The authors evaluated patients who had had shoulder pain for 3 months or longer in comparison to healthy controls. Shoulder pain group had abnormal values for the visual analog scale pain score, the American Shoulder and Elbow Surgeons Score, and the Korean Shoulder Scale. In the pain group, 22.3% had depression, 19.2% had anxiety, and 81.5% had sleep disturbance. The authors concluded that shoulder pain for 3 months or longer was a strongest predictor of sleep disturbance and that there was a close relationship among depression, anxiety, and sleep disturbance in patients with shoulder pain for 3 months or longer.
These results indicate the need for us to consider the patient as a whole person had to evaluate and manage the depression, anxiety and sleep disturbances that may accompany their shoulder disorders.
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