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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1992-5-21
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pubmed:abstractText |
Difficulties in adjustment frequently accompany severe hand injuries. The purpose of this study was to determine whether presurgical screening could predict long-term adjustment problems. One hundred thirteen patients with severe hand injuries completed a presurgical questionnaire evaluating flashbacks, avoidance, and causal factors pertaining to the injury. Patients were evaluated by a psychologist within 5 days after surgery and again 6 months later. Flashbacks initially occurred with equal frequency in occupationally and nonoccupationally injured groups. At 6-month follow-up 50% of the occupationally injured patients and 25% of the nonoccupationally injured patients had flashbacks. Avoidance of the activity at which patients were injured was also assessed. Among occupationally injured patients, 52% initially reported no avoidance compared with 17% at follow-up. Patients with nonoccupational injuries showed more initial avoidance (68%), with slightly less at follow-up (61%). Of the occupationally injured patients, 46% initially reported personal error or fatigue as the cause of their injury, but only 6% reported this as the cause at follow-up; it is interesting that at 6-month follow-up 81% of this group reported machine failure or lack of safeguards. Among nonoccupationally injured patients, 71% reported personal error as the cause of injury presurgically and 66% at 6-month follow-up. Presurgical screening appears to be a valid means of identifying persons at risk of ongoing adjustment problems after hand injury. A screening interview can easily be conducted in less than 5 minutes.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0363-5023
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
17
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
196-9
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pubmed:dateRevised |
2009-6-8
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pubmed:meshHeading |
pubmed-meshheading:1564260-Accidents, Occupational,
pubmed-meshheading:1564260-Acute Disease,
pubmed-meshheading:1564260-Avoidance Learning,
pubmed-meshheading:1564260-Female,
pubmed-meshheading:1564260-Follow-Up Studies,
pubmed-meshheading:1564260-Hand Injuries,
pubmed-meshheading:1564260-Humans,
pubmed-meshheading:1564260-Male,
pubmed-meshheading:1564260-Predictive Value of Tests,
pubmed-meshheading:1564260-Preoperative Care
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pubmed:year |
1992
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pubmed:articleTitle |
Predictive value of psychological screening in acute hand injuries.
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pubmed:affiliation |
Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee 53226.
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pubmed:publicationType |
Journal Article,
Comparative Study
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