Do Psychological Factors, Pain, and Sleep Quality Correlate With Disability and Occupational Performance in Hand Burns?

Background and Objectives: Burn injuries are one of the most common traumas after traffic accidents, falls, and interpersonal violence. This study was done to investigate the correlation between psychological factors, pain, and sleep quality, and disability and occupational performance in subjects with hand and upper extremity burns. Methods: A total of 80 patients with hand and upper extremity burn injuries (16 females and 64 males) with a Mean±SD age of 39.9±10.79 years, mean burn depth (Deep Partial Thickness/ Full Thickness) of 3.42±2.66, and Mean±SD burns extent 1.06±0.24 participated in this non-experimental cross-sectional study using a non-probability sampling method. Their psychological disorders were measured using the Beck Anxiety Disorder Scale and the Self-Rating Depression Scale. The pain was assessed using the Visual Analogue Scale, sleep quality was measured by the Pittsburgh Sleep Quality Index (PSQI), disability was assessed using the Shortened Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire, level of independence in daily living activity was measured by the Modified Barthel Index, and occupational performance was measured by the Canadian Occupational Performance Measure (COPM). Results: Psychological factors, pain, and sleep quality were significantly correlated with disability and occupational performance. The regression models explained up to 34.4% of the variance for disability outcome and 12.4% for occupational performance. By assessing the correlation between the psychological disorders, pain, and sleep quality, and disability and occupational performance in these patients, we found that sleep quality was the strongest contributing factor Followed by PSQI. Conclusion: Sleep quality is one of the important factors affecting the occupational performance of patients with hand and upper extremity burns injury that should be considered by therapists.

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A gaming system with haptic feedback to improve upper extremity function: A prospective case series

Technology and Disability ◽

10.3233/tad-200319 ◽

2021 ◽

pp. 1-12

Author(s):

Hamilton Hernandez ◽

Isabelle Poitras ◽

Linda Fay ◽

Ajmal Khan ◽

Jean-Sébastien Roy ◽

...

Keyword(s):

Upper Extremity ◽

Haptic Feedback ◽

Low Cost ◽

Case Series ◽

Performance Measure ◽

Occupational Performance ◽

Canadian Occupational Performance Measure ◽

Prospective Case Series ◽

Paediatric Rehabilitation ◽

Therapeutic Settings

BACKGROUND: Video games can be used to motivate repetitive movements in paediatric rehabilitation. Most upper limb videogaming therapies do not however include haptic feedback which can limit their impact. OBJECTIVE: To explore the effectiveness of interactive computer play with haptic feedback for improving arm function in children with cerebral palsy (CP). METHODS: Eleven children with hemiplegic CP attended 12 therapist-guided sessions in which they used a gaming station composed of the Novint Falcon, custom-built handles, physical supports for the child’s arm, games, and an application to manage and calibrate therapeutic settings. Outcome measures included Quality of Upper Extremity Skills Test (QUEST) and Canadian Occupational Performance Measure (COPM). The study protocol is registered on clinicaltrials.gov (NCT04298411). RESULTS: Participants completed a mean of 3858 wrist extensions and 6665 elbow/shoulder movements during the therapist-guided sessions. Clinically important improvements were observed on the dissociated and grasp dimensions on the QUEST and the performance and satisfaction scales of the COPM (all p< 0.05). CONCLUSION: This study suggests that computer play with haptic feedback could be a useful and playful option to help improve the hand/arm capacities of children with CP and warrants further study. The opportunities and challenges of using low-cost, mainstream gaming software and hardware for therapeutic applications are discussed.

