SavedAdd your journal

Journals / İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi / 2026 / Cilt: 11 Sayı: 1

The Relationship between Chronic Neck Pain and Psychological and Physical Activity Levels

Kronik Boyun Ağrısının Psikolojik ve Fiziksel Aktivite Düzeyleri ile İlişkisi

Abdulkadir Göz(Tarsus Devlet Hastanesi)0000-0002-4017-9098
Evrim Göz(TARSUS ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0002-0651-3005
Pages
65–69
Publication Date
2026-01-28
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition, regular walking habits may be beneficial in reducing stress levels.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to investigate the relationships between neck pain, disability, depression, anxiety, stress and physical activity in patients with chronic neck pain.
📊
Key Findings & Data:The study included 74 patients. 58 of the patients were female and 16 were male.
💡
Conclusion & Impact:In addition, regular walking habits may be beneficial in reducing stress levels.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Anksiyete · Depresyon · Fiziksel Aktivite

Abstract

Objective: The aim of this study was to investigate the relationships between neck pain, disability, depression, anxiety, stress and physical activity in patients with chronic neck pain. Material and Methods: This was a cross-sectional descriptive study. The study included 74 patients. 58 of the patients were female and 16 were male. Pain intensity was assessed using the Visual Analog Scale (VAS), neck disability using the Neck Disability Index (NDI), psychological status using the Depression-Anxiety-Stress Scale (DASS 21), and physical activity using the International Physical Activity Questionnaire (IPAQ). Correlations between variables were calculated using Pearson's test. The significance level was set at p 0.05). A low level statistically significant negative correlation was found between stress and walking MET values (p<0.05). Conclusion: This study demonstrated the impact of psychological factors on neck disability. Therefore, treatment approaches should consider not only physical but also psychosocial factors. In addition, regular walking habits may be beneficial in reducing stress levels.

Özet

Amaç: Bu çalışmanın amacı, kronik boyun ağrısı olan hastalarda boyun ağrısı, dizabilite, depresyon, anksiyete, stres ve fiziksel aktivite düzeyleri arasındaki ilişkileri incelemektir. Araştırma, kesitsel tanımlayıcı bir çalışmadır. Gereç ve Yöntem: Araştırma, kesitsel tanımlayıcı bir çalışmadır. Çalışmaya, 74 hasta dahil edildi. Hastaların 58’i kadın, 16’sı erkekti. Hastaların Vizüel Ağrı Skalası (VAS) ile ağrı şiddeti, Boyun Dizabilite İndeksi (BDİ) ile boyun dizabilitesi, Depresyon-Anksiyete-Stres Ölçeği (DASS 21) ile psikolojik durumları ve Uluslararası Fiziksel Aktivite Anketi (IPAQ) ile fiziksel aktivite düzeyleri değerlendirildi. Değişkenler arası korelasyonlar Pearson testi ile hesaplandı. Anlamlılık değeri p 0,05). Stres ile yürüme MET değerleri arasında negatif yönde düşük düzeyde istatistiksel olarak anlamlı ilişki bulundu (p<0,05). Sonuç: Bu çalışmada psikolojik faktörlerin boyun dizabilitesi üzerine etkisi gösterilmiştir. Bu nedenle, tedavi yaklaşımlarının sadece fiziksel değil, psikososyal faktörleri de göz önünde bulundurması gerekmektedir. Ayrıca, düzenli yürüyüş alışkanlığı stres düzeylerini azaltmada faydalı olabilir. Anahtar Kelimeler: Anksiyete, depresyon, fiziksel aktivite, kronik boyun ağrısı, stres.

🔖

Cite This Article

Göz, A., Göz, E. (2026). The Relationship between Chronic Neck Pain and Psychological and Physical Activity Levels. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, Cilt: 11 Sayı: 1, 65–69. https://doi.org/10.61399/ikcusbfd.1643809

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (34)

