Posttraumatic Stress Disorder and Depression Negatively Impact General Health Status After Hand Injury

Williams, Allison; Newman, Justin T.; Özer, Kağan; Juarros, Amanda; Morgan, Steve J.; Smith, Wade R.

doi:10.1016/j.jhsa.2008.11.008

Cited by 69 publications

(68 citation statements)

References 29 publications

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“…17 In this study 14% met diagnostic criteria for depression and 16% met diagnostic criteria for Post-Traumatic Stress Disorder (PTSD) according to the guidance for the measures used. [35][36][37][38] This is somewhat lower than other studies in the area.…”

Section: Discussionmentioning

confidence: 99%

“…[35][36][37][38] This is somewhat lower than other studies in the area. 17,32,67 This may suggest that due to the self-selecting nature of the study, those who were struggling the most following their injury did not opt into the study and the results are based on a group who are generally coping better than average. It may also suggest that, as 81% of the participants sustained their injury within the past 18 months, they may still be somewhat optimistic about their recovery and still engaged in recovery therapies.…”

Section: Discussionmentioning

confidence: 99%

“…17,[47][48][49][50][51] It has been reported as a valid measure that is responsive to changes in health status over time. 49 It consists of 8 domains which are converted into 2 component scores: Physical Component Scores (PCS) and Mental Component Scores (MCS); a higher score indicates better functioning in both components.…”

Section: Methodsmentioning

confidence: 99%

“…28 It has also consistently been reported within the literature that psychological difficulties decrease during the acute phase of recovery, however after the 3 month mark they tend to remain stable 5,29,30 and thus provide an indication of those individuals who are most likely to benefit from additional support. Expanding on this, Williams et al 17 proposed that depression and trauma symptoms had a significant impact on an individual's adjustment to their hand injury. Using the SF-36 31 as a measure of functional health status and adjustment, they concluded that posttraumatic stress disorder and depression had a detrimental impact on an individual's adjustment to hand injury, particularly when they were comorbid; a conclusion that is supported in other papers.…”

Section: Within the Clinical Health Psychology Literature Leventhal'mentioning

confidence: 99%

“…5,7,16 In trying to understand what influences or predicts who will experience difficulties with adaptation to this type of injury, previous studies have explored a range of variables including illness perceptions and mental health symptoms such as depression and trauma. 5,16,17 To date there is a recognition that each of these elements are important, however the research is still at early stages and no firm conclusions have yet been drawn.…”

mentioning

confidence: 99%

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Adjustment to hand injury: Cross-sectional survey exploring adjustment in relation to illness perceptions and coping strategies

Turkington

Dempster

2018

Journal of Hand Therapy

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Within the Clinical Health Psychology Literature Leventhal'mentioning

confidence: 99%

mentioning

confidence: 99%

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Adjustment to hand injury: Cross-sectional survey exploring adjustment in relation to illness perceptions and coping strategies

Turkington

Dempster

2018

Journal of Hand Therapy

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The Psychological Impact of the Mangled Limb

Nigam

Katz

2021

The Mangled Extremity

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Interventional Efforts to Reduce Psychological Distress after Orthopedic Trauma: A Systematic Review

Kirven

Everhart

DiBartola

et al. 2020

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Unanticipated severe injury to part of the musculoskeletal system, referred to as orthopedic trauma, can be debilitating. It can also be accompanied by equally debilitating psychological distress, but little is known about the effective interventions for psychological sequelae of orthopedic trauma. Questions/Purposes: We sought to determine the effectiveness of interventions on psychological outcomes, such as post-traumatic stress disorder (PTSD), depression, and pain catastrophizing (feelings of helplessness, excessive rumination, and exaggerated description of pain), after major orthopedic trauma. Methods: Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement as guidelines, we systematically searched Scopus, PubMed, and Google Scholar. Studies included for review were Englishlanguage interventional studies in an orthopedic trauma population that included assessment of post-injury psychological distress or disability as either a primary or secondary aim. Results: Twelve studies were identified, including six randomized trials, three prospective cohort studies, and three retrospective cohort studies. Study sample sizes ranged from 48 to 569 patients, the mean age ranged from 29 to 52.8 years, and the percentage of male patients ranged from 38 to 90%. We examined four categories of interventions. Peer group treatment (one study) significantly reduced rates of depression but had low participation rates. Brief interventions to teach coping and self-efficacy skills (two studies) decreased depression, pain catastrophizing, and anxiety scores while increasing self-efficacy on shortterm follow-up. Individualized counseling and rehabilitation (four studies) resulted in a consistent reduction in the risk of PTSD. Early amputation was found to result in lower rates of PSTD than limb salvage in US military personnel (four studies). One study examined surgeons' confidence in dealing with possible psychological distress; surgeons who participated in a program on collaborative care were significantly more confident that they could help their patients with such issues. Conclusion: Interventional strategies, including group interventions, brief individual interventions, longitudinal counseling, and consideration of early amputation in selected populations have proved effective in reducing negative psychological sequelae of major orthopedic trauma. Further research that determines the effects of interventions in this population is needed.

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Posttraumatic Stress Disorder and Depression Negatively Impact General Health Status After Hand Injury

Cited by 69 publications

References 29 publications

Adjustment to hand injury: Cross-sectional survey exploring adjustment in relation to illness perceptions and coping strategies

Adjustment to hand injury: Cross-sectional survey exploring adjustment in relation to illness perceptions and coping strategies

The Psychological Impact of the Mangled Limb

Interventional Efforts to Reduce Psychological Distress after Orthopedic Trauma: A Systematic Review

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