TY - JOUR
T1 - Symptoms of Acute Posttraumatic Stress Disorder in Patients With Acute Hand Injuries
AU - Opsteegh, Lonneke
AU - Reinders-Messelink, Heleen A.
AU - Groothoff, Johan W.
AU - Postema, Klass
AU - Dijkstra, Pieter U.
AU - van der Sluis, Corry K.
N1 - Article
PY - 2010/6
Y1 - 2010/6
N2 - Purpose Symptoms of posttraumatic stress disorder (PTSD) in patients with hand injuries may delay return to work, even when criteria of the Diagnostic and Statistical Manual of Mental Disorders-IV are not met. This study investigated which biomedical and psychosocial factors relate to symptoms of acute PTSD in hand-injured patients.Methods Sixty-seven employed patients with hand injuries completed a number of questionnaires. The following factors were investigated: sociodemographic characteristics, injury severity, accident location, pain, satisfaction with hand functioning, aesthetics of the hand, social support, and coping styles. The primary outcome measure was the number of symptoms of PTSD. We analyzed factors that were univariately significantly associated with symptoms of PTSD using linear regression analysis, and explored interaction effects.Results One patient met the criteria for PTSD; 44 patients experienced symptoms but did not meet the criteria (median, 1; interquartile range (IQR), 0-2); 22 patients experienced no symptoms of PTSD. Patients had a median pain score of 30 (IQR, 10-45), median satisfaction score of 60 (IQR, 45-70), median aesthetics score of 66.7 (IQR, 45.8-79.2), median palliative coping style score of 16 (IQR, 14.8-17.3), and median avoidance coping style of 15 (IQR, 13-16). Symptoms of PTSD were associated with pain (r, .530; p <.001), satisfaction with hand function (r, -.451; p <.001), aesthetics (r, -.320; p = .009), palliative coping style (r, .281; p = .022) and avoidance coping style (r, .283; p = .022). Pain and aesthetics remained significant after regression analysis. No interaction effects were significant.Conclusions Pain and aesthetics statistically predict symptoms of acute PTSD in patients with acute hand injuries. Patients with disproportionate pain or dissatisfaction with aesthetics should be evaluated for PTSD. (J Hand Surg 2010;35A:961-967. Copyright (C) 2010 by the American Society for Surgery of the Hand. All rights reserved.)
AB - Purpose Symptoms of posttraumatic stress disorder (PTSD) in patients with hand injuries may delay return to work, even when criteria of the Diagnostic and Statistical Manual of Mental Disorders-IV are not met. This study investigated which biomedical and psychosocial factors relate to symptoms of acute PTSD in hand-injured patients.Methods Sixty-seven employed patients with hand injuries completed a number of questionnaires. The following factors were investigated: sociodemographic characteristics, injury severity, accident location, pain, satisfaction with hand functioning, aesthetics of the hand, social support, and coping styles. The primary outcome measure was the number of symptoms of PTSD. We analyzed factors that were univariately significantly associated with symptoms of PTSD using linear regression analysis, and explored interaction effects.Results One patient met the criteria for PTSD; 44 patients experienced symptoms but did not meet the criteria (median, 1; interquartile range (IQR), 0-2); 22 patients experienced no symptoms of PTSD. Patients had a median pain score of 30 (IQR, 10-45), median satisfaction score of 60 (IQR, 45-70), median aesthetics score of 66.7 (IQR, 45.8-79.2), median palliative coping style score of 16 (IQR, 14.8-17.3), and median avoidance coping style of 15 (IQR, 13-16). Symptoms of PTSD were associated with pain (r, .530; p <.001), satisfaction with hand function (r, -.451; p <.001), aesthetics (r, -.320; p = .009), palliative coping style (r, .281; p = .022) and avoidance coping style (r, .283; p = .022). Pain and aesthetics remained significant after regression analysis. No interaction effects were significant.Conclusions Pain and aesthetics statistically predict symptoms of acute PTSD in patients with acute hand injuries. Patients with disproportionate pain or dissatisfaction with aesthetics should be evaluated for PTSD. (J Hand Surg 2010;35A:961-967. Copyright (C) 2010 by the American Society for Surgery of the Hand. All rights reserved.)
KW - Aesthetics
KW - hand injury
KW - pain
KW - posttraumatic stress disorder
KW - SEVERITY SCORING SYSTEM
KW - RISK-FACTORS
KW - BURN INJURY
KW - PSYCHOLOGICAL-ASPECTS
KW - PAIN FLASHBACKS
KW - SOCIAL SUPPORT
KW - EARLY-STAGE
KW - TRAUMA
KW - WORK
KW - PREDICTORS
U2 - 10.1016/j.jhsa.2010.03.024
DO - 10.1016/j.jhsa.2010.03.024
M3 - Article
SN - 0363-5023
VL - 35A
SP - 961
EP - 967
JO - JOURNAL OF HAND SURGERY-AMERICAN VOLUME
JF - JOURNAL OF HAND SURGERY-AMERICAN VOLUME
IS - 6
ER -