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. 2017 Mar;12(2):197-201.
doi: 10.1177/1558944716642765. Epub 2016 Jul 8.

The Influence of Psychological Factors on the Michigan Hand Questionnaire

Yekyoo Oh  1 , Tessa Drijkoningen  1 , Mariano E Menendez  1 , Femke M A P Claessen  1 , David Ring  1
Affiliations

The Influence of Psychological Factors on the Michigan Hand Questionnaire

Yekyoo Oh et al. Hand (N Y). 2017 Mar.

Abstract

Background: Psychosocial factors help account for the gap between impairment and disability. This study examines the relationship between the Michigan Hand Questionnaire (MHQ) and commonly used psychological measures in patients with upper extremity illness. Methods: A cohort of 135 new or follow-up patients presenting to an urban academic hospital-based hand surgeon were invited to complete a web-based version of the MHQ, Abbreviated Pain Catastrophizing Scale (PCS), and two Patient-Reported Outcomes Measurement Information System (PROMIS)-based questionnaires: Pain Interference and Depression. Bivariate and multivariable analyses measured the correlation of these psychological measures with MHQ. Results: Accounting for potential confounding factors in multivariable regression, upper extremity disability as rated by the MHQ was independently associated with PROMIS Depression, PROMIS Pain Interference, visit type, and working status. The model accounted for 37% of the variability in MHQ scores, with PROMIS Pain Interference having the most influence. Conclusion: Among the non-pathophysiological factors that contribute to patient-to-patient variation in MHQ scores, the measure of less effective coping strategies and symptoms of depression were most influential. Our data add to the evidence of the pivotal role of emotional health in upper extremity symptoms and limitations and the importance of psychosocial considerations in the care of hand illness.

Keywords: MHQ; PROMIS; functionality; psychology; questionnaire.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Alonso J, Bartlett SJ, Rose M, et al. The case for an international Patient-Reported Outcomes Measurement Information System (PROMIS®) initiative. Health Qual Life Outcomes. 2013;11:210. - PMC - PubMed
    1. Amtmann D, Cook KF, Jensen MP, et al. Development of a PROMIS item bank to measure pain interference. Pain. 2010;150(1):173-182. - PMC - PubMed
    1. Berkanovic E, Hurwicz ML, Lachenbruch PA. Concordant and discrepant views of patients’ physical functioning. Arthritis Care Res (Hoboken). 1995;8(2):94-101. - PubMed
    1. Bot AG, Becker SJ, van Dijk CN, Ring D, Vranceanu AM. Abbreviated psychologic questionnaires are valid in patients with hand conditions. Clin Orthop Relat Res. 2013;471(12):4037-4044. - PMC - PubMed
    1. Bot AG, Mulders MA, Fostvedt S, Ring D. Determinants of grip strength in healthy subjects compared to that in patients recovering from a distal radius fracture. J Hand Surg. 2012;37(9):1874-1880. - PubMed

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