Contralateral Arm Pain as a Sign of Distress Regarding Symptoms.

IF 1.8 Q2 ORTHOPEDICS
HAND Pub Date : 2025-03-01 Epub Date: 2023-12-11 DOI:10.1177/15589447231216145
Floor A Davids, Jose C Padilla, David Ring, Gregg A Vagner, Lee M Reichel, Sina Ramtin
{"title":"Contralateral Arm Pain as a Sign of Distress Regarding Symptoms.","authors":"Floor A Davids, Jose C Padilla, David Ring, Gregg A Vagner, Lee M Reichel, Sina Ramtin","doi":"10.1177/15589447231216145","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Pain intensity and magnitude of incapability are associated with common unhelpful thoughts about symptoms such as catastrophic thinking and kinesiophobia. To determine whether reports of pain in the upper limb contralateral to a non-trauma condition were associated with unhelpful thoughts, we measured the relationship between pain intensity in the opposite limb and levels of unhelpful thinking.</p><p><strong>Methods: </strong>In a cross-sectional study, 152 new and return patients seeking care of an upper-limb musculoskeletal condition completed measures of upper-extremity-specific magnitude of capability, pain intensity of the involved and contralateral arms, unhelpful thoughts regarding symptoms, symptoms of distress regarding symptoms, and general symptoms of depression. Factors associated with contralateral and ipsilateral pain intensity and upper-extremity-specific magnitude of capability were assessed using multivariable statistics.</p><p><strong>Results: </strong>In bivariate analysis, contralateral arm pain was associated with symptoms of distress regarding pain, but not in multivariable analysis. Accounting for potential confounding in negative binominal regression analysis, greater pain intensity of the affected side was independently associated with greater feelings of distress regarding symptoms and no prior surgery. Greater upper-extremity-specific capability was independently associated with less distress regarding symptoms, married/partnered, men, and no prior surgery.</p><p><strong>Conclusions: </strong>The observation that greater pain intensity in the opposite arm was associated with greater distress regarding symptoms suggests that, in combination with other verbal and non-verbal signs of distress, patient concerns about pain in the contralateral limb can help direct patients and surgeons to evidence-based care strategies for alleviating stress regarding symptoms.</p>","PeriodicalId":12902,"journal":{"name":"HAND","volume":" ","pages":"312-318"},"PeriodicalIF":1.8000,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833831/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"HAND","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/15589447231216145","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/12/11 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Pain intensity and magnitude of incapability are associated with common unhelpful thoughts about symptoms such as catastrophic thinking and kinesiophobia. To determine whether reports of pain in the upper limb contralateral to a non-trauma condition were associated with unhelpful thoughts, we measured the relationship between pain intensity in the opposite limb and levels of unhelpful thinking.

Methods: In a cross-sectional study, 152 new and return patients seeking care of an upper-limb musculoskeletal condition completed measures of upper-extremity-specific magnitude of capability, pain intensity of the involved and contralateral arms, unhelpful thoughts regarding symptoms, symptoms of distress regarding symptoms, and general symptoms of depression. Factors associated with contralateral and ipsilateral pain intensity and upper-extremity-specific magnitude of capability were assessed using multivariable statistics.

Results: In bivariate analysis, contralateral arm pain was associated with symptoms of distress regarding pain, but not in multivariable analysis. Accounting for potential confounding in negative binominal regression analysis, greater pain intensity of the affected side was independently associated with greater feelings of distress regarding symptoms and no prior surgery. Greater upper-extremity-specific capability was independently associated with less distress regarding symptoms, married/partnered, men, and no prior surgery.

Conclusions: The observation that greater pain intensity in the opposite arm was associated with greater distress regarding symptoms suggests that, in combination with other verbal and non-verbal signs of distress, patient concerns about pain in the contralateral limb can help direct patients and surgeons to evidence-based care strategies for alleviating stress regarding symptoms.

作为症状困扰标志的对侧手臂疼痛。
背景:疼痛的强度和丧失能力的程度与常见的对症状的无益想法有关,如灾难性思维和运动恐惧症。为了确定非创伤情况下对侧上肢疼痛的报告是否与无益想法有关,我们测量了对侧肢体疼痛强度与无益想法水平之间的关系:在一项横断面研究中,152 名因上肢肌肉骨骼疾病就医的新患者和复诊患者完成了上肢外侧特异性能力大小、受累手臂和对侧手臂的疼痛强度、对症状的无益想法、对症状的痛苦症状以及一般抑郁症状的测量。采用多变量统计学方法评估了与对侧和同侧疼痛强度以及上外侧特异性能力大小相关的因素:结果:在双变量分析中,对侧手臂疼痛与疼痛困扰症状有关,但在多变量分析中无关。在负二项式回归分析中,考虑到潜在的混杂因素,受影响一侧的疼痛强度越大,对症状的痛苦感越强,且之前未接受过手术,这两者之间存在独立关联。上外侧特异性能力较强与症状困扰较小、已婚/有伴侣、男性和未接受过手术独立相关:对侧手臂的疼痛强度越大,对症状的困扰越大,这一观察结果表明,结合其他语言和非语言的困扰迹象,患者对对侧肢体疼痛的担忧有助于引导患者和外科医生采取循证护理策略,减轻对症状的压力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
HAND
HAND Medicine-Surgery
CiteScore
3.30
自引率
0.00%
发文量
209
期刊介绍: HAND is the official journal of the American Association for Hand Surgery and is a peer-reviewed journal featuring articles written by clinicians worldwide presenting current research and clinical work in the field of hand surgery. It features articles related to all aspects of hand and upper extremity surgery and the post operative care and rehabilitation of the hand.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信