Psychological Factors Associated with Idiopathic Arm Pain
Abstract
Background Psychological and personality factors may be as important as, or more important than, pathological processes in the experience of pain, particularly in patients whose pain has a vague or uncertain source. Methods Validated measures of psychological factors were used to prospectively evaluate fifty-six patients with a single, discrete pain complaint and fifty-one patients with vague, diffuse idiopathic arm pain. Pain was assessed with use of 10-point Likert scales, the Pain Anxiety Symptoms Scale, the Pain Catastrophizing Scale, the Wahler Physical Symptom Inventory, the Body Consciousness Questionnaire, and the Multidimensional Health Locus of Control Scale. Results Patients with idiopathic arm pain reported more severe pain at rest (p = 0.02) and with repeated movements (p = 0.01); exhibited higher levels of cognitive anxiety (p = 0.008); demonstrated greater helplessness (p = 0.002), pain magnification (p = 0.007), and overall catastrophic coping mechanisms for dealing with pain (p = 0.005); and showed a tendency for increased somatic complaining (p = 0.07). A multiple logistic regression model identified the total score on the Pain Catastrophizing Scale as the sole predictor of idiopathic pain complaints. Conclusions Pain complaints without a clear physical cause are common and are frustrating for both patients and physicians. Awareness of the psychological factors associated with idiopathic arm pain may lead to more effective interventions designed to improve c…
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Self-citationLozano‐Calderón, S. A., Zurakowski, D., Davis, J. S., & Ring, D. (2009) · Hand · doi:10.1007/s11552-009-9205-8 · Cited by 15 · see citing works
Self-citationOttenhoff, J. S. E., Kortlever, J., Boersma, E. Z., Laverty, D., Ring, D., & Driscoll, M. (2018) · Clinical Orthopaedics and Related Research · doi:10.1097/corr.0000000000000519 · Cited by 10 · see citing works
Self-citationKortlever, J. T. P., Keulen, M. H. F., Teunis, T., Ring, D., Driscoll, M. D., Reichel, L. M., & Vagner, G. A. (2018) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2018.12.002 · Cited by 15 · see citing works
Self-citationThe Effect of Psychological Factors on the Outcomes of Carpal Tunnel Release: A Systematic Review
Park, J. W., Gong, H. S., Rhee, S. H., Kim, J., Lee, Y. H., & Baek, G. H. (2017) · The Journal of Hand Surgery (Asian-Pacific Volume) · doi:10.1142/s0218810417300029 · Cited by 15 · see citing works
Karartı, C., Basat, H. Ç., Özsoy, İ., Özyurt, F., Özsoy, G., Kodak, M. İ., Özüdoğru, A., & Uçar, İ. (2022) · Indian Journal of Orthopaedics · doi:10.1007/s43465-022-00781-7 · Cited by 14 · see citing works
Integrating Psychosocial Care into Orthopedic Settings: A Qualitative Study of Provider Perspectives
Reichman, M., Briskin, E. A., Duarte, B. A., Vranceanu, A., & Grunberg, V. A. (2023) · International Journal of Integrated Care · doi:10.5334/ijic.7579 · Cited by 14 · see citing works
When Do Patients With Hand Illness Seek Online Health Consultations and What Do They Ask?
Briet, J. P., Hageman, M., Blok, R. D., & Ring, D. (2014) · Clinical Orthopaedics and Related Research · doi:10.1007/s11999-014-3461-9 · Cited by 15 · see citing works
Self-citationRossano, A., Salman, A. A., Ring, D., Guzman, J. M., & Fatehi, A. (2021) · Clinical Orthopaedics and Related Research · doi:10.1097/corr.0000000000002005 · Cited by 13 · see citing works
Self-citationVranceanu, A., Ring, D., Kulich, R. J., Zhao, M., Cowan, J., & Safren, S. A. (2008) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2007.04.003 · Cited by 13 · see citing works
Self-citationThe Factor Structure of the Hospital Anxiety and Depression Scale in Orthopedic Trauma Patients
Hung, M., Bounsanga, J., Tang, P., Chen, W., & Cheng, C. M. (2015) · Journal of Clinical Medicine Research · doi:10.14740/jocmr2140w · Cited by 13 · see citing works
Biopsychosocial Considerations in Unnecessary Work Disability
Caruso, G. (2013) · Psychological Injury and Law · doi:10.1007/s12207-013-9162-y
Myhre, L. A., Featherall, J. T., O’Neill, D. C., Rothberg, D. L., Haller, J. M., Higgins, T. F., & Marchand, L. S. (2023) · Clinical Orthopaedics and Related Research · doi:10.1097/corr.0000000000002516 · Cited by 12 · see citing works
Predictors of Normal Electrodiagnostic Testing in the Evaluation of Suspected Carpal Tunnel Syndrome
Watson, J. B., Zhao, M., & Ring, D. (2010) · Journal of Hand and Microsurgery · doi:10.1007/s12593-010-0012-9 · Cited by 11 · see citing works
Self-citationGanglions of the hand and wrist: determinants of treatment choice
Peters, F., Vranceanu, A., Elbon, M., & Ring, D. (2012) · Journal of Hand Surgery (European Volume) · doi:10.1177/1753193412442468 · Cited by 10 · see citing works
Self-citationSatisfaction With Specific and Nonspecific Diagnoses.
Ottenhoff, J. S. E., Derkzen, L., Reichel, L. M., Vagner, G. A., Loeb, M. D., & Ring, D. (2019) · Journal of Hand Surgery-American Volume · doi:10.1016/j.jhsa.2018.10.012 · Cited by 9 · see citing works
Self-citationSu, C., Ren, X., Wang, H., Ding, X., & Guo, J. (2021) · Current Drug Metabolism · doi:10.2174/1389200222666211118115347 · Cited by 9 · see citing works
A retrospective outcomes study examining the effect of interactive metronome on hand function
Shank, T. M., & Harron, W. (2015) · Journal of Hand Therapy · doi:10.1016/j.jht.2015.06.003 · Cited by 9 · see citing works
Tampa Scale for Kinesiophobia Short Form and Lower Extremity Specific Limitations.
