THU0488 PSYCHIATRIC SYMPTOMS, TEMPERAMENT PROFILE, STRESS PERCEPTION AND SLEEP QUALITY IN THE PATIENTS WITH CHRONIC SHOULDER PAIN: RELATIONSHIP WITH PAIN, DISABILITY, AND FUNCTIONAL CAPACITY
Authors: M. S. Ozsoy, D. Durmus, G. Alayli, G. Sarisoy, A. Bilgici
Journal: Annals of the Rheumatic Diseases (2020)

Background: Shoulder pain is very common in general population. Psychiatric symptoms and poor sleep quality related with chronic pain and disability may be present in these patients. Objectives: The aim of this study was to investigate the psychiatric symptoms, perceived stress, temperament profile and sleep disturbance in the patients with chronic shoulder pain (CSP) and also to evaluate the relationship with pain, disability, and functional capacity. Methods: We prospectively evaluated 150 patients (M/F=41/109) (60.46±10.59 years) who have had shoulder pain for at least 3 months and 120 healthy controls (M/F=35/85) (58.35±8.52 years). Pain was evaluated with Visual Analog Scale (VAS), disability with Shoulder Disability Questionnaire (SDQ), functionality with The University of California-Los Angeles (UCLA) Shoulder Scale and range of shoulder motion, temperament profiles with TEMPS-A, stress perception with Perceived stress scale (PSS), psychiatric symptoms with Symptom Checklist-90-R (SCL-90R), Rosenberg self esteem with Self-Esteem Scale (RSES) and sleep disturbance with Pittsburgh sleep quality index (PSQI). Results: The mean VAS pain score, SDQ score, and UCLA score of the patients with shoulder pain were 4.34±1.79, 61.98±26.88, and 58.90±17.78, respectively. SCL-90-R total and all subscale scores except interpersonal sensitivity, psychoticism, paranoid, and phobia were significantly higher in the patient group than the control group (p&lt;0.05). Also PSQI total and sleep quality and latency subscale scores were significantly higher in the patient group (p&lt;0.05). There was no significant difference between the patient and control groups in terms of RSES and PSS. The study identified 28 depressive temperament in the patient group which was statistically different from the control group (p&lt;0.05). There were no significant differences between two groups in terms of cyclothymic, irritable, anxious, and hyperthymic temperaments (p&gt;0.05). When the patient group is evaluated according to functionality, the patients having fair/poor shoulder function had more psychiatric symptoms except hostility, poor sleep quality, decreased self-esteem and increased stress perception. Also, anxious and depressive temperaments were found more common in the patients with fair/poor shoulder function. Psychiatric symptoms (somatization, obsessive-compulsive, interpersonal-sensitivity, depression and anxiety) and total PSQI were positively correlated with SDQ (p&lt;0.05). There was positive correlation between PSS and SDQ (p&gt;0.05).SCL90R total score, subscale of depression and anxiety, total PSQI and PSS were significantly correlated with VAS score (p&lt;0.05). Conclusion: We found psychiatric symptoms such as obsessive-compulsive besides somatization, anxiety, depression, hostility and sleep disturbances higher in the patients with CSP. Additionally, psychiatric symptoms, anxious and depressive temperaments were more common in the patients with fair/poor shoulder function. Self-esteem was not related with the pain. All these findings indicate the importance of psychological health in the patients with CSP. In order to reach treatment goals, psychiatric symptoms and temperament profiles of these patients also should be considered. Disclosure of Interests: : None declared