作者: Pepijn O. Sun , Erik T. Walbeehm , Ruud W. Selles , Harm P. Slijper , Dietmar J. O. Ulrich
DOI: 10.1097/PRS.0000000000007441
关键词: Computer-assisted web interviewing 、 Pain catastrophizing 、 Hand surgery 、 Carpal tunnel 、 Depression (differential diagnoses) 、 Mindset 、 Psychosocial 、 Medicine 、 Physical therapy 、 Carpal tunnel syndrome
摘要: BACKGROUND: Depression and pain catastrophizing are aspects of the patient's mindset that have been shown to be important in relation outcome carpal tunnel release. However, other factors understudied, such as treatment expectations illness perceptions. The aim present study was investigate influence these on release, addition psychological distress catastrophizing. METHODS: A total 307 patients with syndrome who visited outpatient hand surgery clinics completed online questionnaires regarding demographic psychosocial characteristics severity were included. patient measured Patient Health Questionnaire-4, Pain Catastrophizing Scale, Credibility Expectancy Questionnaire, Brief Illness Perception Questionnaire. Hierarchical linear regression models used examine between self-reported 6 months after Boston Carpal Tunnel mindset, adjusting for preoperative Questionnaire score, characteristics, comorbidities. RESULTS: Independent associations better found higher (β = -0.202; p < 0.001) comprehensibility -0.223; 0.001). additional explained variance scores by 13.2 percent (psychological together, 2.1 percent; perceptions 11.1 percent). CONCLUSION: Treatment both independently associated showing importance CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, III.