Gürçay Eda, Tamkan Arif Uğur, Karaahmet Özgür Zeliha, Tombak Yasemin, Güzel Şükran, Çakci Aytül
Department of Physical Medicine and Rehabilitation, Gaziler Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey.
Department of Physical Medicine and Rehabilitation, Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, Turkey.
Arch Rheumatol. 2019 Jan 28;34(4):367-370. doi: 10.5606/ArchRheumatol.2019.7139. eCollection 2019 Dec.
This study aims to present two major psychological factors, namely depression and somatization, which may occur with high probability in patients with refractory lateral epicondylitis (LE).
This cross-sectional study included 36 patients (11 males, 25 females; mean age 42.6±8.09 years; range 26 to 60 years) diagnosed as refractory LE. Duration of symptoms was >6 months. Each patient completed the Beck Depression Inventory and the Symptom Checklist-90-Revised test evaluating psychosocial status and somatization, respectively.
Depression was found in 24 (66.6%) (moderate in 15 [41.7%] and mild in 9 [25%]) and somatization was found in 28 (77.8%) patients. Depression and somatization were significantly more common in females than males (p=0.02 and p=0.04, respectively).
Depression and somatization may occur frequently in refractory LE patients, particularly in females. Both physical and psychological assessment tools should be incorporated into the clinical evaluation while psychological support should be included in the treatment of refractory LE.
本研究旨在呈现两个主要的心理因素，即抑郁和躯体化，这两个因素在难治性外侧上髁炎（LE）患者中可能具有较高的发生概率。
这项横断面研究纳入了36例被诊断为难治性LE的患者（11例男性，25例女性；平均年龄42.6±8.09岁；年龄范围26至60岁）。症状持续时间>6个月。每位患者分别完成了贝克抑郁量表以及症状自评量表-90修订版测试，以评估心理社会状态和躯体化情况。
24例（66.6%）患者存在抑郁（15例[41.7%]为中度抑郁，9例[25%]为轻度抑郁），28例（77.8%）患者存在躯体化。抑郁和躯体化在女性中比在男性中更为常见（p值分别为0.02和0.04）。
抑郁和躯体化可能在难治性LE患者中频繁出现，尤其是在女性患者中。在临床评估中应纳入身体和心理评估工具，同时在难治性LE的治疗中应提供心理支持。
