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

Yıl 2021, Cilt: 46 Sayı: 3, 982 - 989, 30.09.2021

Bahadır Demir Mazlum Serdar Akaltun Özlem Altındağ Hacer Karaoglan Abdurrahman Altındağ Savaş Gürsoy Ali Gür

https://doi.org/10.17826/cumj.903677

Öz

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.

Anahtar Kelimeler

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

Destekleyen Kurum

None

Proje Numarası

None

Teşekkür

Dear Editor-in-Chief, Please find enclosed our manuscript, “Anxiety, Health Anxiety and Somatosensory Amplification Levels in Individuals That Have Symptoms of Carpal Tunnel Syndrome Without Electromyography Findings” by Demir et al., which we would like to submit for publication as an original article. All of the authors declare that they have all participated in the design, execution, and analysis of the paper, and that they have approved the final version. Additionally, there are no conflicts of interest in connection with this paper, and the material described is not under publication or consideration for publication elsewhere. Thank you for your time and assistance. Sincerely, Bahadir Demir

Elektromyografisi normal karpal tünel sendromlu bireylerde anksiyete, sağlık anksiyetesi ve somatosensoryal amplifikasyon düzeyleri

Öz

Amaç: Bu çalışmada Karpal Tunel Sendromu (KTS) klinik tablosu ile başvuran ve Elektromyografi (EMG) sonucunda sinir iletimi normal tespit edilen hastalarda anksiyete, sağlık anksiyesi ve somatosensoryel amplifikasyon düzeylerinin araştırılması amaçlanmıştır.
Gereç ve Yöntem: Çalışmaya Fizik Tedavi ve Rehabilitasyon polikliniğine sırasıyla başvurmuş klinik bulgular ile KTS tanısı konulan hastalar alındı. EMG’de iletim kaybı bulgusu olmayan hastalara Sağlık Anksiyetesi Ölçeği-18 (HAI-18), Bedensel Belirtileri Abartma Ölçeği (BBAÖ), Beck Depresyon Ölçeği (BDÖ), Beck Anksiyete Ölçeği (BAÖ), Görsel Ağrı Skalası (VAS) ve Boston Karpal Tünel Sorgulama Anketi (BKTSA) uygulandı.
Bulgular: Çalışmamız 56 hasta, 55 kontrol olmak üzere 111 vakadan oluştu. 42 erkek olmak üzere, 69 vaka kadın cinsiyetteydi. Hasta ve kontrol grubu arasında yaş, cinsiyet, beden kitle indeksi (BKİ) açısından anlamlı bir farklılık yoktu. Uygulanan ölçekler ile VAS, BKTSA semptom şiddeti ve BKTSA fonksiyonel durum arasında pozitif yönde anlamlı ilişki gözlendi.
Sonuç: Çalışmamız ile bu hasta grubunun yüksek anksiyete, sağlık anksiyetesi ve somatosensoryal amplifikasyon özellikleri gösterdiği ve bu özelliklerin KTS klinik ölçeklerinin şiddeti ile ilişkili olduğu gösterilmiştir. Mevcut sonuçlarımızı doğrulamak için daha geniş örneklemlerde çalışmalara ihitiyaç vardır.

Anahtar Kelimeler

karpal tünel sendromu, elektromyografi, anksiyete, depresyon, nöropatik ağrı

Proje Numarası

None

Kaynakça

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