Adjustment to hand injury: Cross-sectional survey exploring adjustment in relation to illness perceptions and coping strategies

Abstract

Abstract:Introduction: Hand injuries are highly prevalent and the impact they have on physical,

A systematic review of illness representation clusters in chronic conditions

“…Generally, the cluster groups across studies did not differ in terms of sociodemographic characteristics. The exception to this was age differences reported in two chronic obstructive pulmonary disease (COPD) studies and disabling hand injury; in all three studies the cluster groups with a younger average age were also the groups with worse outcomes and more negative illness representations (Harrison et al, 2014; Lopes et al, 2018; Turkington et al, 2018).…”

“…Reasons for exclusion were: (a) not peer reviewed (5 studies); (b) not in English (2 studies); (c) study analysis did not include clustering methods (38 studies); (d) variables other than illness representation subscales were used to create groups (27 studies); (e) illness representation was not measured using the subscales of the IPQ‐R (change scores 6 studies, Brief IPQ 5 studies, other measures 6 studies, 17 studies total); (f) sample population did not have a chronic disease (2 studies); and (g) outcome variables were not health‐related. A total of 12 studies met inclusion criteria (Aujla, Walker, Sprigg, & Vedhara, 2018; Berry, Davies, & Dempster, 2017; Flora, Anderson, & Brawley, 2015; Graham, Rose, Hankins, Chalder, & Weinman, 2013; Harrison et al, 2014; Hobro, Weinman, & Hankins, 2004; Hsiao, Chang, & Chen, 2012; Lin & Heidrich, 2012; Lopes et al, 2018; McCorry et al, 2013; Norton et al, 2014; Turkington, Dempster, & Maguire, 2018).…”

“…In a study of patients with chronic muscle disease (different types of muscular dystrophy and other muscle diseases), the group with significantly fewer reported symptoms had higher quality of life, and lower functional impairment, depression, and anxiety (Graham et al, 2013). Two studies did not use the identity subscale (Hobro et al, 2004; Turkington et al, 2018).…”

“…In patients with breast cancer, the group with significantly higher coherence scores had significantly lower psychological distress (McCorry et al, 2013). In one study of persons with a disabling hand injury, higher coherence scores were associated with poorer function, more negative coping, poorer quality of life, and higher risk of experiencing depression and trauma symptoms (Turkington et al, 2018). The remaining seven studies showed no significant differences.…”

“…In six studies, a more chronic perception was reported in the cluster groups with the worst outcomes (Aujla et al, 2018; Graham et al, 2013; Harrison et al, 2014; Hobro et al, 2004; McCorry et al, 2013; Turkington et al, 2018). Aujla et al (2018) found that the group of post‐stroke patients with significantly higher timeline scores had a worse mood and quality of life.…”