慢性外上髁炎患者精神障碍与睡眠质量的评估。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-07-01 DOI:10.14744/agri.2021.24119
Gonca Sağlam, Funda Aküzüm, Dilek Çetinkaya Alişar
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引用次数: 0

摘要

目的:躯体化等精神疾病影响疼痛的严重程度和慢性程度。本研究旨在确定慢性外上髁炎(LE)患者的睡眠质量和精神障碍的存在,并探讨这些合并症对疼痛水平的影响。方法:本研究纳入46例诊断为慢性LE的患者和46例健康对照。采用视觉模拟量表(VAS)评估疼痛强度。采用贝克抑郁量表(BDI)和症状自评量表(SCL-90-R)检查抑郁的发生率及其他心理因素。采用匹兹堡睡眠质量指数(PSQI)评价睡眠质量。结论:慢性LE患者常伴有精神障碍和睡眠质量差。这些合并症对疼痛水平有负面影响,并可能与疼痛的慢性性有关。因此,在确定慢性LE患者的治疗方案时,应考虑到精神疾病的潜在共存,必要时应给予辅助治疗。
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Assessment of psychiatric disorders and sleep quality in chronic lateral epicondylitis.

Objectives: Psychiatric disorders including somatization impact pain severity and chronicity. This study aimed to determine sleep quality and the presence of psychiatric disorders in patients with chronic lateral epicondylitis (LE) and to investigate the effect of these comorbidities on pain levels.

Methods: This study included 46 patients diagnosed with chronic LE and 46 healthy controls. Visual analog scale (VAS) was used for the assessment of pain intensity. The prevalence of depression and other psychological factors was examined using Beck Depression Inventory (BDI) and the Symptom Checklist-90-Revised test (SCL-90-R). Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality.

Results: The mean BDI (p<0.001), all subdivisions of SCL-90-R including somatization (p<0.001), and the mean global PSQI scores (p=0.002) were found to be significantly higher in patients with chronic LE than those in the control group. The presence of depression according to BDI was 41.3% in the patient group. About 60.8% of the patients had somatization and 71.7% had poor sleep quality. VAS scores were significantly higher in the patients with depression, somatization, and low sleep quality indicating a low positive linear relationship (r=0.357, r=0.360, and r=0.463, respectively, and all p<0.05).

Conclusion: Psychiatric disorders and poor sleep quality are frequently observed in patients with chronic LE. These comorbidities negatively affect pain levels and may be linked to pain chronicity. Therefore, the potential coexistence of psychiatric disorders should be kept in mind when determining the treatment protocols for patients with chronic LE and adjunctive treatment should be given if necessary.

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自引率
16.70%
发文量
22
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