Illness representations in patients with hand injury.

Hdl Handle:
http://hdl.handle.net/10147/144034
Title:
Illness representations in patients with hand injury.
Authors:
Chan, Jeffrey C Y; Ong, Joshua C Y; Avalos, Gloria; Regan, Padraic J; McCann, Jack; Groarke, AnnMarie; Kelly, John L
Affiliation:
Department of Plastic, Reconstructive and Hand Surgery, University College Hospital, Galway, Newcastle Road, Galway, Ireland. chancy@eircom.net
Citation:
Illness representations in patients with hand injury. 2009, 62 (7):927-32 J Plast Reconstr Aesthet Surg
Journal:
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
Issue Date:
Jul-2009
URI:
http://hdl.handle.net/10147/144034
DOI:
10.1016/j.bjps.2007.11.057
PubMed ID:
18456586
Additional Links:
http://www.sciencedirect.com/science/article/pii/S1748681508002015
Abstract:
Differences in illness perception about hand injury may partly explain the variation in health behaviours such as adherence to post-operative therapy, coping strategy, emotional response and eventual clinical outcome. This study examined the illness perception of patients with hand injuries in the acute trauma setting.; The disability and severity of injury were assessed using the Disability of the Arm, Shoulder and Hand (DASH) questionnaire and the Hand Injury Severity Score (HISS). The revised Illness Perception Questionnaire (IPQ-R) was used to explore patients' illness beliefs and perception on hand injury.; Fifty seven patients were recruited over the 2 month period. The IPQ-R showed good internal reliability (Cronbach's alpha, 0.68-0.86). There was no correlation between the DASH or HISS scores and the various components of the IPQ-R scores, suggesting that illness perceptions were not influenced by the recent trauma experience. Patients with dominant hand injuries and females reported significantly higher subjective disability. Younger patients believed their injury would last for a limited duration but reported a significantly higher number of related symptoms. Overall, the cohort was optimistic about their treatment and duration of recovery (high treatment control score and low time line score). Beliefs of negative consequences, chronic/cyclical duration and low illness coherence were linked with negative emotional response. High illness identity was associated with perception of pessimistic outcome (high consequences score) and negative emotional response.; The lack of correlations suggests that illness perceptions of patients do not necessarily relate to the recent trauma experience or the severity of their hand injury. Patients in this cohort were optimistic about treatment and their recovery. There was some evidence to suggest that patients with severe injury were over-optimistic about recovery. These findings suggest that there could be a role for psychological intervention in hand injury.
Item Type:
Article
Language:
en
Description:
PURPOSE: Differences in illness perception about hand injury may partly explain the variation in health behaviours such as adherence to post-operative therapy, coping strategy, emotional response and eventual clinical outcome. This study examined the illness perception of patients with hand injuries in the acute trauma setting. METHODS: The disability and severity of injury were assessed using the Disability of the Arm, Shoulder and Hand (DASH) questionnaire and the Hand Injury Severity Score (HISS). The revised Illness Perception Questionnaire (IPQ-R) was used to explore patients' illness beliefs and perception on hand injury. RESULTS: Fifty seven patients were recruited over the 2 month period. The IPQ-R showed good internal reliability (Cronbach's alpha, 0.68-0.86). There was no correlation between the DASH or HISS scores and the various components of the IPQ-R scores, suggesting that illness perceptions were not influenced by the recent trauma experience. Patients with dominant hand injuries and females reported significantly higher subjective disability. Younger patients believed their injury would last for a limited duration but reported a significantly higher number of related symptoms. Overall, the cohort was optimistic about their treatment and duration of recovery (high treatment control score and low time line score). Beliefs of negative consequences, chronic/cyclical duration and low illness coherence were linked with negative emotional response. High illness identity was associated with perception of pessimistic outcome (high consequences score) and negative emotional response. CONCLUSIONS: The lack of correlations suggests that illness perceptions of patients do not necessarily relate to the recent trauma experience or the severity of their hand injury. Patients in this cohort were optimistic about treatment and their recovery. There was some evidence to suggest that patients with severe injury were over-optimistic about recovery. These findings suggest that there could be a role for psychological intervention in hand injury.
MeSH:
Adaptation, Psychological; Adolescent; Adult; Age Factors; Aged; Cohort Studies; Disability Evaluation; Female; Hand Injuries; Humans; Injury Severity Score; Male; Middle Aged; Prognosis; Psychometrics; Questionnaires; Recovery of Function; Young Adult
ISSN:
1878-0539

