ASSESSMENT OF SLEEP DISORDERS, DEPRESSION, AND ANXIETY IN PATIENTS WITH CHRONIC SHOULDER PAIN

Lê Phương Thảo Ngụy , Ngọc Huyền Nguyễn, Thị Phương Lê, Trung Hiếu Nguyễn

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Abstract

Objectives: To evaluate the sleep disorders, anxiety, and depression in patients with chronic shoulder pain. Materials and methods: A cross-sectional descriptive study of 54 patients with chronic shoulder pain who were diagnosed and treated at the Department of Outpatient, University Medical Center at Ho Chi Minh City from January 2023 to May 2023. Results: Average age was 47.3 ± 13.5 years old. The proportion of female patients is 44.4%, male patients is 55.6%. The average pain score according to the VAS scale is 5.5±1.5. Of these, severe shoulder pain accounted for 31.5%, moderate for 59.2%, and mild for 9.3%. We found that 37% of patients had sleep disorders according to the Pittsburgh scale, 22.2% of patients had anxiety disorders according to the GAD-7 scale, and 16.7% of patients showed signs of depression according to the PHQ-9 scale. Patients with severe shoulder pain had a statistically significantly higher rate of sleep disorders than patients with mild-moderate shoulder pain (p = 0.008). The rate of depression was also statistically significantly higher in patients with sleep disorders than in patients without sleep disorders (30% vs 8.8%, p=0.044). Conclusion: Patients with chronic shoulder pain have a relatively high rate of sleep disorders, anxiety, and depression. The more severe the shoulder pain, the more likely it is to have sleep disturbances, which can lead to depression. Therefore, in addition to medications and physical therapy for patients with chronic shoulder pain, simultaneous screening and treating sleep disorders, anxiety, and depression are extremely necessary.

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References

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