Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance?
Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance?
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DOI：
10.1016/j.jse.2012.04.001
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发表时间：
2013-02-01
影响因子：
3
通讯作者：
Yu, Kyeong-Im
中科院分区：
文献类型：
--
作者：
Cho, Chul-Hyun;Jung, Sung-Won;Yu, Kyeong-Im
背景：最近的研究发现慢性肌肉骨骼疼痛患者抑郁、焦虑和睡眠障碍的患病率很高。我们进行了一项研究，以确定是否肩痛3个月或更长的时间与抑郁，焦虑，和sleep disturbance.Materials和方法：我们前瞻性地评估了130例肩痛3个月或更长的时间（组I）和60名健康对照（组II）。结果：I组患者VAS疼痛评分、ASES评分、KSS评分分别为6.2、46.6、51.5分，对照组患者VAS疼痛评分、ASES评分、KSS评分分别为6.2、46.6、51.5分，差异有统计学意义（P < 0.05）。在该组中，22.3%患有抑郁症，19.2%患有焦虑症，81.5%患有睡眠障碍。组I的患病率高于组II。I组患者的抑郁、焦虑或睡眠障碍在年龄、性别、疾病类型或症状持续时间方面无差异。VAS疼痛评分与PSQI评分呈正相关（P=.01）。ASES和KSS评分与HADS抑郁和焦虑量表以及PSQI评分呈负相关（P < .001）。肩痛3个月或更长时间是睡眠障碍的最强预测因子（P <0.001）。结论：我们的研究表明，肩痛3个月或更长时间的患者中抑郁、焦虑和睡眠障碍的患病率较高，且密切相关。这些结果可能表明心理方法以及适当的疼痛控制的重要性。证据等级：III级，横断面研究，流行病学研究。(C)2013年《肩肘外科杂志》董事会。
Background: Recent studies have found a high prevalence of depression, anxiety, and sleep disturbance in patients with chronic musculoskeletal pain. We conducted a study to determine whether shoulder pain for 3 months or longer is correlated with depression, anxiety, and sleep disturbance.Materials and methods: We prospectively evaluated 130 patients who had had shoulder pain for 3 months or longer (group I) and 60 healthy controls (group II). We obtained visual analog scale (VAS) pain score, and scores for the American Shoulder and Elbow Surgeons (ASES), Korean Shoulder Scale (KSS), Hospital Anxiety and Depression Scale (HADS), and Pittsburgh Sleep Quality Index (PSQI).Results: The mean VAS pain score, ASES score, and KSS score in group I were 6.2, 46.6, and 51.5, respectively. In that group, 22.3% had depression, 19.2% had anxiety, and 81.5% had sleep disturbance. The prevalences were higher in group I than in group II. There were no differences in depression, anxiety, or sleep disturbance by age, sex, type of disease, or duration of symptoms in group I. VAS pain scores positively correlated with PSQI scores (P=.01). ASES and KSS scores negatively correlated with HADS depression and anxiety subscale and PSQI scores (P < .001). Shoulder pain for 3 months or longer was the strongest predictor of sleep disturbance (P < .001).Conclusions: Our study demonstrated high prevalence and close relationships of depression, anxiety, and sleep disturbance in patients with shoulder pain for 3 months or longer. These results may indicate importance of the psychologic approach as well as adequate pain control. Level of evidence: Level III, Cross Sectional Study, Epidemiology Study. (C) 2013 Journal of Shoulder and Elbow Surgery Board of Trustees.