The Effect of Psychological Factors on the Outcomes of Carpal Tunnel Release: A Systematic Review

The Journal of Hand Surgery Asian-Pacific Volume
Jin Woo ParkGoo Hyun Baek

Abstract

Several studies report that psychological factors are associated with outcomes of carpal tunnel release. However, interpretation of the association is difficult as there are diverse outcome parameters and patient expectations are different. We performed a systematic review to assess the relationships between psychological factors and the various outcome parameters. We identified 611 papers and selected 8 papers that fit the inclusion criteria. Psychological factors assessed were anxiety, depression, pain catastrophizing, coping, and mental health status. Outcomes of interest included satisfaction and measures of perceived level of function, pain, and physical measures of recovery. For satisfaction and perceived level of function as the outcome, three studies reported a significant association, one study found an association approaching a value of significance, and one study reported no association. For pain as the outcome, two studies reported a significant association. For physical measures, one study reported no association. This systematic review found that depression correlates with postoperative pain, but that the association is less clear between psychological factors and outcomes such as satisfaction, perceived level of ...Continue Reading

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Citations

Jan 21, 2021·The Journal of Bone and Joint Surgery. American Volume·Peters T OtlansKevin B Freedman
Dec 4, 2021·Archives of Physical Medicine and Rehabilitation·Rodrigo Núñez-CortésSofía Pérez-Alenda

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