Disability and depression after orthopaedic trauma

Nota, Sjoerd; Bot, Arjan G.J.; Ring, David; Kloen, Peter

doi:10.1016/j.injury.2014.06.012

Cited by 94 publications

(63 citation statements)

References 30 publications

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“…Depression is a common but serious illness, and most that experience it need treatment to get better. The length of stay of subjects in hospital was the strong significant factor (p<0.001) impacted the level of depression 3.7% subjects stayed more than twelve weeks obtained with severe depression which is corroborated with recent research in which authors Nota SP et al (2014) 26 highlighted that a moderate correlations between symptoms of depression and symptoms of post-traumatic stress disorder at enrolment and magnitude of disability 5-8 months after trauma.…”

Section: Discussionsupporting

confidence: 82%

Role of depression and its associating factors in indoor orthopaedic patients

et al. 2015

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Background and Objectives: Depression has acknowledged and well documented, is common among orthopaedic inpatients may be associated with functional outcomes. Authors aimed to investigate the role, prevalence and associating factors of depression disorder in orthopaedic inpatients. Materials and Methods: A cross-sectional study is designed among patients that admitted at Sri Aurobindo Medical College and P. G. Institute, Indore. Four hundred twenty six orthopedic patients were recruited for study. The demographic and clinical measurements were recorded. Levels of depression were assessed by using Zung's depression scale. Results: Depressive disorder was identified in 87.6% indoor patients significantly (p<0.001) influenced female more than male. The mean depression score in female (67.37±11.75) was significantly higher than male (62.29±12.20). The prevalence of extreme/major depression in female (46.6%) was higher as compared to male (25.7%). Type of trauma was found significantly (p<0.05) associated with depressive disorder. 38.1% male with traumatic condition and 20.0% with non-traumatic condition had moderate depression in comparison to 31.4% and 13.6% female. Depressive disorder was found significantly associated with sex (p<0.001), socio-economic status (p<0.001), length of ortho-illness (p<0.001), length of stay in hospital (p<0.001), exercise/yoga (p<0.05) and type of injury (p<0.05). Conclusions: Higher incidence of depressive disorder recorded in female. Prevention and treatment require more clinical and research attention to reduce the public health burden of depression. The study suggested that higher depressive disorder does occur in indoor orthopaedic patients that associated with various functional outcomes. This study supports the view of depressive disorder was disabling factor in better functional recovery and frequent in female after orthopedic trauma.

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Section: Discussionsupporting

confidence: 82%

Role of depression and its associating factors in indoor orthopaedic patients

et al. 2015

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“…Ineffective coping strategies in patients with hand fractures are likely to be associated with prolonged symptoms and disability resulting from overcautious activity restriction, resulting in posttraumatic stiffness [16,25]. However, the effects on functional recovery of these mechanisms after hand fractures have not been investigated in depth.…”

Section: Discussionmentioning

confidence: 99%

“…For instance, patients with hand fractures often have pain, swelling, and stiffness in the joints of the hand, which may lead them to protect their hands, resulting in more stiffness and in delayed recovery [3]. Pain-coping strategies have been considered to be key factors that explain the magnitude of a disability or the intensity of pain for a painful illnesses [16,25], and maladaptive nociception (defined as disabling misconception regarding pain) with overcautious activity restriction has been associated with posttraumatic stiffness and delayed recovery in hand fractures [10].…”

Section: Introductionmentioning

confidence: 99%

To What Degree Do Pain-coping Strategies Affect Joint Stiffness and Functional Outcomes in Patients with Hand Fractures?

