Omuz Sıkışma Sendromuna Bağlı Omuz Ağrısı Olan Hastalarda; Psikopatolojinin Yaşam Kalitesi ve Engellilik Üzerine Etkisi

Year 2024, , 32 - 40, 28.03.2024

Abdullah Küçükalp , Çetin Turan

https://doi.org/10.35365/ctjpp.24.1.04

Abstract

Bu araştırmanın amacı Subakromiyal Sıkışma Sendromu (SAPS) olan vakalarda ağrı ve yeti yitimi belirtileri, abartılı bedensel duyumlar, depresyon, anksiyete, problemli kişilik özellikleri ve yaşam kalitesi arasındaki ilişkiyi incelemektedir.
Araştırmada SAPS tanılı 100 vaka Kol, omuz ve El sorunları Anketi (DASH), Beck Anksiyete Envanteri (BAE), Beck Depresyon Envanteri (BDE), Toronto Aleksitimi Ölçeği (TAÖ), Bedensel Duyumları Abartma Ölçeği (BDAÖ), SF-36 ve Eysenck Kişilik Ölçeği ile değerlendirilmiştir.
DASH skorları ile BDAÖ (r=0,572, p<0,001), BAE (r=0,303, p=0,003), BDE (r=0,324, p=0,001), TAÖ (r=0,332, p=0,001) skorları arasında anlamlı seviyede pozitif korelasyon; BDAÖ skorları ile BAE (r=0,453, p<0,001), BDE (r=0,442, p<0,001), TAS (r=0,561, p<0,001) skorları arasında anlamlı seviyede pozitif korelasyon olduğu bulundu. Buna ek olarak DASH ve BDAÖ skorları ile yaşam kalitesi alt ölçek skorlarının anlamlı korelasyonlar gösterdiği (p<0,05) bulundu. Hiyerarşik Regresyon Analizlerinde DASH skorlarını açıklamada sadece SF-36 alt ölçeklerinin (fiziksel fonksiyon, ağrı, ruhsal sağlık) (p<0,05), BDAÖ skorlarını açıklamada ise sadece TAÖ skorlarının (p<0,05) anlamlı etkilerinin olduğu bulundu.
SAPS tanılı vakalarda ağrı ve yeti yitimi belirtileri ruhsal sorunların etkisi kontrol edildiğinde yaşam kalitesiyle ilişkilidir. SAPS tanılı vakalarda abartılı bedensel duyumlar ise diğer ruhsal sorunlar ve ağrı yeti yiyimi belirtilerinin etkileri kontrol edildiğinde aleksitimik belirtiler ile yakından ilişkilidir.

Keywords

Omuz Sıkışma Sendromu, Ağri, Depresyon, Anksiyete, Aleksitimi, Kişilik, Somatik Semptomlar

In Patients with Shoulder Pain Due to Shoulder Impingement Syndrome; The Effect of Psychopathology on Quality of Life and Disability

Abstract

This study aims to examine the relationship between pain and disability symptoms, somatosensory amplification, depression, anxiety, problematic personality traits, and quality of life in patients with Subacromial Impingement Syndrome (SIS).
In the study, 100 cases diagnosed with SIS were evaluated using the Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), Toronto Alexithymia Scale (TAS), Somatosensory Amplification Scale (SAS), SF-36 and Eysenck Personality Questionnaire (EPQ).
There was a significant positive correlation between DASH scores and SAS (r=0.572, p<0.001), BAI (r=0.303, p=0.003), BDI (r=0.324, p=0.001), and TAS (r=0.332, p=0.001) scores whereas a significant positive correlation was found between BDAS scores and BAI (r=0.453, p<0.001), BDI (r=0.442, p<0.001), TAS (r=0.561, p<0.001) scores. Besides, DASH and SAS scores were significantly correlated with quality-of-life subscale scores (p<0.05). In Hierarchical Regression Analysis, only SF-36 subscales (physical function, bodily pain, mental health) were found to have significant effects in explaining DASH scores (p<0.05), and only TAS scores were found to have significant effects in explaining SAS scores (p<0.05).
Pain and disability symptoms are associated with quality of life in patients diagnosed with SIS when the effects of mental problems are controlled. Somatosensory amplification in patients with SIS is closely related to alexithymic symptoms considering the control of the effects of other mental problems and pain and disability symptoms.

