OBJECTIVES: To investigate two questions in a community based population of @entity1 with chronic @entity158 . Firstly, does @entity1118 lead to impaired @entity458 over time? Secondly, how does restriction of daily activity influence @entity158 perception and @entity458 ? METHODS: Two postal surveys, two years apart, were carried out to identify a group of subjects with chronic @entity158 . The first survey was sent to a random sample of adults (n=40026) registered with a primary care practice, and included a @entity158 manikin, demographic information, and the Hospital Anxiety and @entity308 scale (HAD). The second survey was sent to those subjects who reported unilateral shoulder region @entity158 in the first survey and it included a shoulder-specific disability scale, @entity158 severity score, and the HAD. RESULTS: 2606 (65.1%) @entity1 responded to the initial survey. Of these, 304 (11.7%) reported unilateral shoulder region @entity158 at baseline. In the subsequent survey, there were 234 responders (83.3% adjusted response): 142 of these reported @entity158 and formed our study group of "subjects with chronic @entity158 ". Within this group there was no significant change in @entity458 scores between baseline and follow up. Both the disability score and @entity458 scores correlated significantly with @entity158 severity (disability v @entity158 r=0.536, p<0.001; @entity458 v @entity158 r=0.269, p=0.002). When the correlation between disability and @entity158 severity was corrected for possible confounders, it remained significant (r=0.490, p<0.001). This was not the case for the correlation between @entity458 and @entity158 (p>0.05). Disability was significantly correlated with @entity458 on univariate (r=0.445, p<0.001) and multivariate analysis (r=0.341, p=0.002). CONCLUSION: In those with chronic @entity158 the relation between @entity158 and @entity458 seems to be linked to disability. Psychological distress was not explained by persistent @entity158 itself.

XXXX in the community: a syndrome of disability or distress?

@entity1 :: ('9606', 'Species') :: ['people'] @entity308 :: ('MESH:D003866', 'Disease') :: ['Depression'] @entity458 :: ('MESH:D020018', 'Disease') :: ['psychological distress', 'psychological health'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'shoulder pain'] @entity1118 :: ('MESH:D059350', 'Disease') :: ['chronic pain']
@entity1118 :: (MESH:D059350,Disease) :: ['Chronic shoulder pain']