  1. Nunes AMP, Moita JPAM, Espanha MMMR, Petersen KK, Arendt‐Nielsen L. Pressure pain thresholds in office workers with chronic neck pain: A systematic review and meta‐analysis. Pain Pract. 2021;21(7):799-814.
  2. Cohen SP, Hooten WM. Advances in the diagnosis and management of neck pain. BMJ. 2017;358.
  3. Jensen I, Harms-Ringdahl K. Strategies for prevention and management of musculoskeletal conditions. Neck pain. Best Pract Res Clin Rheumatol. 2007;21(1):93-108. Epub 2007/03/14. doi: 10.1016/j.berh.2006.10.003. PubMed PMID: 17350546.
  4. Treleaven J, Chen X, Bahat HS. Factors associated with cervical kinematic impairments in patients with neck pain. Man Ther. 2016;22:109-15.
  5. Soysal M, Bilge K, Arda MN. Assessment of physical activity in patients with chronic low back or neck pain. Turk Neurosurg. 2013;23(1):75-80.
  6. Demirbüken İ, Özgül B, Kuru Çolak T, Aydoğdu O, Sarı Z, Yurdalan SU. Kinesiophobia in relation to physical activity in chronic neck pain. J Back Musculoskelet Rehabil. 2016;29(1):41-7.
  7. Cheung J, Kajaks T, Macdermid J. The relationship between neck pain and physical activity. Open Orthop J. J. 2013;7(4):521-9.
  8. Alsalhe TA, Aljaloud SO, Chalghaf N, Guelmami N, Alhazza DW, Azaiez F, et al. Moderation effect of physical activity on the relationship between fear of COVID-19 and general distress: A pilot case study in Arabic countries. Front Psychol. 2020;11:570085.
  9. Linton SJ. A review of psychological risk factors in back and neck pain. Spine. 2000;25(9):1148-56.
  10. Andias R, Silva AG. Psychosocial variables and sleep associated with neck pain in adolescents: a systematic review. Phys Occup Ther Pediatr. 2020;40(2):168-91.
  11. Delgado DA, Lambert BS, Boutris N, McCulloch PC, Robbins AB, Moreno MR, et al. Validation of digital visual analog scale pain scoring with a traditional paper-based visual analog scale in adults. JAAOS Global Research & Reviews. 2018;2(3):e088.
  12. Aslan E, Karaduman A, Yakut Y, Aras B, Simsek IE, Yaglý N. The cultural adaptation, reliability and validity of neck disability index in patients with neck pain: a Turkish version study. Spine. 2008;33(11):E362-E5.
  13. Vernon H. The Neck Disability Index: state-of-the-art, 1991-2008. anipulative Physiol Ther. 2008;31(7):491-502.
  14. Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-84.
  15. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335-43.
  16. Yılmaz Ö, Boz H, Arslan A. Depresyon Anksiyete Stres Ölçeğinin (DASS 21) Türkçe kisa formunun geçerlilik-güvenilirlik çalişmasi. FESA. 2017;2(2):78-91.
  17. Hayran M. Sağlık araştırmaları için temel istatistik: Omega Araştırma; 2011.
  18. Alsaqr AM. Remarks on the use of Pearson’s and Spearman’s correlation coefficients in assessing relationships in ophthalmic data. AVEH. 2021;80(1):10.
  19. Kaka B, Ogwumike OO, Adeniyi AF, Maharaj SS, Ogunlade SO, Bello B. Effectiveness of neck stabilisation and dynamic exercises on pain intensity, depression and anxiety among patients with non-specific neck pain: a randomised controlled trial. Scand J Pain. 2018;18(2):321-31.
  20. Akkan H, Gelecek N. The effect of stabilization exercise training on pain and functional status in patients with cervical radiculopathy. J Back Musculoskelet Rehabil. 2018;31(2):247-52.
  21. Moon K-Y, Shin D. Correlation between psychosocial stresses, stress coping ability, pain intensity and degree of disability in patients with non-specific neck pain. Physiol Behav. 2024;275:114433.
  22. Stenneberg MS, Scholten-Peeters GG, den Uil CS, Wildeman ME, van Trijffel E, de Bie RA. Clinical characteristics differ between patients with non-traumatic neck pain, patients with whiplash-associated disorders, and pain-free individuals. Physiother Theory Pract. 2022;38(13):2592-602.
  23. Al-Ghamdi S, Shubair MM, Angawi K, Al-Zahrani J, Khormi AAM, Alshammari RF, et al. Combined’Neck/Back pain and psychological distress/morbidity among the Saudi population: a cross-sectional study. Front Psychol. 2022;13:870600.
  24. Juan W, Rui L, Wei-Wen Z. Chronic neck pain and depression: the mediating role of sleep quality and exercise. Psychol Health Med. 2020;25(8):1029-35.
  25. Elbinoune I, Amine B, Shyen S, Gueddari S, Abouqal R, Hajjaj-Hassouni N. Chronic neck pain and anxiety-depression: prevalence and associated risk factors. Pan Afr Med J. 2016;24(1).
  26. Blozik E, Laptinskaya D, Herrmann-Lingen C, Schaefer H, Kochen MM, Himmel W, et al. Depression and anxiety as major determinants of neck pain: a cross-sectional study in general practice. BMC Musculoskelet Disord. 2009;10:1-8.
  27. Myrtveit SM, Sivertsen B, Skogen JC, Frostholm L, Stormark KM, Hysing M. Adolescent neck and shoulder pain—the association with depression, physical activity, screen-based activities, and use of health care services. J Adolesc Health. 2014;55(3):366-72.
  28. MacDowall A, Robinson Y, Skeppholm M, Olerud C. Anxiety and depression affect pain drawings in cervical degenerative disc disease. Ups J Med Sci. 2017;122(2):99-107.
  29. Daher A, Halperin O, editors. Association between psychological stress and neck pain among college students during the coronavirus disease of 2019 pandemic: a questionnaire-based cross-sectional study. Healthcare (Basel). 2021;9:1526.
  30. Ortego G, Villafañe JH, Doménech-García V, Berjano P, Bertozzi L, Herrero P. Is there a relationship between psychological stress or anxiety and chronic nonspecific neck-arm pain in adults? A systematic review and meta-analysis. J Psychosom Res. 2016;90:70-81.
  31. Sayilir S. Daytime sleepiness, functionality, and stress levels in chronic neck pain and effects of physical medicine and rehabilitation therapies on these situations. North Clin Istanb. 2018;5(4):348-52.
  32. Valera-Calero JA, Varol U. Correlation among Routinary Physical Activity, Salivary Cortisol, and Chronic Neck Pain Severity in Office Workers: A Cross-Sectional Study. Biomedicines. 2022;10(10):2637.
  33. Vikat A, Rimpelä M, Salminen JJ, Rimpelä A, Savolainen A, Virtanen SM. Neck or shoulder pain and low back pain in Finnish adolescents. Scand J Public Health. 2000;28(3):164-73.
  34. Øverås CK, Villumsen M, Axén I, Cabrita M, Leboeuf‐Yde C, Hartvigsen J, et al. Association between objectively measured physical behaviour and neck‐and/or low back pain: A systematic review. Eur J Pain. 2020;24(6):1007-22.