Is Social Support Associated With Upper Extremity Disability?
Background: Pain intensity and disability correlate with psychosocial factors such as depression and pain interference (the degree to which pain interferes with activities of daily living) as much or more than pathophysiology in upper extremity illness. However, other factors like emotional support...
| Publicado en: | Clinical Orthopaedics & Related Research® Vol. 474; no. 8; pp. 1830 - 1837 |
|---|---|
| Autores principales: | , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Aug2016
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116464774&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 116464774 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0009921X 23N jtl: Clinical Orthopaedics & Related Research® issn: 0009921X maglogo: N pubinfo: dt: Aug2016 vid: 474 iid: 8 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 116464774 116464774 NLM27172821 116464774 10.1007/s11999-016-4892-2 NLM27172821 PMC4925422 [Available on 08/01/17] 116464774 ppf: 1830 ppct: 7 formats: tig: atl: Is Social Support Associated With Upper Extremity Disability? aug: au: Nota, Sjoerd Spit, Silke Oosterhoff, Thijs Hageman, Michiel Ring, David Vranceanu, Ana-Maria Nota, Sjoerd P F T Spit, Silke A Oosterhoff, Thijs C H Hageman, Michiel G J S Ring, David C affil: Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston USA sug: subj: Emotions Upper Extremity Physiopathology Support, Psychosocial Health Services Accessibility Disability Evaluation Young Adult Activities of Daily Living Adaptation, Psychological Outcome Assessment Adult Female Predictive Value of Tests Cross Sectional Studies Kinematics Depression Physiopathology Male Human Aged, 80 and Over Middle Age Prognosis Pain Measurement Depression Diagnosis Depression Psychosocial Factors Aged Economic Aspects of Illness Validation Studies Comparative Studies Evaluation Research Multicenter Studies Impact of Events Scale Psychosocial Adjustment to Illness Scale Scales Social Readjustment Rating Scale Adult: 19-44 years Aged, 80 & over Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Background: Pain intensity and disability correlate with psychosocial factors such as depression and pain interference (the degree to which pain interferes with activities of daily living) as much or more than pathophysiology in upper extremity illness. However, other factors like emotional support (perception of being cared for and valued as a person), instrumental support (perception of availability of tangible assistance when needed), positive psychosocial impact (perception and focus on the positive side of a difficult situation, sometimes characterized as posttraumatic growth, benefit-finding, or meaning making), also might be associated with disability in patients with upper extremity orthopaedic illness. This is the first published study, to our knowledge, addressing the potential association of emotional support, instrumental support, and positive psychosocial illness impact with disability in patients with upper extremity illness.Questions/purposes: We asked: (1) Is there a correlation between the QuickDASH and the Patient-reported Outcomes Measurement Information System (PROMIS(®)) emotional support Computer Adaptive Testing (CAT)? (2) Is there a correlation between the QuickDASH and PROMIS(®) instrumental support CAT? (3) Is there a correlation between the QuickDASH and PROMIS(®) positive psychosocial illness impact CAT? (4) Among the PROMIS(®) measures of depression, emotional support, instrumental support, positive illness impact, and pain interference, which accounts for the most variance in QuickDASH scores?Methods: One hundred ninety-three patients with upper extremity illness (55% women; average age, 51 ± 18 years) of 213 approached (91% recruitment rate) completed the QuickDASH, and five different PROMIS(®) CATs: pain interference (the degree to which pain interferes with accomplishing one's goals), depression, emotional support, psychosocial illness impact, and instrumental support. We recruited patients from the practice of three surgeons in hand service of the department of orthopaedic surgery at a major urban university hospital.Results: Pearson Product Moment Correlations showed that emotional support (r = -0.18; p = 0.014) and instrumental support (r = -0.19; p = 0.008) were weakly and inversely associated with the QuickDASH), while positive psychosocial illness impact was moderately and inversely associated with the QuickDASH (r = -0.36; p < 0.001). In multivariable analyses, pain interference, but not the social support measures, was the only psychosocial factor associated with the QuickDASH and alone explained 66% of variance.Conclusions: Emotional support, instrumental support and positive psychosocial illness impact are all individually associated with disability to a small degree, but pain interference (the degree to which pain interferes with accomplishing one's goals) has the strongest influence on magnitude of disability.Level Of Evidence: Level 1, prognostic study. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|