Albayrak İlknur, Yilmaz Halim, Akkurt Halil Ekrem, Salli Ali, Karaca Gülten
Department of Physical Medicine and Rehabilitation, Medical School of Selcuk University, Konya, Turkey,
Clin Rheumatol. 2015 Sep;34(9):1613-9. doi: 10.1007/s10067-014-2610-6. Epub 2014 Apr 18.
The aims of this study were to evaluate pain, depression level, fatigue, sleep, and quality of life (QoL) among patients with benign joint hypermobility syndrome (BJHS) and to compare their results with those of healthy controls. The study involved 115 patients and 114 healthy volunteers. Pain level was rated using visual analogue scale (VAS) for all patients. Depression level, fatigue, sleep quality, and QoL of all the participants were evaluated by the Beck Depression Inventory (BDI), the Checklist Individual Strength (CIS), the Pittsburgh Sleep Quality Index (PSQI), and the Short Form-36 (SF-36), respectively. VAS value was 6.29 ± 0.94 in the patient group. Comparison of two groups showed that there were statistically significant differences between the patient group and the control group with respect to BDI, total CIS, PSQI scores, SF-36 subscales (physical function, role physical, bodily pain, general health, role emotional, and mental health), and mental component summary (p < 0.001). While pain is the predominant symptom among BJHS patients, depression, fatigue, impaired sleep, and QoL also commonly occur. Thus, all of these components should be taken into account when assessing patients with BJHS.
本研究的目的是评估良性关节过度活动综合征（BJHS）患者的疼痛、抑郁水平、疲劳、睡眠和生活质量（QoL），并将其结果与健康对照组进行比较。该研究纳入了115例患者和114名健康志愿者。所有患者均使用视觉模拟量表（VAS）对疼痛程度进行评分。所有参与者的抑郁水平、疲劳、睡眠质量和生活质量分别通过贝克抑郁量表（BDI）、个人力量清单（CIS）、匹兹堡睡眠质量指数（PSQI）和简明健康调查问卷36项量表（SF-36）进行评估。患者组的VAS值为6.29±0.94。两组比较显示，患者组与对照组在BDI、CIS总分、PSQI评分、SF-36分量表（身体功能、角色身体、身体疼痛、总体健康、角色情感和心理健康）以及心理成分总结方面存在统计学显著差异（p<0.001）。虽然疼痛是BJHS患者的主要症状，但抑郁、疲劳、睡眠障碍和生活质量也很常见。因此，在评估BJHS患者时应考虑所有这些因素。
