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Psychological distress mediates the relationship between pain and disability in hand or wrist fractures

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dc.contributor.authorRoss, C.
dc.contributor.authorJuraskova, I.
dc.contributor.authorLee, H.
dc.contributor.authorParkitny, L.
dc.contributor.authorStanton, T.R.
dc.contributor.authorMoseley, L.G.
dc.contributor.authorMcAuley, J.H.
dc.date.issued2015
dc.description.abstractUpper limb fracture is a common musculoskeletal injury that can lead to marked pain-related disability. Unlike other common painful musculoskeletal conditions, such as low back pain, little consideration has been given to the role that psychological variables may play in explaining the relationship between pain and disability during early fracture recovery. This cross-sectional study aimed to determine if psychological distress (symptoms of depression, anxiety, and/or stress) mediate the relationship between pain and disability in acute hand/wrist fractures. Self-report data from a consecutive sample of 594 patients with acute hand/wrist fracture were used. Mediation analyses were conducted to determine the role of depression, anxiety, and stress in the relationship between pain and disability, controlling for relevant demographic and fracture related variables. Depression and stress, but not anxiety, significantly mediated the relationship between pain and disability. That is, while each psychological distress variable was associated with pain (P<0.001), only depression (b1=0.27, P=0.03) and stress (b3=0.23, P=0.02) were significantly associated with disability, and fulfilled recommended criteria for establishing a mediating variable. Elevated depression and stress, but not anxiety, explain the relationship between pain and disability and may be novel targets for interventions designed to reduce pain-related disability after upper limb fracture.
dc.identifier.citationJournal of Pain, 2015; 16(9):836-843
dc.identifier.doi10.1016/j.jpain.2015.05.007
dc.identifier.issn1526-5900
dc.identifier.issn1528-8447
dc.identifier.urihttps://hdl.handle.net/11541.2/111567
dc.language.isoen
dc.publisherChurchill Livingstone
dc.relation.fundingNHMRC 630431
dc.relation.fundingNHMRC 1045322
dc.relation.fundingNHMRC 1054041
dc.relation.fundingNHMRC 1017607
dc.relation.fundingScan Design Foundation
dc.rightsCopyright 2015 The American Pain Society
dc.source.urihttps://doi.org/10.1016/j.jpain.2015.05.007
dc.subjectdepression
dc.subjectstress
dc.subjectpsychological distress
dc.subjectpain
dc.subjectdisability
dc.subjectfracture
dc.titlePsychological distress mediates the relationship between pain and disability in hand or wrist fractures
dc.typeJournal article
pubs.publication-statusPublished
ror.mmsid9915934994101831

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