Özet:

Background: Rotator cuff injury is the most common pathology in the shoulder. Depression and anxiety have been associated with rotator cuff symptoms, sleep, and quality of life in patients with rotator cuff injuries. Aim: This study investigated the effects of mental health burden on pain, kinesiophobia, sleep, and quality of life in patients with rotator cuff injuries. Methods: A total of 70 patients ages 25-65 years including the study group (n=32) and the control group (n=38), were included in the study. The patients administered the Hospital Anxiety and Depression Scale (HADS); those with a score ≥8 on HADS-Depression and a score ≥11 on HADS-Anxiety were considered at risk of depression or anxiety respectively and accepted as high mental health burden. Patients with high mental health burdens were defined as the study group. The pain intensity was evaluated with the Visual Analogue Scale (VAS), kinesiophobia with the Tampa Scale of Kinesiophobia (TSK), sleep quality with the Pittsburgh Sleep Quality Index (PSQI), and quality of life with the SF-36. Results: In the comparisons, there were no differences in pain among groups (p>0,05). The TSK and PSQI scores were significantly higher in the study group than in the control group (p<0,05). SF-36 scores were significantly lower in the study group (p<0,05). Conclusion: These results show that increased mental health burden increases kinesiophobia and decreases sleep and quality of life in patients with rotator cuff injuries. This indicates the necessity of considering the mental health burden during the assessment and rehabilitation programs.

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