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The effects of COVID-19 fear and anxiety on symptom severity, sleep quality, and mood in patients with fibromyalgia: a pilot study

Advances in Rheumatology ◽

10.1186/s42358-021-00200-9 ◽

2021 ◽

Vol 61 (1) ◽

Author(s):

Damla Cankurtaran ◽

Nihal Tezel ◽

Buse Ercan ◽

Sadik Yigit Yildiz ◽

Ece Unlu Akyuz

Keyword(s):

Pilot Study ◽

Sleep Quality ◽

Psychological Stress ◽

Symptom Severity ◽

Fibromyalgia Impact Questionnaire ◽

Depression Scale ◽

Cross Sectional Study ◽

Control Group ◽

Cross Sectional ◽

Fear And Anxiety

Abstract Background During the COVID-19 pandemic, individuals faced psychological stress caused by fear and anxiety due to the high transmission and mortality rate of the disease, the social isolation, economic problems, and difficulties in reaching health services. Fibromyalgia (FM) is a chronic centralized pain sensitivity disorder. Psychological, physical and/or autoimmune stressors were found to increase FM symptoms. This pilot study aimed to evaluate the COVID-19 fear and anxiety level, and to examine their effect on disease severity, sleep quality, and mood in FM patients compared to control group. Methods This pilot study conducted as a cross-sectional study, and included 62 participants. Participants were divided into two groups: FM patient group (n = 31) and control group (n = 31). Symptom severity, sleep quality, and mood were determined using the Revised Fibromyalgia Impact Questionnaire (FIQR), Pitsburg Sleep Quality Index (PSQI), and Hospital Anxiety Depression Scale (HADS), respectively. In order to evaluate the level of COVID-19 fear and anxiety, the Fear of COVID-19 Scale (FCV-19S) and Coronavirus Anxiety Scale (CAS) were used compared to control group. Results FIQR, PSQI, HAD-A, HAD-D, FCV-19S and CAS scores were significantly higher in the FM group (p = 0.01). A positive significant correlation was found between FCV-19S and CAS results and FIQR, PSQI, and HAD-anx results in FM patients (p < 0.05). Conclusion This pilot study showed that, the individuals with FM can be more affected by psychological stress, and this situation negatively affects the symptom severity, sleep quality, and mood in FM patients, so these patients should be closely monitored in terms of psychological stressors and their effects during pandemics. More studies with more participants are necessary to describe the challenges lived by fibromyalgia population.

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Evaluation of Depression, Anxiety and Sleep Quality in the Brazilian Population During Social Isolation Due to the New Coronavirus (SARS-CoV-2) pandemic: the DEGAS-CoV Study/ Avaliação da Depressão, Ansiedade e Qualidade do Sono na População Brasileira Durante o Isolamento Social Devido à Nova Pandemia do Coronavírus (SARS-CoV-2): o Estudo DEGAS-CoV

Brazilian Journal of Health Review ◽

10.34119/bjhrv4n3-242 ◽

2021 ◽

Vol 4 (3) ◽

pp. 12787-12816

Author(s):

Paulo Afonso Mei ◽

Amanda Sasse ◽

Ana Lara Navarrete Fernandez ◽

Bárbara Neiva Perri ◽

Breno Alexander Bispo ◽

...

Keyword(s):

Health Status ◽

Sleep Quality ◽

Social Economic ◽

Depression Scale ◽

Cross Sectional Study ◽

Brazilian Population ◽

Online Questionnaire ◽

Cross Sectional ◽

Anxiety Depression ◽

Mental And Physical Health

Introduction: The new coronavirus infection (COVID-19) has caused distress and repercussions in mental and physical health of individuals. Depression, anxiety and worsening of sleep quality have been reported in several recent articles that surveyed populations all over the globe. Our work meant to access, through a cross-sectional study, these disorders in the Brazilian population, through the application of an online questionnaire conducted on the second trimester of 2020. Materials and Methods: We applied an online questionnaire, filled with questions regarding social, economic, financial, educational and health status, as well as questions from the Hospital Anxiety and Depression Scale (HAD), and from the Pittsburgh Sleep Quality Index (PSQI).Results: We collected 2,695 valid answers, from April 24th to May 31st, 2020. Age ranged from 18 to 79 years, mean of 31.3. Women were 76.3%, men 23.7%. Symptoms of Anxiety were found in 56.5%, of depression in 46.1%, and of bad sleep in 49.2%. Some groups were more prone than others to one or more of those conditions, such as: younger people, women, mestizos, people with lesser years of education, of lower income or whose income dropped significantly during the pandemic, caregivers, students, sedentary or people practicing less physical activity, people who followed more hours of news of COVID-19 and those less engaged in social and instrumental activities.Conclusion: anxiety, depression and bad sleep quality were significantly high in our survey. Mental and sleep health is heterogeneously affected among individuals, depending on social, economic, financial, educational and health status.

