Title |
The impact of anxiety and depressive symptoms on chronic pain in conservatively and operatively treated hand surgery patients
|
---|---|
Published in |
Journal of Pain Research, January 2017
|
DOI | 10.2147/jpr.s116674 |
Pubmed ID | |
Authors |
Niklaus Egloff, Barbara Wegmann, Bettina Juon, Stefanie Stauber, Roland von Känel, Esther Vögelin |
Abstract |
The aim of this prospective study was to examine to what extent anxiety and depressive symptoms predict the level of pain at 4-month follow-up in hand surgery patients. A total of 132 consecutive patients (mean age: 51.5±17.1 years, 51.9% female) of a tertiary center for hand surgery participated in this study. The patients underwent conservative or operative treatment, depending on the nature of their hand problem. The initial pain assessment included psychometric testing with the hospital anxiety and depression scale. Ninety-nine patients underwent operative treatment and 33 patients were conservatively treated. At 4-month follow-up, the amount of pain was measured with a visual analog scale (0-10). After controlling for age, sex, and pre-surgical pain intensity, depressive symptoms were a significant predictor for increased pain levels at follow-up in conservatively treated patients. In operatively treated patients, anxiety symptoms showed a trend for being a predictor of pain level at follow-up. The findings support the assumption that psychological factors may have an impact on pain outcome in patients presenting to hand surgery clinics. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United Kingdom | 3 | 19% |
Canada | 2 | 13% |
United States | 1 | 6% |
Spain | 1 | 6% |
Egypt | 1 | 6% |
Unknown | 8 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 10 | 63% |
Practitioners (doctors, other healthcare professionals) | 3 | 19% |
Science communicators (journalists, bloggers, editors) | 2 | 13% |
Scientists | 1 | 6% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 45 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 8 | 18% |
Other | 7 | 16% |
Student > Doctoral Student | 4 | 9% |
Researcher | 4 | 9% |
Student > Bachelor | 3 | 7% |
Other | 6 | 13% |
Unknown | 13 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 16 | 36% |
Psychology | 7 | 16% |
Neuroscience | 3 | 7% |
Nursing and Health Professions | 2 | 4% |
Earth and Planetary Sciences | 1 | 2% |
Other | 2 | 4% |
Unknown | 14 | 31% |