Abstract
Thirty-four patients with painful shoulder syndrome (PSS) were psychologically assessed and the results compared with those from a control group presenting other musculoskeletal disorders. A significantly greater prevalence of depression was found in the former group. Fifty-six patients with PSS were treated with only lithium and amitriptyline for four months; 44 patients showed marked clinical improvement and radiologic clearing of dystrophic calcification. Lithiumamitriptyline therapy, when compared with physiotherapy in another series of 11 patients, was found to be far superior. Some possible biochemical links between depression and PSS are outlined, and the theory that PSS may be a clinical entity of psychogenic origin is discussed.
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- COPPEN A., MALLESON A., SHAW D. M. EFFECTS OF LITHIUM CARBONATE ON ELECTROLYTE DISTRIBUTION IN MAN. Lancet. 1965 Mar 27;1(7387):682–683. doi: 10.1016/s0140-6736(65)91834-9. [DOI] [PubMed] [Google Scholar]
- Coppen A. Mineral metabolism in affective disorders. Br J Psychiatry. 1965 Dec;111(481):1133–1142. doi: 10.1192/bjp.111.481.1133. [DOI] [PubMed] [Google Scholar]
- Evans R. J. Acid-base changes in patients with intractable pain and malignancy. Can J Surg. 1972 Jan;15(1):37–42. [PubMed] [Google Scholar]
- Ganz V. H., Gurland B. J., Deming W. E., Fisher B. The study of the psychiatric symptoms of systemic lupus erythematosus. A biometric study. Psychosom Med. 1972 May-Jun;34(3):207–220. doi: 10.1097/00006842-197205000-00004. [DOI] [PubMed] [Google Scholar]
- HOFFER A., OSMOND H. A card sorting test helpful in making psychiatric diagnosis. J Neuropsychiatr. 1961 Aug;2:306–330. [PubMed] [Google Scholar]
- Levine M. E. Depression, back pain, and disc protrusion. Relationships and proposed psychophysiological mechanisms. Dis Nerv Syst. 1971 Jan;32(1):41–45. [PubMed] [Google Scholar]
- NALVEN F. B., O'BRIEN J. F. PERSONALITY PATTERNS OF RHEUMATOID ARTHRITIC PATIENTS. Arthritis Rheum. 1964 Feb;7:18–28. doi: 10.1002/art.1780070104. [DOI] [PubMed] [Google Scholar]
- Schou M., Baastrup P. C. Lithium treatment of manic-depressive disorder. Dosage and control. JAMA. 1967 Aug 28;201(9):696–698. [PubMed] [Google Scholar]