Anxious personality is a risk factor for developing complex regional pain syndrome type I

DİLEK B., YEMEZ B., KIZIL R., Kartal E., GÜLBAHAR S., Sari O., ...Daha Fazla

RHEUMATOLOGY INTERNATIONAL, cilt.32, sa.4, ss.915-920, 2012 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 4
  • Basım Tarihi: 2012
  • Doi Numarası: 10.1007/s00296-010-1714-9
  • Dergi Adı: RHEUMATOLOGY INTERNATIONAL
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.915-920
  • Anahtar Kelimeler: Complex regional pain syndrome, Psychological factors, Anxiety, Fracture of distal radius, REFLEX SYMPATHETIC DYSTROPHY, TORONTO-ALEXITHYMIA-SCALE, PSYCHOLOGICAL-FACTORS, COLLES FRACTURES, RANDOMIZED-TRIAL, ALGODYSTROPHY, VALIDITY, RADIUS
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

The aim of this study was to investigate the role of psychological factors in the development of complex regional pain syndrome (CRPS) type I following the fracture of the distal radius. Fifty patients (average age 57.70 +/- A 13.43 years) with a distal radius fracture were enrolled in the present study. All of the patients were treated by closed reduction and cast immobilization. The Toronto Alexithymia Scale-20, Anxiety Sensitivity Index, State-Trait Anxiety Inventory, and Beck Depression Inventory were used to determine the patients' psychological features 2 days after the fracture. The patients were followed for 2 months after cast immobilization was completed using the International Association for the Study of Pain criteria to diagnose CRPS type I. CRPS type I developed in 13 (26%) patients of the 32 (34.4%) female patients and 18 (11.1%) male patients. The risk of CRPS type I was significantly increased in patients with high trait anxiety scores (P = 0.038). The results show that, after fracturing the distal radius, patients who have an anxious personality have a higher risk of developing CRPS type I. Following these patients closely for the development of CRPS type I may be advantageous for early preventative and therapeutic interventions.