TY - JOUR
T1 - Anxious personality is a risk factor for developing complex regional pain syndrome type i
AU - Dilek, Banu
AU - Yemez, Beyazit
AU - Kizil, Ramazan
AU - Kartal, Esin
AU - Gulbahar, Selmin
AU - Sari, Ozden
AU - Akalin, Elif
PY - 2012/4
Y1 - 2012/4
N2 - 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 ± 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.
AB - 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 ± 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.
KW - Anxiety
KW - Complex regional pain syndrome
KW - Fracture of distal radius
KW - Psychological factors
UR - http://www.scopus.com/inward/record.url?scp=84863525913&partnerID=8YFLogxK
U2 - 10.1007/s00296-010-1714-9
DO - 10.1007/s00296-010-1714-9
M3 - Article
C2 - 21240501
AN - SCOPUS:84863525913
SN - 0172-8172
VL - 32
SP - 915
EP - 920
JO - Rheumatology International
JF - Rheumatology International
IS - 4
ER -