The impact of anxiety and depressive symptoms on chronic pain in conservatively and operatively treated hand surgery patients

Egloff, Niklaus; Wegmann, Barbara; Juon, Bettina; Stauber, Stefanie; von Känel, Roland; Vögelin, Esther (2017). The impact of anxiety and depressive symptoms on chronic pain in conservatively and operatively treated hand surgery patients. Journal of pain research, 10, pp. 259-263. Dove Medical Press 10.2147/JPR.S116674

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The aim of this prospective study was to examine to what extent anxiety and depressive symptoms predict the level of pain at 4-month follow-up in hand surgery patients. A total of 132 consecutive patients (mean age: 51.5±17.1 years, 51.9% female) of a tertiary center for hand surgery participated in this study. The patients underwent conservative or operative treatment, depending on the nature of their hand problem. The initial pain assessment included psychometric testing with the hospital anxiety and depression scale. Ninety-nine patients underwent operative treatment and 33 patients were conservatively treated. At 4-month follow-up, the amount of pain was measured with a visual analog scale (0–10). After controlling for age, sex, and pre-surgical pain intensity, depressive symptoms were a significant predictor for increased pain levels at follow-up in conservatively treated patients. In operatively treated patients, anxiety symptoms showed a trend for being a predictor of pain level at follow-up. The findings support the assumption that psychological factors may have an impact on pain outcome in patients presenting to hand surgery clinics.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Mu50 > Forschungsgruppe Psychosomatik
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DCR Unit Sahli Building > Forschungsgruppe Neurologie
07 Faculty of Human Sciences > Institute of Psychology > Clinical Psychology and Psychotherapy
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Mu50 > Forschungsgruppe Handchirurgie

UniBE Contributor:

Egloff, Niklaus; Wegmann, Barbara; Juon, Bettina; Stauber, Stefanie; von Känel, Roland and Vögelin, Esther

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1178-7090

Publisher:

Dove Medical Press

Language:

English

Submitter:

Veronika Picha

Date Deposited:

21 Feb 2017 17:23

Last Modified:

19 Feb 2018 11:07

Publisher DOI:

10.2147/JPR.S116674

PubMed ID:

28203103

BORIS DOI:

10.7892/boris.95207

URI:

https://boris.unibe.ch/id/eprint/95207

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