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The present study aimed to investigate the relationship between levels of pain, anxiety and depression with the healthrelated quality of life among patients with chronic low back pain seeking treatment in some physiotherapy centers. Sample consisted of (216) patients at the Royal Rehabilitation Centre at Al-Husain Medical City Hospital and the Department of Physical Therapy at Prince Hashem Bin Al Hussein Military Hospital. To measure the variables of the study, we used of the following tools: Pain Visual Analog Scale (VAS), State-Trait Anxiety Inventory (STAI), and Beck Depression Inventory (BDI). The Health-related quality of life measured by 36-item Short Form Health Survey (SF36). All tools characterized by appropriate degree of validity and reliability. After conducting statistical analysis, the study concluded that there was severely degree of decline in the overall measure of the health-related quality in the overall eight areas of the health-related quality of life scale with a mean of (48.63). The results also showed that there was a noticeable decline in very severe degree in the field of the limited role as a result of physical health and in the field of the limited role as a result of emotional problems. Additionally, the results showed severe decline in health-related quality of life in the other fields of health-related quality of life (bodily functions, energy and fatigue, emotional well-being, social function, bodily pain, general health). The range averages for the fields of health-related quality of life were between (35.4959.05) where the highest mean was for field of physical functions (59.05) and the lowest mean was for the field of limited role as a result physical health (35.49). The study showed a significant positive correlation between pain and depression, as well as presence of a significant positive correlation between pain and anxiety. Also it showed that a significant negative correlation between the level of health-related quality of life, and all study variables (pain, anxiety, depression). The results indicated that anxiety alone was able to explain a percentage of (29.7%) of health-related quality of life and was the highest explanatory rate, and that pain alone managed to explain a percentage of (11.5%), while the explanatory of depression ability was (4.5%) and the total of what could be interpreted from the variables (anxiety, pain, and depression) was (45.7%) of the total variation in the Health-Related quality of healthy life. The study also showed that although the presence of correlation between the health-related quality of life and other variables on sex with both males and females as well as the presence of correlation between the health-related quality of life and other variables (anxiety, pain, and depression) and the level of education (secondary education or less and those with university degree), there was no statistically significant difference between the health-related quality of life and other variables (pain, anxiety, and depression) and sex or different level of education. In conclusion, this study recommends conducting more studies about psychology of pain in people with low back pain. Having more studies about psychology of pain in this population would improve the understanding of Physicians who are concerned and physical therapists to this important issue. Consequently, better understanding would promote prevention, diagnosis and appropriate management especially for people with chronic low back pain.

The Relationship between Levels of Pain, Anxiety and Depression with the Health-Related Quality of Life among Chronic Low Back Pain Patients