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Psychological distress mediates the relationship between pain and disability in hand or wrist fractures
- Publication Year :
- 2015
- Publisher :
- US : Churchill Livingstone, 2015.
-
Abstract
- Upper limb fracture is a common musculoskeletal injury and can lead to marked pain-related disability. Unlike other common painful musculoskeletal conditions, such as low back pain, little consideration has been given to the role that psychological variables may play in explaining the relationship between pain and disability during early fracture recovery. This cross-sectional study aimed to determine if psychological distress (symptoms of depression, anxiety, and/or stress) mediate the relationship between pain and disability in acute hand/wrist fractures. Self-reported data from a consecutive sample of 594 patients with acute hand/wrist fracture were used. Mediation analyses were conducted to determine the role of depression, anxiety, and stress in the relationship between pain and disability, controlling for relevant demographic and fracture-related variables. Depression and stress, but not anxiety, significantly mediated the relationship between pain and disability. That is, although each psychological distress variable was associated with pain (P.001), only depression (b1 = 0.27, P = .03) and stress (b3 = .23, P = .02) were significantly associated with disability and fulfilled recommended criteria for establishing a mediating variable. Increased depression and stress, but not anxiety, explain the relationship between pain and disability and may be novel targets for interventions designed to reduce pain-related disability after upper limb fracture. Perspective: This study presents the mediating effect of psychological distress on the relationship between pain and disability in acute upper limb fracture. These factors may be novel targets for interventions designed to reduce pain-related disability after acute fracture.
- Subjects :
- Adult
Male
medicine.medical_specialty
Mediation (statistics)
Adolescent
Statistics as Topic
Pain
Poison control
Disability Evaluation
Young Adult
stress
Physical medicine and rehabilitation
psychological distress
Injury prevention
medicine
Humans
Disabled Persons
pain
Depression (differential diagnoses)
Aged
Models, Statistical
Depression
business.industry
Hand Injuries
Middle Aged
Wrist Injuries
medicine.disease
Low back pain
Cross-Sectional Studies
Anesthesiology and Pain Medicine
Neurology
disability
fracture
depression
Musculoskeletal injury
Physical therapy
Anxiety
Female
Pain catastrophizing
Neurology (clinical)
medicine.symptom
business
Stress, Psychological
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....32a7408be309d6e127dd7bef31232979