Association of Anxiety and Depressive Symptoms in Patients with Adhesive Capsulitis

Abstract

Objective The present study aimed to assess the association between anxiety and depression symptoms in patients with adhesive capsulitis.

Methods This was a cross-sectional study carried out in a single center from a tertiary hospital with patients presenting with secondary adhesive capsulitis. The control group did not have shoulder disease, thyroid disease, anxiety, and/or depression. The instrument used was the Hospital Anxiety and Depression Scale (HADS). An analysis of covariance compared HADS scores between groups. The significance level was 5%.

Results The final sample consisted of 17 patients (case group) and 27 (control group). The Shapiro-Wilk test revealed normal distribution (p > 0.05). A HADS score > 0.70 (Cronbach alpha) was reliable and presented good internal consistency. Patients with adhesive capsulitis reported “doubtful” (average/standard deviation = 8.88/4.50) “anxious symptoms” (p = 0.019) but no “depressive symptoms” (average/standard deviation = 6.41/3.69), despite p = 0.015.

Conclusion There is a “doubtful” positive association between anxiety symptoms and adhesive capsulitis but a negative association with depressive symptoms.

Keywords

anxiety - adhesive capsulitis - depression - shoulder - signs and symptoms

• Referências

• 1 Wu PY, Hsu PC, Chen TN, Huang JR, Chou CL, Wang JC. Evaluating Correlations of Coracohumeral Ligament Thickness with Restricted Shoulder Range of Motion and Clinical Duration of Adhesive Capsulitis with Ultrasound Measurements. PM R 2021; 13 (05) 461-469
• 2 Do JG, Hwang JT, Yoon KJ, Lee YT. Correlation of Ultrasound Findings With Clinical Stages and Impairment in Adhesive Capsulitis of the Shoulder. Orthop J Sports Med 2021;9(05):23259671211003675
• 3 Wang JY, Liaw CK, Huang CC, Liou TH, Lin HW, Huang SW. Hyperlipidemia Is a Risk Factor of Adhesive Capsulitis: Real-World Evidence Using the Taiwanese National Health Insurance Research Database. Orthop J Sports Med 2021; 9 (04) 2325967120986808
• 4 Ding H, Tang Y, Xue Y. et al. A report on the prevalence of depression and anxiety in patients with frozen shoulder and their relations to disease status. Psychol Health Med 2014; 19 (06) 730-737
• 5 Ebrahimzadeh MH, Moradi A, Bidgoli HF, Zarei B. The Relationship between Depression or Anxiety Symptoms and Objective and Subjective Symptoms of Patients with Frozen Shoulder. Int J Prev Med 2019; 10: 38
• 6 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67 (06) 361-370
• 7 Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res 2002; 52 (02) 69-77
• 8 Botega NJ, Bio MR, Zomignani MA, Garcia Junior C, Pereira WA. Mood disorders among medical in-patients: a validation study of the hospital anxiety and depression scale (HAD). Rev Saude Publica 1995; 29 (05) 355-363
• 9 Beleckas CM, Wright M, Prather H, Chamberlain A, Guattery J, Calfee RP. Relative prevalence of anxiety and depression in patients with upper-extremity conditions. J Hand Surg Am 2018; 43 (06) 571.e1-571.e8
• 10 Bagheri F, Ebrahimzadeh MH, Moradi A, Bidgoli HF. Factors Associated with Pain, Disability and Quality of Life in Patients Suffering from Frozen Shoulder. Arch Bone Jt Surg 2016; 4 (03) 243-247
• 11 Toprak M, Erden M. Sleep quality, pain, anxiety, depression and quality of life in patients with frozen shoulder. J Back Musculoskeletal Rehabil 2019; 32 (02) 287-291
• 12 Checchia SL, Santos PD, Palomino EM, Garcia CMS, Leal HP. Tratamento da capsulite adesiva do ombro pelo bloqueio do nervo supra-escapular, associado ao uso de corticoide. Rev Bras Ortop 1994; 29 (09) 627-634
• 13 Zuckerman JD, Cuomo F, Rokito S. Definition and classification of frozen shoulder a consensus approach. J Shoulder Elbow Surg 1994; 3 (01) S72
• 14 Fleming A, Dodman S, Beer TC, Crown S. Personality in frozen shoulder. Ann Rheum Dis 1975; 35 (05) 456-457
• 15 Debeer P, Franssens F, Roosen I, Dankaerts W, Claes L. Frozen shoulder and the Big Five personality traits. J Shoulder Elbow Surg 2014; 23 (02) 221-226
• 16 Menendez ME, Baker DK, Oladeji LO, Fryberger CT, McGwin G, Ponce BA. Psychological Distress Is Associated with Greater Perceived Disability and Pain in Patients Presenting to a Shoulder Clinic. J Bone Joint Surg Am 2015; 97 (24) 1999-2003
• 17 Martinez-Calderon J, Meeus M, Struyf F. et al. Psychological factors are associated with local and generalized pressure pain hypersensitivity, pain intensity, and function in people with chronic shoulder pain: A cross-sectional study. Musculoskelet Sci Pract 2019; 44: 102064
• 18 Martinez-Calderon J, Meeus M, Struyf F, Miguel Morales-Asencio J, Gijon-Nogueron G, Luque-Suarez A. The role of psychological factors in the perpetuation of pain intensity and disability in people with chronic shoulder pain: a systematic review. BMJ Open 2018; 8 (04) e020703
• 19 Cho CH, Jung SW, Park JY, Song KS, Yu KI. Is shoulder pain for three months or longer correlated with depression, anxiety, and sleep disturbance?. J Shoulder Elbow Surg 2013; 22 (02) 222-228
• 20 Fernandes MR, Barbosa MA, Faria RM. Quality of life and functional capacity of patients with adhesive capsulitis: identifying risk factors associated to better outcomes after treatment with nerve blocking. Brazilian Journal of Rheumatology 2017; 57 (05) 445-451
• 21 Fernandes MR. Arthroscopic treatment of adhesive capsulitis of the shoulder with minimum follow up of six years. Acta Ortop Bras 2015; 23 (02) 85-89
• 22 Fernandes MR, Barbosa MA, Sousa ALL, Ramos GC. Suprascapular nerve block: important procedure in clinical practice. Rev Bras Anestesiol 2012; 62 (01) 96-104
• 23 Fernandes MR, Barbosa MA, Sousa ALL, Ramos GC. Suprascapular nerve block: important procedure in clinical practice. Part II. Rev Bras Reumatol 2012; 52 (04) 616-622