Roh

Noh

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Patients with hand fractures often have pain, swelling, and stiffness in the joints of the hand, which may lead them to protect their hands, resulting in more stiffness and in delayed recovery. However, the effects of paincoping strategies and catastrophization (the tendency to expect the worst to occur when pain is present, an approach that can be thought of as the opposite of ''coping'') on functional recovery after hand fractures have not been investigated in depth. Questions/purposes Are preoperative catastrophization and anxiety in patients with hand fractures associated with (1) decreased grip strength; (2) decreased range of motion; and (3) increased disability at 3 and 6 months after surgical treatment for a hand fracture? Secondarily, we asked if there are other patient and injury factors that are associated with these outcomes at 3 and 6 months. Methods A total of 93 patients with surgically treated hand fractures were enrolled in this prospective study. Preoperative assessments measured coping strategies evaluated by measuring catastrophic thinking with the Pain Catastrophizing Scale and pain anxiety with the Pain Anxiety Symptom Scale. At 3 and 6 months postoperatively, grip strength, total active range of motion, and disability (Quick Disabilities of the Arm, Shoulder, and Hand score) were assessed. Bivariate and multivariate analyses were performed to identify patient demographic, injury, and coping skills factors that accounted for outcomes of strength, motion, and disability. Results Decreased grip strength was associated with catastrophic thinking (beta = À1.29 [95% confidence interval, À1.67 to À0.89], partial R 2 = 11%, p \ 0.001) and anxiety (beta = À0.83 [À1.16 to À0.50], partial R 2 = 7%, p = 0.007) at 3 months, but by 6 months, only anxiety (beta = À0.74 [À1.04 to À0.44], partial R 2 = 7%, p = 0.010) remained an important factor. Decreased total active range of motion was associated with pain catastrophizing (beta = À0.63 [À0.90 to À0.36], partial R 2 = 6 %, p = 0.024) and anxiety (beta = À0.28 [À0.42 to À0.14], partial R 2 = 3%, p = 0.035) at 3 months but not at 6 months. Similarly, increased disability was associated with pain catastrophizing (beta = 1.09 [1.39-0.79], partial R 2 = 12%, p \ 0.001) and anxiety (beta = 0.93 [1.21-

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“…Archer et al [2] demonstrated that pain catastrophizing was associated with pain intensity, pain interference, and physical health 2 years after traumatic injury. Three studies have found that patients who display catastrophizing behavior are at risk for more severe pain and disability up to 12 months after trauma [19,42,60].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Factors Predict Pain and Physical Health After Lower Extremity Trauma

Archer

Abraham

Obremskey

2015

Clinical Orthopaedics &Amp; Related Research

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Background There has been increasing evidence to support the importance of psychosocial factors to poor outcomes after trauma. However, little is known about the contribution of pain catastrophizing and fear of movement to persistent pain and disability. Questions/purposes Therefore, we aimed to determine whether (1) high pain catastrophizing scores are independently associated with pain intensity or pain interference; (2) high fear of movement scores are independently associated with decreased physical health; and (3) depressive symptoms are independently associated with pain intensity, pain interference, or physical health at 1 year after accounting for patient characteristics of age and education. Methods Of 207 eligible patients, we prospectively enrolled 134 patients admitted to a Level I trauma center for surgical treatment of a fracture to the lower extremity. Sixty percent of patients (80 of 134) had an isolated lower extremity injury and the remainder sustained additional minor injury to the head/spine, abdomen/thorax, or upper extremity. Pain catastrophizing was measured with the Pain Catastrophizing Scale, fear of movement with the Tampa Scale for Kinesiophobia, and depressive symptoms with the Patient Health Questionnaire. Pain and physical health outcomes were assessed with the Brief Pain Inventory and the SF-12, respectively. Assessments were completed at 4 weeks and 1 year after hospitalization. Multiple variable hierarchical linear regression analyses were used to address study hypotheses. One hundred ten patients (82%)

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Disability and depression after orthopaedic trauma

Cited by 94 publications

References 30 publications

Role of depression and its associating factors in indoor orthopaedic patients

Role of depression and its associating factors in indoor orthopaedic patients

To What Degree Do Pain-coping Strategies Affect Joint Stiffness and Functional Outcomes in Patients with Hand Fractures?

Psychosocial Factors Predict Pain and Physical Health After Lower Extremity Trauma

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