2014
DOI: 10.2106/jbjs.m.00755
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The Impact of Depression and Pain Catastrophization on Initial Presentation and Treatment Outcomes for Atraumatic Hand Conditions

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Cited by 78 publications
(56 citation statements)
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“…Third, without longitudinal data collection, we cannot comment on the effect that depression treatment would have on patient-rated hand function and do not know exactly how depression will impact perceived hand function after treatment of the trapeziometacarpal arthritis. However, based on a prior study by London et al [15], we suspect that depressed patients will respond to treatment of their trapeziometacarpal arthritis to a similar degree as nondepressed patients and thus the final outcome will still indicate greater perceived impairment compared with unaffected patients. Fourth, imperfect interrater agreement determining the Eaton arthritic stage may have resulted in misclassification, which may have biased our data toward a type II error when determining if arthritic stage impacted total MHQ score.…”
Section: Discussionmentioning
confidence: 96%
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“…Third, without longitudinal data collection, we cannot comment on the effect that depression treatment would have on patient-rated hand function and do not know exactly how depression will impact perceived hand function after treatment of the trapeziometacarpal arthritis. However, based on a prior study by London et al [15], we suspect that depressed patients will respond to treatment of their trapeziometacarpal arthritis to a similar degree as nondepressed patients and thus the final outcome will still indicate greater perceived impairment compared with unaffected patients. Fourth, imperfect interrater agreement determining the Eaton arthritic stage may have resulted in misclassification, which may have biased our data toward a type II error when determining if arthritic stage impacted total MHQ score.…”
Section: Discussionmentioning
confidence: 96%
“…Furthermore, patients with higher scores for catastrophic thinking, anxiety, posttraumatic stress disorder, and depression on several questionnaires are more likely to be taking opioid pain medications 1 to 2 months after musculoskeletal trauma than patients with lower scores [10]. Depression has also been associated with lower baseline and posttreatment MHQ scores in a general population of patients receiving treatment for atraumatic hand conditions [15]. Collectively, these prior trials suggest that orthopaedic patients with depression report disproportionate pain and functional limitation.…”
Section: Discussionmentioning
confidence: 97%
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