Chiaramonte Rita, Bonfiglio Marco, Chisari Sergio
. Department of Physical Medicine and Rehabilitation, University of Catania. 95125 Catania, Italy.
. General Medicine, ASP Siracusa. 96100 Siracusa, Italy.
Rev Assoc Med Bras (1992). 2020 May 15;66(2):166-173. doi: 10.1590/1806-9282.66.2.166.
We investigated the associations between adhesive capsulitis (AC) and a specific psychological profile.
We assessed 72 patients with phase-II AC. In our study, 36 patients were affected by primary disease and 36 by secondary disease. The inclusion criteria were as follows: unilateral AC and pain in the shoulder for at least two months. The exclusion criteria were: psychiatric and neurological manifestations with a previous diagnosis and inability to comprehend the instruments. Outcomes were determined at 52 weeks. Shoulder pain severity was assessed with the Visual Analog Scale. We also measured the range of motion with a universal goniometer and the strength with the Medical Research Council. We assessed the personality traits of our patients with the Cloninger's Temperament and Character Inventory and the Multidimensional Perfectionism Scale.
Patients with primary AC needed more time to improve the symptomatology compared to the group with the secondary disease (p<0.01). Patients with primary AC complained of severe and lasting pain more frequently than patients with the secondary disease (p< 0.01). In patients with primary disease, the prevalence of perfectionism, low levels of novelty seeking, and high levels of harm avoidance were 88.2 and 86.2%, and 80.4, respectively, and below 20 percent in patients with secondary AC disease.
We found a significant correlation between primary AC and particular personality traits, indicating an interaction between psychological and somatic factors.
我们研究了粘连性关节囊炎（AC）与特定心理特征之间的关联。
我们评估了72例处于二期AC的患者。在我们的研究中，36例患者患有原发性疾病，36例患有继发性疾病。纳入标准如下：单侧AC且肩部疼痛至少两个月。排除标准为：既往有精神和神经方面的诊断表现以及无法理解相关工具。在52周时确定结果。使用视觉模拟量表评估肩部疼痛严重程度。我们还使用通用测角仪测量活动范围，并使用医学研究委员会的方法测量力量。我们使用克隆宁格气质与性格量表和多维完美主义量表评估患者的人格特质。
与继发性疾病组相比，原发性AC患者改善症状需要更多时间（p<0.01）。原发性AC患者比继发性疾病患者更频繁地抱怨严重且持续的疼痛（p<0.01）。在原发性疾病患者中，完美主义、低新奇寻求水平和高伤害回避水平的患病率分别为88.2%、86.2%和80.4%，而在继发性AC疾病患者中低于20%。
我们发现原发性AC与特定人格特质之间存在显著相关性，表明心理和躯体因素之间存在相互作用。
