Psychological factors impact upper-extremity disability

January 25, 2013
Psychological factors impact upper-extremity disability
Psychological factors, including kinesiophobia and catastrophic thinking, are important predictors of the magnitude of upper-extremity-specific disability, according to a study published in the Jan. 2 issue of The Journal of Bone & Joint Surgery.

(HealthDay)—Psychological factors, including kinesiophobia and catastrophic thinking, are important predictors of the magnitude of upper-extremity-specific disability, according to a study published in the Jan. 2 issue of The Journal of Bone & Joint Surgery.

Soumen Das De, M.D., M.P.H., from Massachusetts General Hospital in Boston, and colleagues conducted an observational, cross-sectional study involving 319 patients with upper-extremity-specific disability to examine the effect of kinesiophobia and perceived partner support. Data were collected from the of the Arm, Shoulder and Hand (DASH) questionnaire and surveys measuring symptoms of depression, pain anxiety, catastrophic thinking, kinesiophobia, and perceived level of support from a partner or significant other.

The researchers found that DASH scores were significantly better for men than women, and were also significantly affected by diagnosis, marital status, and employment status. There was a significant correlation between DASH score and depressive symptoms, catastrophic thinking, kinesiophobia, and pain anxiety, but not with perceived partner support. Sex, diagnosis, employment status, catastrophic thinking, and kinesiophobia were included in the best multivariable model of factors associated with greater arm-specific disability (as measured by DASH), accounting for 55 percent of the variation.

"In this sample, kinesiophobia and catastrophic thinking were the most important predictors of upper-extremity-specific disability in a model that accounted for symptoms of depression, anxiety, and pathophysiology (diagnosis) and explained more than half of the variation in disability," write the authors. "The consistent and predominant role of several modifiable in disability suggests that patients may benefit from a multidisciplinary approach that optimizes mindset and coping strategies."

One or more of the authors or their institution disclosed financial ties with an entity in the biomedical arena.

Explore further: Fear of movement a common problem among patients with coronary artery disease

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Fear of movement a common problem among patients with coronary artery disease

November 26, 2012
A doctoral thesis at Sahlgrenska Academy, University of Gothenburg, Sweden, has found that one out of five patients with coronary artery disease experience such a great fear of movement (kinesiophobia) that their health may ...

Pain, disability don't predict function in spinal stenosis

July 16, 2012
(HealthDay) -- For patients with lumbar spinal stenosis (LSS), subjective measures of pain and disability have limited ability to predict real-life ambulatory performance, according to a study published in the July 1 issue ...

Discrepancy between disease activity, disability in early RA

March 17, 2012
(HealthDay) -- For patients with early rheumatoid arthritis, there is a discrepancy between disease activity and disability, with women experiencing more disability than men, according to a Swedish study published online ...

Patient-Rated elbow evaluation most responsive instrument

June 18, 2012
(HealthDay) -- The Patient-Rated Elbow Evaluation form (PREE) is the most responsive instrument to identify and quantify elbow joint-specific changes before and after total elbow arthroplasty, according to a study published ...

Prolonged disability predictors identified for low back pain

June 28, 2012
(HealthDay) -- In patients with chronic nonspecific low back pain (LBP), impaired fasting glucose tolerance, greater pain-related disability, higher body mass index, and lower quality of life (QoL) at baseline are all associated ...

Recommended for you

World's first child hand transplant a 'success'

July 19, 2017
The first child in the world to undergo a double hand transplant is now able to write, feed and dress himself, doctors said Tuesday, declaring the ground-breaking operation a success after 18 months.

Knee surgery—have we been doing it wrong?

July 18, 2017
A team of University at Buffalo medical doctors have published a study that challenges a surgical practice used for decades during arthroscopic knee surgery.

New tools help surgeons find liver tumors, not nick blood vessels

July 17, 2017
The liver is a particularly squishy, slippery organ, prone to shifting both deadly tumors and life-preserving blood vessels by inches between the time they're discovered on a CT scan and when the patient is lying on an operating ...

Researchers discover indicator of lung transplant rejection

July 13, 2017
Research by scientists at Dignity Health St. Joseph's Hospital and Medical Center's Norton Thoracic Institute was published in the July 12, 2017 issue of Science Translational Medicine titled "Zbtb7a induction in alveolar ...

New device could make closing surgical incisions a cinch

July 7, 2017
Like many surgeons, Dr. Jason Spector is often faced with the challenge of securely closing the abdominal wall without injuring the intestines. If the process goes awry, there can be serious consequences for patients, including ...

Success with first 20 patients undergoing minimally invasive pancreatic transplant surgery

June 29, 2017
Surgeons at Johns Hopkins Medicine report that their first series of a minimally invasive procedure to treat chronic pancreas disease, known as severe pancreatitis, resulted in shorter hospital stays, less need for opioids ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.