Psychological sequelae of hand injuries: an integrative review.

Maddison, K; Perry, L; Debono, D

Psychological sequelae of hand injuries: an integrative review.

Maddison, K Perry, L

Debono, D

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Publisher:: SAGE PUBLICATIONS LTD
Publication Type:: Journal Article
Citation:: J Hand Surg Eur Vol, 2022, pp. 17531934221117429
Issue Date:: 2022-08-30

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Field	Value	Language
dc.contributor.author	Maddison, K
dc.contributor.author	Perry, L https://orcid.org/0000-0002-8507-1283
dc.contributor.author	Debono, D https://orcid.org/0000-0003-2095-156X
dc.date.accessioned	2022-12-01T00:28:49Z
dc.date.available	2022-12-01T00:28:49Z
dc.date.issued	2022-08-30
dc.identifier.citation	J Hand Surg Eur Vol, 2022, pp. 17531934221117429
dc.identifier.issn	1753-1934
dc.identifier.issn	2043-6289
dc.identifier.uri	http://hdl.handle.net/10453/163961
dc.description.abstract	This integrative review investigated reports of psychological impact and sequelae of traumatic hand injuries. A systematic search using Medline, PsychINFO, PubMed, EMBASE, CINAHL and hand-searching methods was conducted from 2008 to 2020. Nine included articles with a total of 503 participants were reported in prospective cross-sectional or longitudinal cohort studies. Depression and anxiety were common, affecting between 7% and 71% and between 23% and 71% of patients, respectively. Post-traumatic stress disorder affected between 3% and 95% of patients. Factors reported predicting psychological sequelae of hand injuries included injury severity, pain, limb dysfunction, negative perceptions of injured limbs, suboptimal coping mechanisms and limited social support. Symptoms persisted for protracted periods of follow-up but broadly attenuated after 3 months. We conclude that the high prevalence and enduring nature of psychological symptoms demonstrate an urgent need for further research to optimize treatment.Level of evidence: III.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SAGE PUBLICATIONS LTD
dc.relation.ispartof	J Hand Surg Eur Vol
dc.relation.isbasedon	10.1177/17531934221117429
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences
dc.subject.classification	Orthopedics
dc.title	Psychological sequelae of hand injuries: an integrative review.
dc.type	Journal Article
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access	*
dc.date.updated	2022-12-01T00:28:49Z
pubs.publication-status	Published online

Abstract:

This integrative review investigated reports of psychological impact and sequelae of traumatic hand injuries. A systematic search using Medline, PsychINFO, PubMed, EMBASE, CINAHL and hand-searching methods was conducted from 2008 to 2020. Nine included articles with a total of 503 participants were reported in prospective cross-sectional or longitudinal cohort studies. Depression and anxiety were common, affecting between 7% and 71% and between 23% and 71% of patients, respectively. Post-traumatic stress disorder affected between 3% and 95% of patients. Factors reported predicting psychological sequelae of hand injuries included injury severity, pain, limb dysfunction, negative perceptions of injured limbs, suboptimal coping mechanisms and limited social support. Symptoms persisted for protracted periods of follow-up but broadly attenuated after 3 months. We conclude that the high prevalence and enduring nature of psychological symptoms demonstrate an urgent need for further research to optimize treatment.Level of evidence: III.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/163961