Depression and Insomnia Mediate the Link Between Problematic Internet Use and Neuropathic Low Back Pain: Evidence from a Cross-Sectional Survey

Chronic low back pain is influenced by psychological, sleep, and lifestyle factors. Although PIU was not an independent predictor of neuropathic pain, it indirectly increased risk through depression and insomnia. Screening and management of these comorbidities should be incorporated into prevention and treatment strategies.