Social determinants of health and physical activity are related to pain intensity and mental health in patients with carpal tunnel syndrome

Cruz‐Montecinos, Carlos; Torreblanca-Vargas, Serghio; Andersen, Lars L.; Tapia, Claudio; Ortega-Palavecinos, Maritza; López‐Bueno, Rubén; Calatayud, Joaquín; Pérez‐Alenda, Sofía

doi:10.1016/j.msksp.2023.102723

Cited by 7 publications

(5 citation statements)

References 47 publications

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“…Our finding concerning this relationship is the case in the studies of Núñez-Cortés et al (2023); Moro-López-Menchero et al (2023); Daliri et al (2022); Sun et al (2019); Alsharif et al (2022); and Kurtul & Mazican (2023) [ 4 , 6 , 10 , 12 , 18 , 56 ]. There is a consensus in these studies that adaptive coping of patients with disease and the resultant stress could decrease pain perception among CTS patients, which further increases the pain threshold and decreases pain intensity among patients.…”

Section: Discussionsupporting

confidence: 72%

Perceived stress, coping strategies, symptoms severity and function status among carpal tunnel syndrome patients: a nurse-led correlational Study

Asal,

Atta,

Abdelaliem

et al. 2024

BMC Nurs

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Background Carpal tunnel syndrome (CTS) is a prevalent condition characterized by hand pain, tingling, and numbness. The severity of symptoms and functional status in CTS patients may be influenced by perceived stress and how individuals cope with it. However, scarce knowledge exists about the role of coping strategies as moderators in this relationship. Unfolding the role of perceived stress and coping strategies for CTS management will help the nurse to provide comprehensive and tailored nursing care. This will ultimately improve patient comfort, functionality, and quality of life. Purposes This study aimed to examine the role of coping strategies (adaptive and maladaptive) in the relationship between perceived stress and both symptoms severity and function status among those patients. Method We employed a multisite, correlational study design with moderation analysis. The study included 215 patients with CTS from neurosurgery outpatient clinics at three hospitals in Egypt. After obtaining their consent to participate, eligible participants completed anonymous, self-reported measures of perceived stress, the brief COPE inventory, and the Boston Carpal Tunnel Questionnaire. Demographic and biomedical data were also collected. The questionnaire took about 20 min to be completed. The data was collected over six months, starting in February 2023. Results The results showed that perceived stress, adaptive coping, and maladaptive coping were significant predictors of symptoms severity and functional status. Adaptive coping moderated the relationships between perceived stress and both symptoms severity and function status, while maladaptive coping did not. The interaction between perceived stress and adaptive coping explained a moderate effect on symptoms severity and function status after controlling for the main effects and the covariates. Conclusion This study explored the relationship between perceived stress, coping strategies, and outcomes in patients with CTS. The results indicate that nurses play a vital role in assessing and assisting patients to adopt effective coping strategies to manage perceived stress and alleviate symptoms and functional impairment. Moreover, the findings support the need for psychological interventions that address both perceived stress and coping strategies as a way to enhance the functioning status and quality of life of patients with CTS.

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Section: Discussionsupporting

confidence: 72%

Perceived stress, coping strategies, symptoms severity and function status among carpal tunnel syndrome patients: a nurse-led correlational Study

Asal,

Atta,

Abdelaliem

et al. 2024

BMC Nurs

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“…In parallel, other psychosocial variables such as catastrophizing and kinesiophobia were found to be significantly associated with increased pain area in patients with carpal tunnel syndrome [ 35 ]. Finally, Nuñez-Cortés et al demonstrated that a high level of physical activity was associated with a decrease in pain intensity and depressive symptoms in patients with CTS awaiting surgery [ 36 ]. Given this evidence, it is important to collect and evaluate information regarding the psychosocial aspects of patients with carpal tunnel syndrome.…”

Section: Discussionmentioning

confidence: 99%

Understanding the Mechanosensitivity of the Median Nerve in Pre-Surgical Carpal Tunnel Syndrome Patients: A Correlational Study

Hernández-Secorún,

Abenia-Benedí,

Lucha-López

et al. 2024

Brain Sciences

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(1) Background: Neurodynamic tests are recommended for the diagnosis of entrapment neuropathies such as carpal tunnel syndrome (CTS). However, their association with clinical variables in severe patients or patients with associated comorbidities is poorly documented. This study aims to analyze the association between the mechanosensitivity of the median nerve and symptoms, function and psycho-social variables in moderate and severe carpal tunnel syndrome patients with comorbidities; (2) Methods: Correlational study. In total, 42 pre-surgical patients (24 females; 59.1 ± 12.7 years) included in the Spanish Public Healthcare System with an electrodiagnostic of CTS were selected. Sociodemographic variables and clinical features (symptoms, function, sensitivity and quality of life evaluated with the 36-item Short Form Survey (SF-36) and the Medical Outcomes Study Sleep Scale (MOS-sleep) were recorded. Upper Limb Neurodynamic Test 1 was used to evaluate neural mechanosensitivity; (3) Results: The 81% had a severe CTS and 78.6% had some comorbidity. The average time from the first medical visit to the surgeon’s visit was 365.5 days. Median nerve mechanosensitivity correlated weakly with the SF-36 subscale, General Health, (Spearman’s rho = 0.367) and MOS sleep scale, Awaken Short of Breath or with headache dimension (Spearman’s rho = −0.353) and moderately with SF-36 subscale, Social Functioning (Spearman’s rho = 0.553); (4) Conclusions: No associations were observed for median nerve mechanosensitivity, except for quality of life and sleep. Both social determinants and clinical variables should be considered when examining and treating these patients.