Keywords

Subacromial Impingement Syndrome, Pain, Depression, Anxiety, Alexithymia, Personality, Somatic Symptoms

Thanks

None

References

• Alizadehkhaiyat, O., Roebuck, M. M., Makki, A. T., & Frostick, S. P. (2017). Pain, functional disability, psychological status, and health-related quality of life in patients with subacromial impingement syndrome. Cogent Medicine, 4(1), 1406631.
• Bagby, R. M., Parker, J. D., & Taylor, G. J. (1994). The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. Journal of psychosomatic research, 38(1), 23–32.
• Bagby, R. M., Taylor, G. J., & Parker, J. D. (1994). The Twenty-item Toronto Alexithymia Scale-II. Convergent, discriminant, and concurrent validity. Journal of psychosomatic research, 38(1), 33–40.
• Barsky, A. J., Wyshak, G., & Klerman, G. L. (1990). The somatosensory amplification scale and its relationship to hypochondriasis. Journal of psychiatric research, 24(4), 323–334.
• Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of consulting and clinical psychology, 56(6), 893–897.
• Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of general psychiatry, 4, 561–571.
• Bekhbat, M., & Neigh, G. N. (2018). Sex differences in the neuro-immune consequences of stress: Focus on depression and anxiety. Brain, behavior, and immunity, 67, 1-12.
• Cho, C. H., Jung, S. W., Park, J. Y., Song, K. S., & Yu, K. I. (2013). Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance?. Journal of shoulder and elbow surgery, 22(2), 222-228.
• De Baets, L., Matheve, T., Meeus, M., Struyf, F., & Timmermans, A. (2019). The influence of cognitions, emotions and behavioral factors on treatment outcomes in musculoskeletal shoulder pain: a systematic review. Clinical rehabilitation, 33(6), 980-991.
• Düger, T., Yakut, E., Öksüz, Ç., Yörükan, S., Bilgutay, B., Ayhan, Ç., Leblecioglu, G., & Güler, Ç. (2006). Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Turkish Journal of Physiotherapy Rehabilitation-Fizyoterapi Rehabilitasyon, 17(3).
• Düger, T., Yakut, E., Öksüz, Ç., Yörükan, S., Bilgutay, B., Ayhan, Ç., Leblecioglu, G., & Güler, Ç. (2006). Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Turkish Journal of Physiotherapy Rehabilitation-Fizyoterapi Rehabilitasyon, 17(3), 99-107.
• Eysenck, H. J., & Eysenck, S. B. (1975). Junior Eysenck Personality Questionnaire. Personality and Individual Differences. Hodder, Stoughton, editors. London.
• Francis, L. J., Brown, L. B., & Philipchalk, R. (1992). The development of an abbreviated form of the Revised Eysenck Personality Questionnaire (EPQR-A): Its use among students in England, Canada, the USA and Australia. Personality and individual differences, 13(4), 443-449.
• Ghiggia, A., Bottiroli, S., Lingiardi, V., Tassorelli, C., Galli, F., & Castelli, L. (2022). Alexithymia and psychological distress in fibromyalgia and chronic migraine: A cross-sectional study. Journal of Psychosomatic Research, 163, 111048.
• Ghiggia, A., Bottiroli, S., Lingiardi, V., Tassorelli, C., Galli, F., & Castelli, L. (2022). Alexithymia and psychological distress in fibromyalgia and chronic migraine: A cross-sectional study. Journal of Psychosomatic Research, 163, 111048.
• Gulec, H., Sayar, K., & Gulec, M. Y. (2007). Exaggeration of Bodily Sensations Olcegi The Validity and Security of the Turkish Form. The Man Who Thought, 20, 16-24.
• Güleç, H., Köse, S., Güleç, M. Y., Çitak, S., Evren, C., Borckardt, J., & Sayar, K. (2009). Reliability and factorial validity of the Turkish version of the 20-item Toronto alexithymia scale (TAS-20). Psychiatry and Clinical Psychopharmacology, 19(3), 214, 214-220.
• Hisli, N. (1989). A reliability and validity study of Beck Depression Inventory in a university student sample. J Psychol, 7, 3-13.
