Araştırma Makalesi

Anxiety, health anxiety and somatosensory amplification levels in individuals with carpal tunnel syndrome with normal electromyography

Cilt: 46 Sayı: 3 30 Eylül 2021
PDF İndir
TR EN

Anxiety, health anxiety and somatosensory amplification levels in individuals with carpal tunnel syndrome with normal electromyography

Abstract

Purpose: The aim of this study was to investigate the levels of anxiety, health anxiety and somatosensory amplification in patients who presented with the clinical manifestation of Carpal Tunnel Syndrome (CTS) without electromyography findings. Materials and Methods: Patients who applied to the Physical Therapy and Rehabilitation outpatient clinic, respectively, and were diagnosed with CTS with clinical findings were included in the study. The patients who were determined to have no evidence of conduction loss in EMG were evaluated by using Short Health Anxiety Inventory (HAI-18), SomatoSensory Amplification Scale (SSAS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Visual Analog Scale (VAS) and Boston Carpal Tunnel Questionnaire (BCTQ). Results: A total of 111 participants were included in the study, of whom 56 were patients and 55 were healthy control subjects. There was no significant difference between the patient and control groups in terms of age, gender, and body mass index (BMI). A statistically significant relationship was observed between these scales and the VAS, BCTQ symptom-severity and BCTQ function status in the positive direction. Conclusion: In our study, it was shown that the patient group showed higher anxiety, health anxiety and somatosensory amplification characteristics, and these features were associated with the severity of the CTS clinical scales. Studies with large-scale samples are needed to be carried out to confirm the results of this study.

Keywords

carpal tunnel syndrome , electromyography , anxiety , depression , neuropathic pain

Kaynakça

  1. 1. Padua L, Coraci D, Erra C, Pazzaglia C, Paolasso I, Loreti C et al. Carpal tunnel syndrome: clinical features, diagnosis, and management. Lancet Neurol. 2016. 2016;15:1273-84.
  2. 2. Foley M, Silverstein B and Polissar N. The economic burden of carpal tunnel syndrome: Long‐term earnings of CTS claimants in Washington State. Am J Ind Med. 2007;50:155-72.
  3. 3. Werner RA and Andary M. Electrodiagnostic evaluation of carpal tunnel syndrome. Muscle Nerve. 2011;44:597-607.
  4. 4. Jablecki C, Andary M, Floeter M, Miller R, Quartly C, Vennix M et al. Practice parameter: electrodiagnostic studies in carpal tunnel syndrome: report of the American Association of Electrodiagnostic Medicine, American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation. Neurology. 2002;58:1589-92.
  5. 5. Keniş-Coşkun Ö, Karadağ-Saygı E, Özsoy T, Giray E, Mansız-Kaplan B and Kora K. Does electrodiagnostic evidence correlate with mood and function in patients with a pre-diagnosis of carpal tunnel syndrome? Turk J Phys Med Rehabil. 2017;63:335.
  6. 6. Pogorzelski R, Kułakowska A, Halicka D and Drozdowski W. Neurological and emotional profile of carpal tunnel syndrome patients. Przegl Lek. 2011;68:269-73.
  7. 7. Fernández-Muñoz JJ, Palacios-Ceña M, Cigarán-Méndez M, Ortega-Santiago R, de-la-Llave-Rincón AI, Salom-Moreno J et al. Pain is associated to clinical, psychological, physical, and neurophysiological variables in women with carpal tunnel syndrome. Clin J Pain. 2016;32:122-9.
  8. 8. Fernandez-de-las-Penas C, Fernandez-Munoz JJ, Palacios-Ceña M, Navarro-Pardo E, Ambite-Quesada S and Salom-Moreno J. Direct and Indirect effects of function in associated variables such as depression and severity on pain intensity in women with carpal tunnel syndrome. Pain Med. 2015;16:2405-11.
  9. 9. Barsky AJ, Wyshak G and Klerman GL. The somatosensory amplification scale and its relationship to hypochondriasis. J Psychiatr Res. 1990;24:323-34.
  10. 10. Güleç H, Sayar K and Güleç M. Bedensel Duyumları Abartma Ölçeği Türkçe Formunun Geçerlik ve Güvenirliği. Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi. 2007;20:16-24 11. Salkovskis PM, Rimes KA and Warwick HMC. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med. 2002;32:843.

Kaynak Göster

MLA
Demir, Bahadır, vd. “Anxiety, health anxiety and somatosensory amplification levels in individuals with carpal tunnel syndrome with normal electromyography”. Cukurova Medical Journal, c. 46, sy 3, Eylül 2021, ss. 982-9, doi:10.17826/cumj.903677.