Anxiety Symptoms After Orthopedic Injury: A Systematic Review

Breazeale, Stephen; Conley, Samantha; Gaiser, Edward; Redeker, Nancy S.

doi:10.1097/jtn.0000000000000557

Cited by 10 publications

(8 citation statements)

References 31 publications

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“…Many individuals having suffered mTBI report subtle sequelae unnoticeable to others which can nonetheless prevent them from accomplishing their daily tasks satisfactorily or impact their social roles and relationships. Having a serious injury might, in itself, be sufficient to increase the risk of suffering from anxiety, in fact a recent systematic review indicates that 11% to 56% of individuals who have sustained orthopedic trauma suffer from some form of anxiety symptoms up to 10 years after the injury (Breazeale, Conley, Gaiser, & Redeker, 2021). Pain, depression and PTSD are also common after musculoskeletal trauma (Kang, Ciminero, Parry, & Mauffrey, 2021).…”

Section: Discussionmentioning

confidence: 99%

Anxiety symptoms and disorders in the first year after sustaining mild traumatic brain injury.

Lamontagne¹,

Belleville²,

Beaulieu‐Bonneau³

et al. 2022

Rehabilitation Psychology

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Purpose/Objective: The goals of the present study were (1) to document the prevalence of anxiety-related disorders and anxiety symptoms at 4, 8, and 12 months post-injury in individuals with mild traumatic brain injury (mTBI) while considering pre-injury history of anxiety disorders and (2) to verify whether the presence of anxiety in the first months following mTBI was associated with more symptoms present one year after the injury. Research Method/Design: One hundred and twenty participants hospitalized after an accident and having sustained mTBI were assessed at 4, 8, and 12 months post-accident with the Mini-International Neuropsychiatric Interview, the Hospital Anxiety and Depression Scale and questionnaires assessing fatigue, irritability, perceived stress, cognitive difficulties, depression, insomnia, and pain. Results: At 4 months, 23.8% of participants presented with at least one anxiety-related disorder compared to 15.2% at 8 months and 11.2% at 12 months. Overall, 32.5% presented with at least one anxiety disorder over the first 12 months post-mTBI. Participants with a history of anxiety (20.5%) were significantly more anxious following their accident. Individuals who were anxious 4 months after the accident presented with more symptoms in different areas 12 months post-injury compared to non-anxious individuals. Conclusions/Implications: The present results highlight that anxiety should be evaluated and managed carefully as it appears to be a key factor in the persistence of other mTBI-related symptoms.

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Section: Discussionmentioning

confidence: 99%

Anxiety symptoms and disorders in the first year after sustaining mild traumatic brain injury.

Lamontagne¹,

Belleville²,

Beaulieu‐Bonneau³

et al. 2022

Rehabilitation Psychology

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“…Although we discuss each symptom individually, traumatic orthopedic injury survivors are likely to experience symptoms in combination,4 which exerts a synergistic effect on survivors' long-term outcomes. For example, one study of work and functional outcomes after 12 months in survivors of traumatic injury found that, compared with survivors who had neither depression nor PTSD, survivors with either depression or PTSD were three times less likely to have returned to work, and survivors with both were five to six times less likely to have returned to work 10.…”

Section: Comprehensive Assessmentmentioning

confidence: 99%

“…Symptoms of anxiety are highly prevalent after traumatic orthopedic injury and often become chronic in nature. As many as 55% of traumatic orthopedic injury survivors report clinically significant anxiety symptoms immediately after injury, 40% report such symptoms one year after injury, and 20% continue to experience them 10 years after injury 4. Risk factors for anxiety symptoms after traumatic orthopedic injury include the following:…”

Section: Anxietymentioning

confidence: 99%

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CE: Pain and Mental Health Symptoms After Traumatic Orthopedic Injury

Breazeale

Barrett

Holland

et al. 2022

AJN, American Journal of Nursing

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:This article highlights the need to screen survivors of traumatic orthopedic injuries for postinjury symptoms associated with stressor-related disorders such as acute stress disorder and posttraumatic stress disorder, including pain, sleep disturbances, anxiety, and depression. The authors discuss the presentation of these postinjury symptoms, the instruments used to screen for each, the various pharmacological and nonpharmacological treatments, and the nursing implications for managing postinjury symptoms in traumatic orthopedic injury survivors.

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“…Недавно S. Breazeale и соавт. [64] был представлен систематический обзор 12 исследований (n=2092), в которых изучалась частота психоэмоциональных нарушений после травм скелетно-мышечной системы. Согласно полученным данным, тревога после травмы отмечалась у 35,3 и 36,8% пациентов через 3 и 6 мес.…”

Section: рис 1 морфологическая основа хронической посттравматической ...unclassified

Chronic post-traumatic pain: rheumatological and orthopedic aspects

Karateev¹,

Нестеренко²,

Макаров³

et al. 2022

Naučno-praktičeskaâ revmatologiâ

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Trauma causes a complex local and systemic reaction of the macroorganism, the consequences of which can be various functional, neurological and psychoemotional disorders. One of the most painful complications of injuries of the musculoskeletal system is chronic post-traumatic pain (CPTP), which occurs, depending on the severity of the damage, in 10–50% of cases. The pathogenesis of this syndrome is multifactorial and includes the development of chronic inflammation, degenerative changes (fibrosis, angiogenesis, heterotopic ossification), pathology of the muscular and nervous systems, neuroplastic changes leading to the development of central sensitization, as well as depression, anxiety and catastrophization. Risk factors for CPTP should be considered the severity of injury, comorbid diseases and conditions (in particular, obesity), stress and serious trauma-related experiences (within the framework of post-traumatic stress disorder), the development of post-traumatic osteoarthritis and chronic tendopathy, genetic predisposition, deficiencies in treatment and rehabilitation in the early period after injury. To date, there is no clear system of prevention and treatment of CPTP. Considering the pathogenesis of this suffering, adequate anesthesia after injury, active anti–inflammatory therapy (including local injections of glucocorticoids), the use of hyaluronic acid, slow-acting symptomatic agents and autologous cellular preparations – platelet-riched plasma, mesenchymal stem cells, etc. are of fundamental importance. However, therapeutic and surgical methods of CPTP control require further study

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Anxiety Symptoms After Orthopedic Injury: A Systematic Review

Cited by 10 publications

References 31 publications

Anxiety symptoms and disorders in the first year after sustaining mild traumatic brain injury.

Anxiety symptoms and disorders in the first year after sustaining mild traumatic brain injury.

CE: Pain and Mental Health Symptoms After Traumatic Orthopedic Injury

Chronic post-traumatic pain: rheumatological and orthopedic aspects

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