Kortlever, J., Tripathi, S., Ring, D., McDonald, J., Smoot, B., & Laverty, D. (2020) · The Archives of Bone & Joint Surgery · doi:10.22038/abjs.2020.40004.2073 · Cited by 10 · see citing works
Self-citationSheikhhoseini, R., Abdollahi, S., Salsali, M., & Anbarian, M. (2025) · Scientific Reports · doi:10.1038/s41598-025-85226-5 · Cited by 8 · see citing works
A Patient-Specific Version of the Disabilities of the Arm, Shoulder, and Hand Questionnaire
Vranceanu, A., Kadzielski, J. J., Hwang, R. W., & Ring, D. (2010) · The Journal Of Hand Surgery · doi:10.1016/j.jhsa.2010.02.029 · Cited by 8 · see citing works
Self-citationRomere, C. M., Ramtin, S., Nunziato, C. A., Ring, D., Laverty, D. C., & Hill, A. (2023) · The Journal Of Hand Surgery · doi:10.1016/j.jhsa.2023.03.019 · Cited by 8 · see citing works
Self-citationAnxiety and depression are associated with poor outcomes in open elbow arthrolysis
Sun, W., Chen, C., Jiang, X., Hua, K., Zha, Y., Gong, M., Xiao, D., & Zhao, X. (2023) · Injury · doi:10.1016/j.injury.2023.03.041 · Cited by 7 · see citing works
Vranceanu, A., & Ring, D. (2014) · Journal of Musculoskeletal Pain · doi:10.3109/10582452.2014.976326 · Cited by 7 · see citing works
Self-citationChabok, H. A., & Ring, D. (2014) · HAND · doi:10.1007/s11552-014-9604-3 · Cited by 5 · see citing works
Self-citationMoradi, A., Ebrahimzadeh, M. A., & Ring, D. (2013) · PubMed Central · Cited by 7 · see citing works
Self-citationSchlüter, P. J., Dawson, A. P., & Turner, C. T. (2014) · BMC Nursing · doi:10.1186/1472-6955-13-5 · Cited by 7 · see citing works
Mallette, P., & Ring, D. (2006) · The Journal Of Hand Surgery · doi:10.1016/j.jhsa.2006.06.002 · Cited by 7 · see citing works
Self-citationDiscrete Pathophysiology is Uncommon in Patients with Nonspecific Arm Pain.
Kortlever, J., Janssen, S., Molleman, J., Hageman, M., & Ring, D. (2016) · The Archives of Bone & Joint Surgery · doi:10.22038/abjs.2016.5373 · Cited by 7 · see citing works
Self-citationDuarte, B. A., Mace, R. A., Doorley, J. D., Penn, T. M., Bakhshaie, J., & Vranceanu, A. (2023) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-023-09959-z · Cited by 6 · see citing works
Psychological factors predict unexpected diagnoses
Vranceanu, A.-M., & Ring, D. (2012) · HAND · doi:10.1007/s11552-012-9403-7 · Cited by 4 · see citing works
Self-citationAttitudes Toward Aging Among Patients With Upper Extremity Illness
Tran, T. T. H., Kortlever, J. T. P., Teunis, T., Ring, D., Vagner, G. A., & Reichel, L. M. (2019) · Hand · doi:10.1177/1558944719866872 · Cited by 6 · see citing works
Self-citationAdıyeke, L. (2018) · Turkish Journal of Trauma and Emergency Surgery · doi:10.5505/tjtes.2018.93928 · Cited by 5 · see citing works
Table ronde sur la place de la chirurgie dans les douleurs chroniques du membre supérieur
Bontoux, L., Fouquet, B., Laulan, J., Raimbeau, G., Roquelaure, Y., & Vannier, I. (2009) · Chirurgie de la Main · doi:10.1016/j.main.2009.04.003 · Cited by 5 · see citing works
Acute Pain: A Psychosocial Perspective
Keefe, F. J. (2009) · Cambridge University Press eBooks · doi:10.1017/cbo9780511576706.006 · Cited by 4 · see citing works
Warren, P. A. (2010) · Springer eBooks · doi:10.1007/978-0-387-09814-2 · Cited by 4 · see citing works
- Authors
- Ring, D., Kadzielski, J., Malhotra, L., Lee, S.-G. P., & Jupiter, J. B.
- Affiliations
- Massachusetts General Hospital (US)
- Harvard University (US)
- Venue
- The Journal of Bone & Joint Surgery
- Published
- 2005-02
- Volume
- 87
- Issue
- 2
- Pages
- 374-380
- ISSN
- 0021-9355 (ISSN-L)
- OpenAlex
- W1979935457
- Cited by
- 121
- References
- 38
- Citations by year
- 2025: 1 · 2024: 6 · 2023: 5 · 2022: 4 · 2021: 6 · 2020: 2 · 2019: 5 · 2018: 10 · 2017: 4 · 2016: 6 · 2015: 6 · 2014: 17 · 2013: 10 · 2012: 4
- FWCI
- 3.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Bone and Joint Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- psychological factors, pain catastrophizing, cognitive anxiety, helplessness, pain coping, somatic symptoms, body awareness, health locus of control, diffuse pain
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Anxiety, Arm, Body Image, Female, Humans, Internal-External Control, Male, Middle Aged, Pain, Prospective Studies, Somatoform Disorders, Cohort Studies
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