Depression and anxiety disorders in patients with carpal tunnel syndrome after surgery – a case control study

Jokar, Rahmatollah; Shokravi, Mohadeseh; Baghianimoghadam, Behnam; Fallah, Yousef

doi:10.48095/ccachp202212

Cited by 3 publications

(10 citation statements)

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“…It is important to note this relationship is expected, and it is the case in the studies of Jacob et al (2023); Alendijani et al (2023); Kurtul & Mazican (2023); and Jokar et al (2022) [ 6 , 8 , 11 , 48 ]. These studies found CTS patients with high anxiety and stress levels reported considerable improvement in their functional status, and their symptoms got worse with persistent stress, which is similar to our results.…”

Section: Discussionmentioning

confidence: 74%

“…Conversely, individuals with low levels of adaptive coping may lack effective strategies to cope with stress. They may experience heightened emotional distress and struggle to manage their symptoms in the face of stress, which could explain the strong and positive relationship observed between perceived stress and symptoms severity [ 8 , 57 ].…”

Section: Discussionmentioning

confidence: 99%

“…When the body is under stress, it produces hormones that can cause inflammation and swelling in the body. This inflammation can put pressure on the median nerve, leading to the development of CTS [ 8 ]. Meanwhile, stress can definitely exacerbate CTS as it produces an indirect effect on the carpal tunnel space and median nerve deep inside.…”

Section: Introductionmentioning

confidence: 99%

“…However, there is a dearth of studies examining the role of psychological factors in the treatment course of CTS patients. Anxiety, pain intensity, self-efficacy, and depression are the most studied psychological factors and have gained momentum in the literature in terms of their role in shaping the severity and functional status of patients with CTS [ 8 ]. For instance, a systematic review by Sheikhzadeh et al (2021) revealed that modifiable psychological factors, such as anxiety, depression, coping strategies, and self-efficacy, affected the outcomes of patients with musculoskeletal disorders, however managed by conservative or surgical treatment.…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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 women, the level of the S-TAI anxiety and depression was significantly higher in the CTS group than in the control group. Nevertheless, in men, only trait anxiety was significant [14].…”

Section: Discussionmentioning

confidence: 83%

Effects of the Treatment of Carpal Tunnel Syndrome with Surgery and Injections on the Hospital Anxiety and Depression Scale (HADS)

Ly-Pen¹,

Andreu²,

Blas³

et al. 2023

OJPsych

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Background: The prevalence of carpal tunnel syndrome (CTS) and of anxiety and depression in primary care practice are high. Different studies had shown an increased prevalence of anxiety and depression in CTS patients. Nevertheless, few papers had been published studying the anxiety and depression scales in the treatment of CTS, either with corticosteroid injections (I) or with surgical decompression (S). Objective: To assess whether clinical improvement observed after the treatment of CTS either with I or with S correlates with an improvement in the punctuations of the Hospital Anxiety and Depression scales (HADS), at 3, 6 and 12-month follow-up. Methods: Randomized and open-label clinical trial, comparing I and S. Patients with symptoms suggestive of CTS (nocturnal paraesthesias) of at least 3 months duration and neurophysiological confirmation were included. Patients with clinically apparent motor impairment were excluded. The subjective evaluation of symptoms was carried out using the visual-analogue scale of pain (VAS-p). Clinical reviews were performed 3, 6 and 12 months after treatment. Each patient completed the HADS questionnaire and a VAS-p at 0, 3, 6, and 12 months. Statistical significance was established using the Student's t test and the Mann-Whitney U test when necessary. A linear regression analysis was used to know the effect of the treatment adjusted for the initial score of both scales. Results: 65 patients were included (30 in group I and 35 in group S). There was no statistical difference between both groups in terms of age, gender distribution, disease duration, VAS-p, neurophysiological testing severity of CTS or the 8 subscales of HADS. Both groups improved significantly in relation to the How to cite this paper: Ly-

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Association between carpal tunnel syndrome and the five-year incidence of anxiety disorder and depression in adults followed in general practices in Germany

Jacob,

Petrover,

Koyanagi

et al. 2023

Journal of Psychosomatic Research

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Depression and anxiety disorders in patients with carpal tunnel syndrome after surgery – a case control study

Cited by 3 publications

References 0 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

Effects of the Treatment of Carpal Tunnel Syndrome with Surgery and Injections on the Hospital Anxiety and Depression Scale (HADS)

Association between carpal tunnel syndrome and the five-year incidence of anxiety disorder and depression in adults followed in general practices in Germany

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