• Hosoi, M., Molton, I. R., Jensen, M. P., Ehde, D. M., Amtmann, S., O’Brien, S., ... & Kubo, C. (2010). Relationships among alexithymia and pain intensity, pain interference, and vitality in persons with neuromuscular disease: Considering the effect of negative affectivity. PAIN, 149(2), 273-277.
• Hudak, P. L., Amadio, P. C., Bombardier, C., Beaton, D., Cole, D., Davis, A., ... & Wright, J. (1996). Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder, and head). American journal of industrial medicine, 29(6), 602-608.
• Hulley, S. B., Cummings, S. R., Browner, W. S., Grady, D. G., Hearst, N., & Newman, T. (2001). Conceiving the research question. Designing clinical research, 335,18-26.
• Hur, H. J., & Park, H. Y. (2022). Gut Microbiota and Depression, Anxiety, and Cognitive Disorders. In Sex/Gender-Specific Medicine in the Gastrointestinal Diseases, 379-391.
• Karanci, A. N., Dirik, G., & Yorulmaz, O. (2007). Reliability and validity studies of Turkish translation of Eysenck Personality Questionnaire Revised-Abbreviated. Turkish journal of psychiatry, 18(3), 254–261.
• Koçyiğit, H. (1999). Reliability and validity of the Turkish version of the short Form-36 (KF-36). Journal of Medicines and Treatments, 12, 102-106.
• Mahmud, S., Hossain, S., Muyeed, A., Islam, M. M., & Mohsin, M. (2021). The global prevalence of depression, anxiety, stress, and, insomnia and its changes among health professionals during COVID-19 pandemic: A rapid systematic review and meta-analysis. Heliyon, 7(7).
• Miranda, H., Viikari-Juntura, E., Heistaro, S., Heliövaara, M., & Riihimäki, H. (2005). A population study on differences in the determinants of a specific shoulder disorder versus nonspecific shoulder pain without clinical findings. American journal of epidemiology, 161(9), 847-855.
• Noyes Jr, R., Stuart, S. P., Langbehn, D. R., Happel, R. L., Longley, S. L., Muller, B. A., & Yagla, S. J. (2003). Test of an interpersonal model of hypochondriasis. Psychosomatic Medicine, 65(2), 292-300.
• Overbeek, C. L., Gademan, M. G., Kolk, A., Visser, C. P., van der Zwaal, P., Nagels, J., & Nelissen, R. G. (2021). Reduced psychosocial functioning in subacromial pain syndrome is associated with persistence of complaints after 4 years. Journal of Shoulder and Elbow Surgery, 30(2), 223-228.
• Pasin T., & Pasin, O. (2021). Assessment of Quality of Life in Patients with Subacromial Impingement Syndrome. Journal of Contemporary Medicine, 11(3), 277-281.
• Tesio, V., Di Tella, M., Ghiggia, A., Romeo, A., Colonna, F., Fusaro, E., ... & Castelli, L. (2018). Alexithymia and depression affect quality of life in patients with chronic pain: A study on 205 patients with fibromyalgia. Frontiers in psychology, 9, 442, 1-10.
• Tunç, Y., Karaca, N. B., Fırat, T., & Cangır, A. K. (2019). Effects Of Alexithymia On Actıvıty Pain, Upper Extremıty Function, Symptom And Depression Levels In Patıents With Thoracic Outlet Syndrome. Annals of the Rheumatic Diseases, 2019, 1926.
• Ulusoy, M., Sahin, N. H., & Erkmen, H. (1998). Turkish version of the Beck Anxiety Inventory: psychometric properties. Journal of cognitive psychotherapy, 12(2), 163-172.
• Vogel, M., Binneböse, M., Wallis, H., Lohmann, C. H., Junne, F., Berth, A., & Riediger, C. (2022). The Unhappy Shoulder: A Conceptual Review of the Psychosomatics of Shoulder Pain. Journal of Clinical Medicine, 11(18), 5490, 2-14.
• Wolfensberger, A., Vuistiner, P., Konzelmann, M., Plomb-Holmes, C., Leger, B., & Luthi, F. (2016). Clinician and patient-reported outcomes are associated with psychological factors in patients with chronic shoulder pain. Clinical Orthopaedics and Related Research, 474, 2030-2039.