Anxiety Symptoms After Orthopedic Injury: A Systematic Review.
Anxiety Symptoms After Orthopedic Injury: A Systematic Review.
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DOI：
10.1097/jtn.0000000000000557
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发表时间：
2021-01-01
期刊：
影响因子：
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通讯作者：
Redeker NS
中科院分区：
文献类型：
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作者：
Breazeale S;Conley S;Gaiser E;Redeker NS
每年有数百万美国人受伤，其中 75% 遭受骨科损伤。骨科损伤患者经常会出现损伤后症状，例如焦虑，这会对长期结果产生负面影响。本系统评价的目的是评估 1) 与骨科损伤时间相关的焦虑症状的患病率，2) 骨科损伤个体中焦虑症状与其他症状的关联，以及 3) 骨科损伤个体中焦虑症状与功能表现和心理健康结果之间的关联。数据库 CINAHL、OVIDMEDLINE、OVIDPSychINFO、OVIDEmbase、Proquest 和 ClinicalTrials.gov 于 2020 年 6 月 25 日进行检索。如果满足以下条件，则选择研究进行审查：1) 参与者年龄为 16 岁或以上，2) 列出了焦虑症状的患病率，3) 使用经过验证的工具评估焦虑症状，4) 该研究以英文发表，5) 超过 50% 的参与者患有焦虑症状附肢骨骼或骨盆环的骨科损伤。骨科损伤后 10 年内，11.5% - 55.9% 的人存在焦虑症状，并且常常与抑郁、疼痛和创伤后应激障碍同时出现，对功能表现和心理健康结果产生负面影响。骨科损伤后的焦虑症状非常普遍且持续。焦虑症状与其他令人痛苦的症状相关，并影响长期结果。这些发现强调了筛查和治疗骨科损伤后焦虑症状的必要性，并可能有助于设计未来的自我管理干预措施。
Millions of Americans are injured each year, with 75% suffering orthopedic injuries. Those with orthopedic injury often experience post-injury symptoms, such as anxiety, that negatively influence long-term outcomes. The purpose of this systematic review is to evaluate 1) the prevalence of anxiety symptoms chronologically in relation to time of orthopedic injury, 2) the associations of anxiety symptoms with other symptoms in individuals with orthopedic injury, and 3) the associations between anxiety symptoms and functional performance and mental health outcomes in individuals with orthopedic injury. The databases CINAHL, OVIDMEDLINE, OVIDPsychINFO, OVIDEmbase, Proquest, and Clinicaltrials.gov, were searched on June 25, 2020. Studies were selected for review if 1) participants were aged 16 years or older, 2) the prevalence of anxiety symptoms was listed, 3) anxiety symptoms were assessed using a validated instrument, 4) the study was published in English, and 5) over 50% of the participants suffered orthopedic injury to the appendicular skeleton or pelvic ring. Anxiety symptoms were present in 11.5% - 55.9% of individuals up to 10 years after orthopedic injury and often co-occurred with those of depression, pain, and posttraumatic stress disorder to negatively influence functional performance and mental health outcomes. Anxiety symptoms post-orthopedic injury are highly prevalent and persistent. Anxiety symptoms are associated with other distressing symptoms and influence long-term outcomes. These findings highlight the need to screen for and treat anxiety symptoms following orthopedic injury and may help in designing future self-management interventions.