Adjustment to hand injury: Cross-sectional survey exploring adjustment in relation to illness perceptions and coping strategies

Turkington, Catherine; Dempster, Martin; Maguire, Jennifer

doi:10.1016/j.jht.2017.05.021

Cited by 18Orthopedic Surgery and RehabilitationResilience and Mental HealthCancer survivorship and care

Adjustment to hand injury: Cross-sectional survey exploring adjustment in relation to illness perceptions and coping strategies

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Turkington, Catherine, Dempster, Martin, Maguire, Jennifer·2018·Journal of Hand Therapy

DOI 10.1016/j.jht.2017.05.021

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Abstract

Study design Cross-sectional descriptive.Introduction Hand injuries are highly prevalent, and the impact they have on physical, emotional, and functional adjustment is well recognized. Increasingly, adjustment to health conditions including hand injuries is being understood in terms of psychological variables.Purpose of the study To examine the role of illness beliefs and coping strategies in adjustment to hand injury. Adjustment was considered from a complete perspective including quality of life (QOL) and functional ability as well as mood and trauma symptoms.Methods Cross-sectional survey whereby consecutive patients (n = 65) attending the regional plastic surgery service with hand injuries were invited to complete a questionnaire assessing illness perceptions, coping strategies, QOL, hand functioning, depression, and trauma symptoms. Data were analyzed in SPSS (IBM Corporation, Armonk, NY) by correlation and then hierarchical regression analysis.Results Illness perceptions and coping strategies were significantly related to the adjustment outcomes (hand functioning, QOL, depression, and trauma symptoms). Specifically, poorer adjustment was associated with more negative illness beliefs (r = 0.31-0.47), greater use of denial (r = 0.24-0.53), and avoidance-based (r = 0.41-0.64) coping strategies.Discussion Illness beliefs and coping play an important role in adjustment after hand injury. Adjustment is multifaceted with a need to consider physical and emotional functioning. More optimistic beliefs and adaptive coping styles are associated with improved adjustment.Conclusion The role of psychological variables in optimizing adjustment is an important consideration for the design of psychological interventions, but because this study was cross sectional and cannot assume directional effects, future longitudinal studies are needed.Level of evidence N/A.

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In hand therapy, CBT may be an efficient treatment to improve pain and distress by increasing adjustment to hand injury in relation to illness perception and coping strategies.
“In hand therapy, CBT may be efficient treatment to improve pain and distress by increasing adjustment to hand injury in relation to illness perception and coping strategies [2,39-41].”
From Development and usability testing of a web-based and therapist-assisted coping skills program for managing psychosocial problems in individuals with hand and upper limb injuries: Mixed methods study (2020) · cites this paper as [2]
Section 4.1, “Clinical Implications and future research” (page unavailable), suggests that addressing illness beliefs and coping strategies may improve adjustment to hand injury. It does not establish that CBT improves pain or distress: the intervention discussion instead proposes ACT and says research on psychological interventions for hand injuries is very limited. (LLM, conf=0.88)
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Hung, C., Kao, H.-F. S., Jimenez, S. Y., Tonapa, S. I., & Lee, B. (2023) · Journal of Trauma Nursing · doi:10.1097/jtn.0000000000000731 · Cited by 2 · see citing works

Authors: Turkington, C., Dempster, M., & Maguire, J.
Affiliations: Queen's University Belfast (GB)
Ulster Hospital (GB)
Corresponding author: Dempster, Martin
ORCID: Dempster, Martin
Venue: Journal of Hand Therapy
Publisher: Elsevier BV
Published: 2018-10
Volume: 31
Issue: 4
Pages: 502-510
ISSN: 0894-1130 (ISSN-L)
DOI: 10.1016/j.jht.2017.05.021
OpenAlex: W2732599393
Cited by: 18
References: 69
Citations by year: 2024: 1 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 1
FWCI: 1.96
Type: journal article
Language: en
Open access: green
pure.qub.ac.uk
Licence: cc-by-nc-nd
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Hand Therapy (publishedVersion)
PubMed (publishedVersion)
Research Portal (Queen's University Belfast) (submittedVersion, cc-by-nc-nd)
Topics: Health Sciences › Medicine › Surgery › Orthopedic Surgery and Rehabilitation
Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords: hand injuries, psychological adjustment, illness perception, coping strategies, quality of life, hand function, depression, trauma symptoms, denial, avoidance, plastic surgery patients
MeSH terms: Emotional Adjustment, Adaptation, Psychological, Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Hand Injuries, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Self Concept, Recovery of Function, Young Adult

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Adjustment to hand injury: Cross-sectional survey exploring adjustment in relation to illness perceptions and coping strategies

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