Chronic shoulder pain in the community: a syndrome of disability or distress?
Chronic shoulder pain in the community: a syndrome of disability or distress?
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DOI：
10.1136/ard.61.2.128
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发表时间：
2002-02-01
影响因子：
27.4
通讯作者：
Croft, PR
中科院分区：
文献类型：
--
作者：
Badcock, LJ;Lewis, M;Croft, PR
目的：在社区慢性肩痛人群中调查两个问题。首先，随着时间的推移，慢性疼痛是否会导致心理健康受损？第二，限制日常活动对疼痛知觉和心理健康有何影响？方法：对一组慢性肩痛患者进行为期两年的两次邮寄调查。第一份调查是从登记在初级保健诊所的成年人(n=40026)中随机抽取的，其中包括疼痛假人、人口统计信息和医院焦虑和抑郁量表(HAD)。第二次调查的对象是那些在第一次调查中报告单侧肩部疼痛的受试者，其中包括肩部特定残疾程度量表、疼痛严重程度评分和HAD。结果：2606人(65.1%)回答了第一次调查。其中，304人(11.7%)报告了基线时的单侧肩部疼痛。在随后的调查中，有234名应答者(83.3%的调整后回答)：其中142人报告了肩部疼痛，并形成了我们的研究小组，即“慢性肩部疼痛的受试者”。在这一组中，在基线和随访期间，心理痛苦评分没有显著变化。伤残评分和心理痛苦评分均与疼痛严重程度显著相关(伤残与疼痛r=0.536，p
Objectives: To investigate two questions in a community based population of people with chronic shoulder pain. Firstly, does chronic pain lead to impaired psychological health over time? Secondly, how does restriction of daily activity influence pain perception and psychological health?Methods: Two postal surveys, two years apart, were carried out to identify a group of subjects with chronic shoulder pain. The first survey was sent to a random sample of adults (n=40026) registered with a primary care practice, and included a pain manikin, demographic information, and the Hospital Anxiety and Depression scale (HAD). The second survey was sent to those subjects who reported unilateral shoulder region pain in the first survey and it included a shoulder-specific disability scale, pain severity score, and the HAD.Results: 2606 (65.1%) people responded to the initial survey. Of these, 304 (11.7%) reported unilateral shoulder region pain at baseline. In the subsequent survey, there were 234 responders (83.3% adjusted response): 142 of these reported shoulder pain and formed our study group of "subjects with chronic shoulder pain". Within this group there was no significant change in psychological distress scores between baseline and follow up. Both the disability score and psychological distress scores correlated significantly with pain severity (disability v pain r=0.536, p