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“…The social determinants will be categorized as follows: (I) employment status: employed versus unemployed; (II) educational level: participants will assigned to the lower educational level if they had not completed secondary education and to the higher educational level if they had completed secondary education or university studies ( Núñez Cortés et al, 2023a ; Nuñez Cortés et al, 2023b ); (III) economic income will be categorized according to individual monthly taxable income. The cut-off point will be set at a value equal to or less than USD 545, which determines the degree of coverage provided by the Chilean public health system.…”

Section: Methodsmentioning

confidence: 99%

“…In this sense, the biomedical approach to education may promote the fear-avoidance model ( Louw et al, 2011 ), while the pain neuroscience education (PNE) promotes patients’ understanding of chronic pain and changes maladaptive thoughts and cognitions ( Moseley, 2002 ; Meeus et al, 2010 ) with a biopsychosocial approach limiting the fear-avoidance model ( Louw et al, 2016b ). PNE has shown positive results on the kinesiophobia, catastrophizing, pain intensity, disability, and physical performance in patients with CLBP ( Moseley, Nicholas & Hodges, 2004 ; Ryan et al, 2010 ; Louw et al, 2011 ; Malfliet et al, 2017 ; Rufa, Beissner & Dolphin, 2018 ; Núñez Cortés et al, 2023a ; Nuñez Cortés et al, 2023b ). A recent meta-analysis has shown that the in-group PNE had better results than individual PNE for kinesiophobia ( Romm et al, 2021 ), and it has been identified, in other types of health education, that there are greater benefits in those people who received the in-group intervention ( Riemsma, Taal & Rasker, 2003 ), probably supported by the fact that educational sessions conducted in-group modality can facilitate learning through social observation of positive behaviors exhibited by other members within the group ( Romm et al, 2021 ; Salazar-Méndez et al, 2024 ).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of in-group versus individually administered pain neuroscience education on clinical and psychosocial outcomes in patients with chronic low back pain: randomized controlled study protocol

Salazar-Méndez,

Cuyul-Vásquez,

Ponce-Fuentes

et al. 2024

PeerJ

Self Cite

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Objective (1) This trial will compare the clinical and psychosocial effectiveness of in-group and individually pain neuroscience education (PNE) in patients with chronic low back pain (CLBP). In addition, (2) the influence of social determinants of health on post-treatment results will be analyzed. Methods A three-arm randomized controlled trial will be conducted. Sixty-nine participants with CLBP will be recruited in a 1:1:1 ratio. Participants, assessor, and statistician will be blinded to group assignment. The PNE intervention will be adapted to the context of the participants. An experimental group (n = 33) will receive PNE in an in-group modality, the other experimental group (n = 33) will receive PNE in an individually modality and the control group (n = 33) will continue with usual care. Additionally, participants will be encouraged to stay active by walking for 20–30 min 3–5 times per week and will be taught an exercise to improve transversus abdominis activation (bracing or abdominal following). The outcome measures will be fear avoidance and beliefs, pressure pain threshold, pain self-efficacy, catastrophizing, pain intensity, and treatment expectation. Outcome measures will be collected at one-week before intervention, immediately post-intervention, and four-weeks post-intervention. Conclusion The innovative approach of PNE oriented to fear beliefs proposed in this study could broaden the application strategies of this educational therapeutic modality. Impact. Contextualized PNE delivered by physical therapist could be essential to achieve a good cost-effectiveness ratio of this intervention to improve the clinical condition of people with CLBP.

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Social determinants of health and physical activity are related to pain intensity and mental health in patients with carpal tunnel syndrome

Cited by 7 publications

References 47 publications

Perceived stress, coping strategies, symptoms severity and function status among carpal tunnel syndrome patients: a nurse-led correlational Study

Perceived stress, coping strategies, symptoms severity and function status among carpal tunnel syndrome patients: a nurse-led correlational Study

Understanding the Mechanosensitivity of the Median Nerve in Pre-Surgical Carpal Tunnel Syndrome Patients: A Correlational Study

Effectiveness of in-group versus individually administered pain neuroscience education on clinical and psychosocial outcomes in patients with chronic low back pain: randomized controlled study protocol

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