Psychosocial outcomes and coping after complete avulsion traumatic brachial plexus injury

Abstract

Patients encounter high levels of physical and psychological stress after complete avulsion BPI and must find ways to cope to adjust to their injuries. They face similar challenges to patients with spinal cord injuries, for whom many models describing coping and adjustment exist. Similar models could facilitate more complete adjustment and rehabilitation of BPI patients and help to reduce the prevalence of negative stress responses, including anger and depression. Future patients would benefit from a multidisciplinary treatment program, involving medical and mental health services.

Body Image Dissatisfaction in Patients with Inflammatory Bowel Disease

“…Furthermore, others groups have used modified versions of the SWAP to evaluate patient populations who are subject to lifelong changes in appearance due to their disease and have reported meaningful results. 32 -up studies using this tool or the recently published body image scale are needed to confirm our findings and compare the magnitude of our findings to other IBD populations. 28 Second, few patients in our cohort had perianal disease or had undergone surgery by the end of follow-up.…”

Expectations and Limitations Due to Brachial Plexus Injury: A Qualitative Study

“…Our study confirms these effects and, by using qualitative techniques, provides new information about how patients begin to compensate for BPI. In another study, other investigators also used qualitative techniques to assess BPI by interviewing 12 patients at least 1 year postoperatively or post injury for nonsurgical patients [7]. This study reported patients had emotional effects including anger, frustration, depression, mourning, less energy, and decreased self-efficacy and selfesteem.…”

“…However, success of surgery currently is often measured by physicians according to physical examination and physician-derived scales that focus on motor function [2,5,12,13]. While these measures provide valuable information, they may miss aspects of the experience that are most important to patients, such as appearance and emotional well-being [2,7,16]. In addition, although there are valid patient-reported scales for disorders of the upper extremity, they may not capture the complex and severe physical and psychosocial impact of BPI [2,7,9,11,17,18].…”

“…While these measures provide valuable information, they may miss aspects of the experience that are most important to patients, such as appearance and emotional well-being [2,7,16]. In addition, although there are valid patient-reported scales for disorders of the upper extremity, they may not capture the complex and severe physical and psychosocial impact of BPI [2,7,9,11,17,18]. These issues are particularly relevant for patients shortly after surgery because psychological well-being and its impact on rehabilitation during this time period are critical to what ultimately will be the outcome of surgery.…”

Coping Resources for Persons With Traumatic Spinal Cord Injury in A Tanzania Rural Area

“…Immobility and future consequences such as recurrent SCI-related health complications, inability to pursue education and career, and failure to participate in the community leads to a sequence of biopsychosocial and economic struggles throughout life (Biering-Sorensen et al, 2011;DeRoon-Cassini, de St Aubin, Valvano, Hastings, & Brasel, 2013;Franzblau & Chung, 2015). While in this state, individuals with SCI require healthcare and rehabilitation services to sustain their health and minimize risk for ill-health and death (Middleton et al, 2012;Oderud, 2014).…”