冻结肩患者焦虑抑郁情绪与睡眠及肩关节功能的相关性

目的 探讨冻结肩患者焦虑抑郁情绪发生率及其与睡眠及肩关节功能的相关性.方法 选取174例原发性冻结肩患者为本研究试验组,140例健康志愿者为对照组.使用医院抑郁焦虑量表（HADS）、疼痛（VAS）和肩关节功能（SST）自评量表调查分析,并记录冻结肩患者的睡眠障碍发生率.结果 冻结肩患者中焦虑及抑郁情绪的发生率分别为23.6％和28.2％,明显高于正常对照组.与无焦虑抑郁情绪的冻结肩患者相比,有焦虑及抑郁情绪的冻结肩患者其睡眠障碍发生率和VAS评分明显升高有焦虑情绪者/无焦虑者分别为：70.7％/45.9％,（7.6±1.2）分/（6.6±1.4）分,均P＜0.05;有抑郁情绪者/无抑郁者分别为：77.6％/54.4％,（7.5±1.1）分/（6.8±1.4）分,均P＜0.05],SST评分明显降低有焦虑情绪者/无焦虑者为（4.5±1.3）分/（5.3±1.9）分,有抑郁情绪者/无抑郁者为（4.4±1.5）分/（5.3±1.8）分,均P＜0.05].且睡眠障碍发生率,VAS、SST与焦虑及抑郁情绪评分明显相关（与焦虑情绪评分的相关性分别为r=0.42,0.38,-0.36,均P＜0.05;与抑郁情绪评分的相关性分别为r=0.54,0.48,-0.45,均P＜0.05）.结论 冻结肩症状与焦虑抑郁情绪有一定相关性,有焦虑抑郁情绪的冻结肩患者其自觉疼痛更重、睡眠障碍发生率更高、肩关节功能受限更加明显.

Anxiety and depression in frozen shoulders and their relationship with sleep status and shoulder function

Objective To explore the prevalence of anxiety and depression in patients with frozen shoulder,and the relationship between them.Methods 174 patients with primary frozen shoulder and 140 healthy controls comprised the participants of this research.The Hospital Anxiety and Depression Scale （HADS）,the Visual analog scales （VAS） for pain,Simple Shoulder Test （SST） were used in this study and the prevalence of sleep disturbances were noted in patients with frozen shoulder.Results The prevalence of anxiety and depression in frozen shoulder patients were 23.6% and 28.2%,respectively,which were significantly higher than the healthy controls.Compared with frozen shoulder patients without anxiety or depression,frozen shoulder patients with anxiety or depression had lower SST scores （patients with anxiety/without：4.5± 1.3/5.3± 1.9,P〈0.05 ; patients with depression/without：4.4±1.5/5.3±1.8,P〈0.05） and higher VAS scores （patients with anxiety/without：7.6± 1.2/6.6±1.4,P〈0.05 ; patients with depression/without：7.5 ± 1.1/6.8± 1.4,P〈 0.05） and higher prevalence of sleep disturbances （patients with anxiety/without：70.7%/45.9%,P〈 0.05 ; patients with depression/without：77.6%/54.4%,P〈0.05）.Significant correlations between anxiety scores and VAS scores,SST scores and prevalence of sleep disturbances were found （r=0.38,-0.36,0.42,respectively,P〈0.05）,and the significant correlations were also found in depression scores （r=0.54,0.48,-0.45,respectively,P〈0.05）.Conclusion This study demonstrates that frozen shoulder is correlated with anxiety and depression.Frozen shoulder patients with anxiety or depression have higher sleep disturbers rate,more self-reported pain and functional restriction.