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
Disabilities 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 psychological factors
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.
More information: Abstract
Health News Copyright © 2013 HealthDay. All rights reserved.
"Psychological factors impact upper-extremity disability." January 25th,
2013. http://medicalxpress.com/news/2013-01-psychological-factors-impact-upper-extremity-disability.html
Posted by
Robert Karl Stonjek
No comments:
Post a Comment