Toprak M, Erden M
Department of Physical Medicine and Rehabilitation, Toprak Medical Faculty, Yüzüncü Yıl University, Van, Turkey.
Department of Physical Medicine and Rehabilitation, Van Training and Research Hospital, Van, Turkey.
J Back Musculoskelet Rehabil. 2019;32(2):287-291. doi: 10.3233/BMR-171010.
Nocturnal shoulder pain could play an essential role in frozen shoulder (FS) and can lead to disturbed sleep, anxiety, depression and reduced quality of life (QoL).
The aim of this study was to examine anxiety, depression, sleep quality and quality of life in patients with FS and compare these to healthy controls.
We prospectively evaluated 148 participants (76 FS patients and 72 healthy controls). We obtained Visual Analogue Scale (VAS) pain score, Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Pittsburgh Sleep Quality Index (PSQI) and World Health Organization Quality of Life Scale short form (WHOQoL-BREF).
FS patients had significantly higher scores for VAS and BAI (p< 0.001) than the control group. There was no significant difference between the BDI scores of the groups (p= 0.067). The WHOQoL-BREF scale of the physical, mental and environmental fields were significantly lower in the FS group (p< 0.001). FS patients had significantly lower sleep efficiency, and sleep disorders in terms of PSQI section scores (p< 0.001).
Our study demonstrated that there is a high prevalence and close relationships of pain, anxiety and sleep disturbance in patients with FS. Adding a psychiatric evaluation to the treatment of patients with FS may be beneficial.
夜间肩部疼痛在肩周炎（FS）中可能起重要作用，并可导致睡眠障碍、焦虑、抑郁和生活质量（QoL）下降。
本研究旨在检查FS患者的焦虑、抑郁、睡眠质量和生活质量，并将这些与健康对照组进行比较。
我们前瞻性地评估了148名参与者（76名FS患者和72名健康对照）。我们获得了视觉模拟量表（VAS）疼痛评分、贝克焦虑量表（BAI）、贝克抑郁量表（BDI）、匹兹堡睡眠质量指数（PSQI）和世界卫生组织生活质量量表简表（WHOQoL-BREF）。
FS患者的VAS和BAI评分显著高于对照组（p<0.001）。两组的BDI评分无显著差异（p=0.067）。FS组的身体、心理和环境领域的WHOQoL-BREF量表得分显著较低（p<0.001）。FS患者的睡眠效率显著较低，PSQI各部分得分方面存在睡眠障碍（p<0.001）。
我们的研究表明，FS患者疼痛、焦虑和睡眠障碍的患病率很高且关系密切。在FS患者的治疗中增加精神科评估可能有益。
