Anxiety Inventory and State-Trait Anger Expression Inventory","volume-title":"The Use of Psychological Testing for Treatment Planning and Outcome Assessment","author":"Spielberger","year":"1994"},{"key":"ref68","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1556\/Mental.7.2006.3.4","article-title":"Hungarian version of the perceived stress scale","volume":"7","author":"Stauder","year":"2006","journal-title":"Ment\u00e1lhigi\u00e9n\u00e9 \u00e9s Pszichoszomatika."},{"key":"ref69","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1080\/10615806.2014.931942","article-title":"Exams? Why worry?","volume":"28","author":"Strack","year":"2015","journal-title":"Anxiety Stress Coping"},{"key":"ref70","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1016\/j.psychres.2016.12.020","article-title":"Anxiolytic effects of exercise: meta-analysis","volume":"249","author":"Stubbs","year":"2017","journal-title":"Psychiatry Res."},{"key":"ref71","first-page":"15","article-title":"Risk factor analysis in sedentary office workers with LBP","volume":"13","author":"Subramanian","year":"2017","journal-title":"J. Chalmeda Anand Rao Inst. Med. Sci."},{"key":"ref72","doi-asserted-by":"publisher","first-page":"e38997","DOI":"10.7759\/cureus.38997","article-title":"Prevalence of LBP among medical students, Saudi Arabia","volume":"15","author":"Taha","year":"2023","journal-title":"Cureus."},{"key":"ref73","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1016\/j.jos.2023.04.001","article-title":"LBP and psychological stress in a Japanese population","volume":"29","author":"Takegami","year":"2023","journal-title":"J. Orthop. Sci."},{"key":"ref74","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1097\/JOM.0000000000001062","article-title":"Perceived stress and LBP among eldercare workers","volume":"59","author":"Tsuboi","year":"2017","journal-title":"J. Occup. Environ. 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