Full metadata record

DC FieldValue Language
dc.contributor.authorChan, Jeffrey C Yen
dc.contributor.authorOng, Joshua C Yen
dc.contributor.authorAvalos, Gloriaen
dc.contributor.authorRegan, Padraic Jen
dc.contributor.authorMcCann, Jacken
dc.contributor.authorGroarke, AnnMarieen
dc.contributor.authorKelly, John Len
dc.date.accessioned2011-10-05T12:59:49Z-
dc.date.available2011-10-05T12:59:49Z-
dc.date.issued2009-07-
dc.identifier.citationIllness representations in patients with hand injury. 2009, 62 (7):927-32 J Plast Reconstr Aesthet Surgen
dc.identifier.issn1878-0539-
dc.identifier.pmid18456586-
dc.identifier.doi10.1016/j.bjps.2007.11.057-
dc.identifier.urihttp://hdl.handle.net/10147/144034-
dc.descriptionPURPOSE: Differences in illness perception about hand injury may partly explain the variation in health behaviours such as adherence to post-operative therapy, coping strategy, emotional response and eventual clinical outcome. This study examined the illness perception of patients with hand injuries in the acute trauma setting. METHODS: The disability and severity of injury were assessed using the Disability of the Arm, Shoulder and Hand (DASH) questionnaire and the Hand Injury Severity Score (HISS). The revised Illness Perception Questionnaire (IPQ-R) was used to explore patients' illness beliefs and perception on hand injury. RESULTS: Fifty seven patients were recruited over the 2 month period. The IPQ-R showed good internal reliability (Cronbach's alpha, 0.68-0.86). There was no correlation between the DASH or HISS scores and the various components of the IPQ-R scores, suggesting that illness perceptions were not influenced by the recent trauma experience. Patients with dominant hand injuries and females reported significantly higher subjective disability. Younger patients believed their injury would last for a limited duration but reported a significantly higher number of related symptoms. Overall, the cohort was optimistic about their treatment and duration of recovery (high treatment control score and low time line score). Beliefs of negative consequences, chronic/cyclical duration and low illness coherence were linked with negative emotional response. High illness identity was associated with perception of pessimistic outcome (high consequences score) and negative emotional response. CONCLUSIONS: The lack of correlations suggests that illness perceptions of patients do not necessarily relate to the recent trauma experience or the severity of their hand injury. Patients in this cohort were optimistic about treatment and their recovery. There was some evidence to suggest that patients with severe injury were over-optimistic about recovery. These findings suggest that there could be a role for psychological intervention in hand injury.en
dc.description.abstractDifferences in illness perception about hand injury may partly explain the variation in health behaviours such as adherence to post-operative therapy, coping strategy, emotional response and eventual clinical outcome. This study examined the illness perception of patients with hand injuries in the acute trauma setting.-
dc.description.abstractThe disability and severity of injury were assessed using the Disability of the Arm, Shoulder and Hand (DASH) questionnaire and the Hand Injury Severity Score (HISS). The revised Illness Perception Questionnaire (IPQ-R) was used to explore patients' illness beliefs and perception on hand injury.-
dc.description.abstractFifty seven patients were recruited over the 2 month period. The IPQ-R showed good internal reliability (Cronbach's alpha, 0.68-0.86). There was no correlation between the DASH or HISS scores and the various components of the IPQ-R scores, suggesting that illness perceptions were not influenced by the recent trauma experience. Patients with dominant hand injuries and females reported significantly higher subjective disability. Younger patients believed their injury would last for a limited duration but reported a significantly higher number of related symptoms. Overall, the cohort was optimistic about their treatment and duration of recovery (high treatment control score and low time line score). Beliefs of negative consequences, chronic/cyclical duration and low illness coherence were linked with negative emotional response. High illness identity was associated with perception of pessimistic outcome (high consequences score) and negative emotional response.-
dc.description.abstractThe lack of correlations suggests that illness perceptions of patients do not necessarily relate to the recent trauma experience or the severity of their hand injury. Patients in this cohort were optimistic about treatment and their recovery. There was some evidence to suggest that patients with severe injury were over-optimistic about recovery. These findings suggest that there could be a role for psychological intervention in hand injury.-
dc.language.isoenen
dc.relation.urlhttp://www.sciencedirect.com/science/article/pii/S1748681508002015en
dc.subject.meshAdaptation, Psychological-
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAge Factors-
dc.subject.meshAged-
dc.subject.meshCohort Studies-
dc.subject.meshDisability Evaluation-
dc.subject.meshFemale-
dc.subject.meshHand Injuries-
dc.subject.meshHumans-
dc.subject.meshInjury Severity Score-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPrognosis-
dc.subject.meshPsychometrics-
dc.subject.meshQuestionnaires-
dc.subject.meshRecovery of Function-
dc.subject.meshYoung Adult-
dc.titleIllness representations in patients with hand injury.en
dc.typeArticleen
dc.contributor.departmentDepartment of Plastic, Reconstructive and Hand Surgery, University College Hospital, Galway, Newcastle Road, Galway, Ireland. chancy@eircom.neten
dc.identifier.journalJournal of plastic, reconstructive & aesthetic surgery : JPRASen
dc.description.provinceConnacht-
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