Relative Prevalence of Anxiety and Depression in Patients With Upper Extremity Conditions

Beleckas, Casey M.; Wright, Melissa A.; Prather, Heidi; Chamberlain, Aaron M.; Guattery, Jason; Calfee, Ryan P.

doi:10.1016/j.jhsa.2017.12.006

Cited by 57 publications

(53 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our findings are similar to Beleckas' reported [7], who confirmed that patients with upper extremity conditions were more frequently report anxiety and depression than the general population. This evidence along with our results suggests the need for early psychiatric evaluation of CuTS patients to identify the presence of depression and depression.…”

Section: Discussionsupporting

confidence: 92%

“…Mood disorders such as depression and anxiety will increase the pain perceived and worsen functional statuses [6]. Beleckas et al [7] confirmed that patients with upper extremity conditions were more frequently report anxiety and depression than the general population. For CuTS patients, most articles focus on the patient's disease's progress and few studies pay attention to patients' mental health status [8].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Relative prevalence of anxiety and depression in cubital tunnel syndrome patients and associated factors

Jia

Shi

Liu

et al. 2020

Preprint

View full text Add to dashboard Cite

Purpose: Cubital tunnel syndrome (CuTS) is the second most common peripheral entrapment neuropathy. This study aimed to assess the prevalence of anxiety and depressive symptoms and explore associated factors among CuTS patients.Methods: This is a cross-controlled study. We used the Hospital Anxiety and Depression Scale to assess the prevalence of depression and anxiety. We calculated the proportion of depression and anxiety symptoms and compared characteristics between groups. Univariate analysis and multivariate regression were carried out to identify variables that were independently associated with anxiety and depression.Results: A total of 246 individuals diagnosed with CuTS were included. The results of the HADS demonstrated that 17.8% (n = 44) of the patients presented possible/probable depression, and 14.2% (n = 35) presented possible/probable anxiety. Logistic regression analysis revealed that diabetes Mellitus was independently associated with depression. And modified McGowan grade was independently associated with anxiety.Conclusions: Patients with cubital tunnel syndrome were at an increased risk of anxiety and depression. Abnormal mental states may have a negative impact in the course and outcome of the disease. Early screening for anxiety and depression in CuTS patients should be recommended.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Relative prevalence of anxiety and depression in cubital tunnel syndrome patients and associated factors

Jia

Shi

Liu

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Our findings are similar to those reported by Emir et al () who found that pregnant women with CTS had significantly higher depression but not anxiety scores compared to healthy controls. However, Beleckas et al () and Moghadam‐Ahmadi et al () reported that both the depression and the anxiety rates are significantly higher in CTS patients compared to general population.…”

Section: Discussionmentioning

confidence: 98%

“…In addition, chronic pain may have a substantial negative impact on a patient's life. Several existing studies appear to suggest that the rate of anxiety and depression in CTS patients is significantly higher than that observed in the general population (Beleckas et al, ; Moghadam‐Ahmadi, Bidaki, Shahriari Sarhadi, Vakilian, & Sharifi, ).…”

Section: Introductionmentioning

confidence: 94%

Anxiety and depression in patients with suspected carpal tunnel syndrome – A case controlled study

et al. 2019

View full text Add to dashboard Cite

Purpose Carpal tunnel syndrome (CTS) is a common entrapment neuropathy causing significant, and often disabling, pain. We aimed to establish the prevalence of anxiety and depressive symptoms in patients who were referred with suspected CTS and identify potential determinants. Methods All patients underwent nerve conduction studies (NCS) and were classified into mild, moderate, severe, and no CTS groups. Volunteers, without symptoms or signs of CTS, formed the control group. Anxiety and depressive symptoms were assessed via the Hospital Anxiety and Depression Scale. Results Ninety‐one patients and 41 controls were recruited. Following NCS the patients were classified as follows: mild CTS (n = 20), moderate CTS (n = 21), severe CTS (n = 11), and no CTS (n = 31). CTS patients had significantly higher depression scores compared to controls but not anxiety scores. Patients experiencing pain and itchiness had significantly higher anxiety scores compared to those who did not. Patients who reported symptoms suggestive of CTS but did not meet the electrodiagnostic criteria for a diagnosis had significantly higher anxiety and depression scores compared to CTS patients and controls. Conclusions Patients suffering with CTS may be at an increased risk of depression. Experiencing pain in CTS may further increase the likelihood of experiencing mental health difficulties. Poor mental health can give rise to functional symptoms, similar to those seen in CTS, demonstrating the need for electrophysiological testing before considering surgical intervention.

