Gonca SAĞLAM, Funda AKÜZÜM, Dilek ÇETİNKAYA ALİŞAR

Kronik lateral epikondilitte psikiyatrik bozuklukların ve uyku kalitesinin değerlendirilmesi

Amaç: Somatizasyon başta olmak üzere psikiyatrik bozukluklar ağrının şiddetini ve kronikliğini etkilemektedir. Bu çalışmada, kronik lateral epikondilitli hastalarda uyku kalitesi ve psikiyatrik bozuklukların varlığının belirlenmesi ve bu komorbiditelerin ağrı düzeylerine etkisinin araştırılması amaçlandı. Gereç ve Yöntem: Bu çalışmaya kronik lateral epikondilit tanılı 46 hasta ve 46 sağlıklı kontrol dahil edildi. Ağrı şiddetinin de- ğerlendirilmesi için görsel analog skala kullanıldı. Depresyonun yaygınlığı ve diğer psikolojik faktörler, Beck depresyon envan- teri ve Belirti Kontrol Listesi-90-Revize Testi kullanılarak incelendi. Uyku kalitesini değerlendirmek için Pittsburgh Uyku Kalitesi İndeksi kullanıldı. Bulgular: Ortalama Beck depresyon envanteri (p

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

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1. Brummel J, Baker CL 3rd, Hopkins R, Baker CL Jr. Epicondyli- tis: Lateral. Sports Med Arthrosc Rev 2014;22:e1–6.
2. Knoerl R, Lavoie Smith EM, Weisberg J. Chronic pain and cognitive behavioral therapy: An integrative review. West J Nurs Res 2016;38:596–628.
3. Mallows A, Debenham J, Walker T, Littlewood C. Associa- tion of psychological variables and outcome in tendinopa- thy: A systematic review. Br J Sports Med 2017;51:743–8.
4. Birket-Smith M. Somatization and chronic pain. Acta An- aesthesiol Scand 2001;45:1114–20.
5. Karkkola P, Sinikallio S, Flink N, Honkalampi K, Kuittinen M. Pain self-efficacy moderates the association between pain and somatization in a community sample. Scand J Pain 2019;19:101–8.
6. Nijs J, Mairesse O, Neu D, Leysen L, Danneels L, Cagnie B, et al. Sleep disturbances in chronic pain: Neurobiology, assessment, and treatment in physical therapist practice. Phys Ther 2018;98:325–35.
7. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561–71.
8. Derogatis LR, Lipman RS, Covi L. SCL-90: An outpatient psy- chiatric rating scale--preliminary report. Psychopharmacol Bull 1973;9:13–28.
9. Buysse DJ, Reynolds CF 3 rd, Monk TH, Berman SR, Kup- fer DJ. The pittsburgh sleep quality index: A new instru - ment for psychiatric practice and research. Psychiatry Res 1989;28:193–213.
10. Drew BT, Smith TO, Littlewood C, Sturrock B. Do structural changes (eg, collagen/matrix) explain the response to therapeutic exercises in tendinopathy: A systematic re- view. Br J Sports Med 2014;48:966–72.
11. de Schepper EI, Koes BW, Oei EH, Bierma-Zeinstra SM, Luijsterburg PA. The added prognostic value of MRI find - ings for recovery in patients with low back pain in pri- mary care: A 1-year follow-up cohort study. Eur Spine J 2016;25:1234–41.
12. Ring D, Kadzielski J, Fabian L, Zurakowski D, Malhotra LR, Jupiter JB. Self-reported upper extremity health sta - tus correlates with depression. J Bone Joint Surg Am 2006;88:1983–8.
13. Beleckas CM, Wright M, Prather H, Chamberlain A, Guat- tery J, Calfee RP. Relative prevalence of anxiety and depres- sion in patients with upper extremity conditions. J Hand Surg Am 2018;43:571.e1–e8.
14. Coombes BK, Bisset L, Vicenzino B. Cold hyperalgesia as - sociated with poorer prognosis in lateral epicondylalgia: A 1-year prognostic study of physical and psychological fac- tors. Clin J Pain 2015;31:30–5.
15. Alizadehkhaiyat O, Fisher AC, Kemp GJ, Frostick SP. Pain, functional disability, and psychologic status in tennis el - bow. Clin J Pain 2007;23:482–9.
16. Garnevall B, Rabey M, Edman G. Psychosocial and person- ality factors and physical measures in lateral epicondylal- gia reveal two groups of “tennis elbow” patients, requiring different management. Scand J Pain 2013;4:155–62.
17. Pensak MJ, Carry PM, Entin JM, Lalka A, Shourbaji NA, Scott FA. Depression and anxiety among patients with atrau- matic lateral epicondylitis and ulnar-sided wrist pain. J Wrist Surg 2019;8:295–9.
18. Pallant JF, Bailey CM. Assessment of the structure of the hospital anxiety and depression scale in musculoskeletal patients. health qual life outcomes 2005;3:82.
19. Gürçay E, Tamkan AU, Karaahmet ÖZ, Tombak Y, Güzel Ş, Çakci A. Depression and somatization in refractory lateral epicondylitis. Arch Rheumatol 2019;34:367–70.
20. Lee DO, Gong HS, Kim JH, Rhee SH, Lee YH, Baek GH. The relationship between positive or negative phrasing and patients’ coping with lateral epicondylitis. J Shoulder El - bow Surg 2014;23:567–72.
21. Aben A, De Wilde L, Hollevoet N, Henriquez C, Vande- weerdt M, Ponnet K, et al. Tennis elbow: Associated psy - chological factors. J Shoulder Elbow Surg 2018;27:387–92.
22. Thiese MS, Hegmann KT, Kapellusch J, Merryweather A, Bao S, Silverstein B, et al. Psychosocial factors related to lateral and medial epicondylitis: Results from pooled study analyses. J Occup Environ Med 2016;58:588–93.
23. Haahr JP, Andersen JH. Prognostic factors in lateral epicon- dylitis: A randomized trial with one-year follow-up in 266 new cases treated with minimal occupational intervention or the usual approach in general practice. Rheumatology (Oxford) 2003;42:1216–25.
24. Oflazoglu K, Mellema JJ, Menendez ME, Mudgal CS, Ring D, Chen NC. Prevalence of and factors associated with major depression in patients with upper extremity conditions. J Hand Surg Am 2016;41:263–9.