Correlation of DASH and QuickDASH With Measures of Psychological Distress

Niekel, Maarten; Lindenhovius, Anneluuk L.C.; Watson, Jeffrey B.; Vranceanu, Ana‐Maria; Ring, David

doi:10.1016/j.jhsa.2009.05.016

Cited by 100 publications

(74 citation statements)

References 29 publications

(28 reference statements)

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“…Maladaptive coping skills (praying and hoping), low selfefficacy, and other coping strategies (diverting attention, ignoring pain sensations, increasing activity level) may play important mediating roles [8,12]. Inconsistent with prior research that consistently finds symptoms of depression account for a substantial part of the variance in DASH scores [14,33,36], we found that severity of depression is not a predictor of disability.…”

Section: Discussioncontrasting

confidence: 62%

Does Disability Correlate With Impairment After Hand Injury?

Farzad

Asgari

Dashab

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Any loss or deviation in body function and structure is considered impairment, whereas limitations on activities are fundamental to the definition of disability. Although it seems intuitive that the two should be closely related, this might not be the case; there is some evidence that psychosocial factors are more important determinants of disability than are objective impairments. However, the degree to which this is the case has been incompletely explored.Questions/purposes The purpose of this study was to determine if disability (as measured by the Disabilities of the Arm, Shoulder and Hand [DASH] and the Michigan Hand Questionnaire [MHQ]) and pain intensity correlate with impairment (as measured by the American Medical Association [AMA] impairment guide). Secondary study questions addressed the effect of pain intensity and symptom of depression on predicting disability. Methods Impairment and disability were evaluated in a sample of 107 hand-injured patients a mean of 11 months after injury. Impairment rating was performed prospectively. From the patients who came for therapy, they were invited to fill out the questionnaire and evaluated for impairment rating. Response variables of DASH, MHQ, and visual analog scale pain intensity values were collected at the same setting. Other explanatory variables included demographic, injury-related, and psychological factors (symptoms of depression measured with the Beck Depression Inventory). Initial bivariate and multivariate analyses were performed to determine correlations of disability and pain to impairment rating and other exploratory variables.Each author certifies that he or she, or a member of his or her immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research 1 editors and board members are on file with the publication and can be viewed on request. Each author certifies that his or her institution approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained. 123 Clin Orthop Relat Res (2015) 473:3470-3476 DOI 10.1007/s11999-015-4228-7 Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons®Results Disability as measured by the DASH showed intermediate correlation with AMA impairment (r = 0 .38, beta = 0.36, p = 0.000). Together with gender, it accounted for only 22% of the variability in DASH scores. Similarly, MHQ score correlated with impairment rating (r = À0.24, beta = À0.23, p \ 0.05). However, together with age, injured hand accounted for only 19% of the variability in MHQ scores. However, pain intensity did not correlate with impairment (r = À0.46, p [ 0.05). Interestingly...

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Section: Discussioncontrasting

confidence: 62%

Does Disability Correlate With Impairment After Hand Injury?

Farzad

Asgari

Dashab

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…More recently, the influence of psychosocial factors on outcome has been recognized. In our sample of patients with peripheral nerve injury, depression scores were positively correlated with DASH scores and pain 16,17,80 . In a study of patients who had undergone a carpal tunnel release, a significant negative correlation was found between the DASH scores and patient satisfaction, and pain catastrophizing and depressive symptoms were associated with disability 16 .…”

Section: Discussionmentioning

confidence: 68%

Biomedical and Psychosocial Factors Associated with Disability After Peripheral Nerve Injury

Novak

Anastakis

Beaton

et al. 2011

The Journal of Bone and Joint Surgery-American Volume

112

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“…In a study of patients who had undergone a carpal tunnel release, a significant negative correlation was found between the DASH scores and patient satisfaction, and pain catastrophizing and depressive symptoms were associated with disability 16 . Pain catastrophizing and depression symptoms were associated with higher DASH scores in a study of patients with various pathological conditions of the hand 80 . However, in that study, it was unclear if the patients had had the catastrophizing and depression symptoms prior to the injury or had developed them following the injury and associated disability.…”

Section: Discussionmentioning

confidence: 94%

“…In our sample of patients with peripheral nerve injury, depression scores were positively correlated with DASH scores and pain 18,2011 catastrophizing was a positive predictor of disability (Beta = 0.192, p = 0.025). Previous studies have evaluated the relationship between psychosocial factors and outcomes in patients with various pathological conditions of the hand 16,17,80 . In a study of patients who had undergone a carpal tunnel release, a significant negative correlation was found between the DASH scores and patient satisfaction, and pain catastrophizing and depressive symptoms were associated with disability 16 .…”

Section: Discussionmentioning

confidence: 99%