show abstract

“…Prior studies have identified trends in patient characteristics based on specific musculoskeletal diagnoses, but to our knowledge trends based on provider specialty have never been examined. The Patient‐Reported Outcomes Measurement Information System (PROMIS) is a new set of measures developed by the NIH starting in the early 2000s, and because the assessments are not disease‐specific, it is an ideal tool to compare patients across various musculoskeletal conditions.…”

Section: Introductionmentioning

confidence: 99%

PROMIS Physical and Emotional Health Scores Are Worse in Musculoskeletal Patients Presenting to Physiatrists than to Other Orthopedic Specialists

Cheng

Calfee

Colditz

et al. 2019

PM&R

Self Cite

View full text Add to dashboard Cite

Background: Physiatrists' unique training in person-centered biopsychosocial management of complex problems may influence musculoskeletal patients' expectations and self-and/or physician-referral patterns to physiatrists. Consequently, average patient complexity and need for multi-disciplinary services may be increased in physiatric patients. Objective: To compare musculoskeletal patients' self-reported physical and emotional health according to provider specialty. Researchers tested the null hypothesis that there is no significant difference in Patient-Reported Outcomes Measurement Information System (PROMIS) scores between patients who present to physiatrists in comparison to other musculoskeletal specialists. Design: Cross-sectional study. Setting: Orthopedic department of a tertiary academic medical center. Patients: Participants included 31 791 new adult patients (mean age 52.6 AE 16.2 years) who presented for initial elective evaluation of a musculoskeletal problem by an orthopedic surgeon or sports medicine trained emergency medicine, family medicine, pediatric, or physiatric physician. Methods: Patients completed the PROMIS computer adaptive test (CAT) Physical Function, Pain Interference, Anxiety, and Depression domains at department check-in prior to the physician encounter. Score differences by provider type were assessed using Wilcoxon rank-sum tests. Main Outcome Measurements: Mean PROMIS score in each domain subdivided by physiatric, surgical, and other nonsurgical provider type. Results: In total, 2081 patients presented to physiatrists, 28 267 presented to surgeons, and 1443 presented to other nonsurgical providers. For each respective provider type, average PROMIS scores were Physical Function 38.9 AE 8.2, 41.5 AE 9.5, and 43.5 AE 8.2; Pain Interference 62.6 AE 7.2, 60.9 AE 7.7, and 59.2 AE 6.8; Anxiety 54.5 AE 10. 4, 51.9 AE 10.6, and 49.8 AE 9.8; and Depression 49.3 AE 10.4, 47.0 AE 10.0, and 44.2 AE 8.7. Physiatric patients had significantly worse average scores for all domains compared to surgical (P < .001) and other nonsurgical patients (P < .001). Conclusions: Average PROMIS Physical Function, Pain Interference, Anxiety, and Depression scores were worse in musculoskeletal patients who presented to physiatrists in comparison to surgical or other nonsurgical providers. This suggests that some patients who choose to see or are referred to see physiatrists may have more or be more willing to endorse having biopsychosocial impairments.

show abstract

Relative Prevalence of Anxiety and Depression in Patients With Upper Extremity Conditions

Abstract: Diagnostic II.

Cited by 57 publications

References 41 publications

Relative prevalence of anxiety and depression in cubital tunnel syndrome patients and associated factors

Relative prevalence of anxiety and depression in cubital tunnel syndrome patients and associated factors

Anxiety and depression in patients with suspected carpal tunnel syndrome – A case controlled study

PROMIS Physical and Emotional Health Scores Are Worse in Musculoskeletal Patients Presenting to Physiatrists than to Other Orthopedic Specialists

Contact Info

Product

Resources

About