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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0961

Psychological predictors of poor outcomes in rotator cuff–related shoulder pain: a prospective study

PSYCHOLOGICAL DETERMINANTS OF POOR OUTCOME IN ROTATOR CUFF–RELATED SHOULDER PAIN: A PROSPECTIVE STUDY

Kinesiophobia and depression independently predict poor functional recovery in rotator cuff–related shoulder pain, whereas baseline pain intensity does not.

The aim was to identify psychological predictors of poor functional outcomes in patients with rotator cuff–related shoulder pain (RCRSP) undergoing a standard rehabilitation program. This prospective study enrolled 82 patients with RCRSP receiving care in a physical medicine and rehabilitation department; at baseline, pain intensity was assessed using the Visual Analog Scale (VAS), functional disability using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, anxiety and depression using the Hospital Anxiety and Depression Scale (HADS), and kinesiophobia using the Tampa Scale for Kinesiophobia (TSK). All patients underwent a 12-week standard rehabilitation program and were assessed using the DASH at 3 months; a poor functional outcome was defined as less than a 30% improvement in the DASH score. At 3 months, 29.3% of patients showed poor functional recovery. Higher baseline anxiety (p = 0.01) and depression levels (p = 0.02) were significantly associated with poor functional outcomes; the strongest association was observed for kinesiophobia (p < 0.001). In multivariable analysis, kinesiophobia and depression remained independent predictors of poor functional outcomes, with odds ratios of 2.8 and 2.1, respectively, whereas baseline pain intensity was not independently associated with functional outcomes. The authors state that the psychological response to pain provides prognostic information beyond pain intensity, that kinesiophobia may reduce participation in rehabilitation through movement avoidance, and that psychological screening within a biopsychosocial rehabilitation framework may help identify patients at risk of poor recovery.

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