Editorial Comment: Symposium: Psychosocial Aspects of Musculoskeletal Illness

Ring, David; Ayers, David C.

doi:10.1007/s11999-015-4544-y

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…Modifiable psychological factors (MPF) are patient cognitions and emotions associated with health conditions that may impact recovery, and may respond to treatment [4,5]. Exploring the relationship between MPF and outcome is valuable, as effective management may improve outcomes [6,7]. MPF are different than psychological traits and refractory psychiatric diagnoses that are more difficult to manage, such as bipolar disorder and pervasive depressive disorder, and not considered in this review.…”

Section: Introductionmentioning

confidence: 99%

Do psychological factors affect outcomes in musculoskeletal shoulder disorders? A systematic review

Sheikhzadeh

Wertli

Weiner

et al. 2021

BMC Musculoskelet Disord

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Background Psychological factors may impact recovery in patients undergoing treatment for shoulder complaints. The aim of this review is to systematically analyse the evidence for the effect of modifiable psychological factors (MPF) on outcome, for patients with musculoskeletal shoulder disorders undergoing conservative or surgical treatment. MPF refers to factors that may change with intervention. Methods This is a systematic literature review. Five databases searched (MEDLINE, CINAHL, Cochrane Library, Embase and PsycInfo), for longitudinal studies investigating the influence of MPF on prognosis of patients with shoulder disorders, all diagnoses, undergoing clinical interventions (conservative or surgical). Level of evidence was determined using Scottish Intercollegiate Guidelines Network (SIGN) methodology. Moderate and high quality evidence was included. We extracted all MPF, categorized constructs into the following domains: beliefs (self-efficacy, expectation of recovery), coping (catastrophizing, avoidant coping), and affect (depression, anxiety). We evaluated constructs for its predictive value of at least one outcome. Outcomes were informed by this review. Evidence was classified into three categories: evidence for, inconclusive evidence, and evidence against. Results Of 1170 references, 40 distinct publications based on 35 datasets were included (intervention type: 20 surgical; 20 conservative). Overall, 22 studies (20 cohort studies and 2 RCTs) were classified as high quality and 18 studies (16 cohort studies, 2 RCTs) were classified as moderate quality. Outcomes reported included pain, disability/function, perceived recovery, physical and mental health, and work status. Based on the review, of the psychological constructs explored, these data would suggest that expectation of recovery, catastrophizing, avoidant coping, depression, and anxiety may predict outcome for patients managed surgically. In patients undergoing conservative intervention the evidence was either against (catastrophizing, depression, anxiety) or inconclusive (self-efficacy, expectation of recovery, avoidant coping) for the predictive value of psychological factors on outcome. Conclusions Five constructs were predictive of outcome for surgically managed patients. This suggests that implementing the biopsychosocial approach (i.e., preoperative screening, intervention by a trained clinician) may be advantageous for patients recommended for shoulder surgery,,. The same is not indicated for conservatively managed patients as no conclusive association of MPF with outcomes was noted. The importance of other MPF on outcome requires further investigation.

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Section: Introductionmentioning

confidence: 99%

Do psychological factors affect outcomes in musculoskeletal shoulder disorders? A systematic review

Sheikhzadeh

Wertli

Weiner

et al. 2021

BMC Musculoskelet Disord

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“…19 Understanding patients better at baseline and approaching them individually is likely more fruitful. [20][21][22][23] For other conditions, patients' preoperative expectations are known to impact outcomes in addition to satisfaction with care received or result attained. [24][25][26] Furthermore, patients may be satisfied with their care and providers and yet have important unmet expectations, levels of dissatisfaction, or regrets that are not communicated with a simple satisfaction question.…”

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confidence: 99%

“…19 Understanding patients better at baseline and approaching them individually is likely more fruitful. 20–23…”

mentioning

confidence: 99%

Thumb Carpometacarpal Arthritis Surgery: The Patient Experience

Hawken¹,

Yousaf²,

Sanghavi³

et al. 2021

Plastic &Amp; Reconstructive Surgery

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steoarthritis of the thumb carpometacarpal, or basilar, joint is nearly universal as people age and can be debilitating or asymptomatic. 1,2 When patients do not adequately respond to nonoperative measures, a variety of surgical procedures are available and are mostly efficacious. No procedure is superior, with no notable differences between them other than perhaps cost and complications. [3][4][5][6][7][8][9][10][11] Still, there is a definite subset of patients, up to at least 15 percent, who are dissatisfied with some aspects of their surgical result regardless of the techniques

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