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Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance?

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Author(s)
Chul-Hyun ChoSung-Won JungJin-Young ParkKwang-Soon SongKyeong-Im Yu
Keimyung Author(s)
Cho, Chul HyunSong, Kwang SoonJung, Sung Won
Department
Dept. of Orthopedic Surgery (정형외과학)
Dept. of Psychiatry (정신건강의학)
Journal Title
Journal of Shoulder and Elbow Surgery
Issued Date
2013
Volume
22
Issue
2
Keyword
Shoulderpainpsychologic statusdepressionanxietysleep disturbance
Abstract
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.
Keimyung Author(s)(Kor)
조철현
송광순
정성원
Publisher
School of Medicine
Citation
Chul-Hyun Cho et al. (2013). Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance? Journal of Shoulder and Elbow Surgery, 22(2), 222–228. doi: 10.1016/j.jse.2012.04.001
Type
Article
ISSN
1058-2746
Source
https://www.sciencedirect.com/science/article/pii/S1058274612001449?via%3Dihub
DOI
10.1016/j.jse.2012.04.001
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33883
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
1. School of Medicine (의과대학) > Dept. of Psychiatry (정신건강의학)
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