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Prognosis of shoulder pain in those with and without a psychological disorder: A prospective cohort study with a six-month follow-up
Journal of Back and Musculoskeletal Rehabilitation ( IF 1.6 ) Pub Date : 2022-06-16 , DOI: 10.3233/bmr-220018
Pim K W den Boer 1 , Gil Schulte 1, 1 , Dennis M J Muris 1, 2 , Patrick Deckers 3 , Yoeri F L Bemelmans 3 , Martijn G M Schotanus 3, 4 , Bjorn Winkens 5 , Ramon P G Ottenheijm 1
Affiliation  

Abstract

BACKGROUND:

Because shoulder pain can have an unfavorable prognosis, it is important to have a better understanding of factors that may influence recovery.

OBJECTIVE:

To determine the association between recovery from shoulder pain and the presence of depression, anxiety, and pain catastrophizing.

METHODS:

In a prospective cohort study with a six months follow-up, we included patients visiting an orthopaedic department with shoulder pain. Primary outcome was recovery from shoulder pain measured with the Shoulder Pain and Disability Index at three and six months. Information about depression and anxiety (Hospital Anxiety and Depression Scale), pain catastrophizing (Pain Catastrophizing Scale), and demographic and clinical factors were collected at baseline. A linear mixed model was used to estimate the effects of depression, anxiety, pain catastrophizing, and underlying shoulder disorders on recovery.

RESULTS:

We included 190 patients. There were no statistically significant associations between the presence of depression, anxiety, and pain catastrophizing, and three- and six-month recovery. Also between the underlying shoulder disorders and recovery at three and six months, there were no statistically significant associations.

CONCLUSIONS

: We could not prove that depression, anxiety, and pain catastrophizing, as well as underlying shoulder disorders, were associated with recovery of shoulder pain at six months.



中文翻译:

有和没有心理障碍的人的肩痛预后:一项为期六个月的前瞻性队列研究

摘要

背景:

由于肩痛预后不良,因此更好地了解可能影响康复的因素非常重要。

客观的:

确定肩痛恢复与抑郁、焦虑和疼痛灾难化之间的关联。

方法:

在一项为期六个月的前瞻性队列研究中,我们纳入了因肩痛而到骨科就诊的患者。主要结果是在三个月和六个月时用肩痛和残疾指数测量的肩痛恢复情况。在基线收集有关抑郁和焦虑(医院焦虑和抑郁量表)、疼痛灾难化(疼痛灾难化量表)以及人口统计学和临床​​因素的信息。线性混合模型用于估计抑郁、焦虑、疼痛灾难化和潜在的肩部疾病对恢复的影响。

结果:

我们纳入了 190 名患者。抑郁、焦虑和灾难性疼痛的存在与三个月和六个月的恢复之间没有统计学上的显着关联。此外,潜在的肩部疾病与 3 个月和 6 个月时的恢复之间也没有统计学上的显着关联。

结论

:我们无法证明抑郁、焦虑和灾难性疼痛以及潜在的肩部疾病与六个月后肩部疼痛的恢复有关。

更新日期:2022-06-16
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