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IS POOR QUALITY SLEEP PRESENT IN OLDER ADULTS WITH WORSE SOCIAL AND HEALTH STATUS?

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2020-0614 ◽

2021 ◽

Vol 30 ◽

Author(s):

Sonia Gonçalves da Mota ◽

Isabela Thaís Machado de Jesus ◽

Keika Inouye ◽

Marcela Naiara Graciani Fumagale Macedo ◽

Tábatta Renata Pereira de Brito ◽

...

Keyword(s):

Older Adults ◽

Sleep Quality ◽

Sleep Disorders ◽

Geriatric Depression Scale ◽

Depression Scale ◽

Poor Quality ◽

Frailty Phenotype ◽

Cross Sectional ◽

Significance Level ◽

Quality Sleep

ABSTRACT Objective: to analyze the relationship among sleep and sociodemographic aspects, health, frailty, performance in activities of daily living, cognitive performance and depressive symptoms of older residents in the community. Method: a cross-sectional, quantitative study was conducted with 81 older adults residents in the area covered by a Family Health Unit in the city of São Carlos (SP), Brazil. Data collection occurred in 2019, through the application of the following instruments: questionnaire for socioeconomic and health characterization of the older adult, Pittsburgh Sleep Quality Index, Frailty Phenotype proposed by Linda Fried, Mini Mental State Examination, Geriatric Depression Scale, Katz Index and Lawton Scale. Participants were divided into comparative groups according to sleep quality scores. Fisher's exact and Pearson's χ2 were used. A significance level of 5% was adopted. Results: 50.6% of the older adults had poor quality sleep (n=41), followed by 33.3% of older adults with good quality sleep (n=27) and 16.1% had sleep disorders (n=13). There was a relationship between sleep quality and sex (p=0.008), work status (p=0.001), self-assessment of health (p=0.013), falls (p=0.034), pain (p=0.012), frailty level (p=0.026) and the slow gait criterion (p<0.001). Conclusion: there was a higher prevalence of poor quality sleep and sleep disorders in older patients, who do not work outside the home, who evaluated their health as regular or poor, who suffered falls in the last year and who complained of pain, frailty and slow gait.

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Occupational performance in mothers of children with cerebral palsy

International Journal of Therapy and Rehabilitation ◽

10.12968/ijtr.2018.0023 ◽

2019 ◽

Vol 26 (4) ◽

pp. 1-7 ◽

Cited By ~ 1

Author(s):

Naser Havaei ◽

Mandana Rezaei ◽

Hamid Reza Rostami ◽

Ahmad Mohammadi ◽

Babak Kashefimehr ◽

...

Keyword(s):

Cerebral Palsy ◽

Cross Sectional Study ◽

Performance Measure ◽

Demographic Variables ◽

Typically Developing ◽

Occupational Performance ◽

Cross Sectional ◽

Occupational Satisfaction ◽

Canadian Occupational Performance Measure ◽

Children With Cerebral Palsy

Background/Aims Caring for children with cerebral palsy may affect different domains in the caregiver's life. This study aimed to compare the occupational performance of mothers of a child who has cerebral palsy with mothers of a typically developing child. Methods A total of 41 mothers with a child who has cerebral palsy and 45 mothers with a typically developing child were recruited in this cross-sectional study. The age-matched mothers had only one child. The Canadian Occupational Performance Measure was used to collect data on the occupational performance and satisfaction of mothers. Findings There was a statistically significant between-group difference in maternal occupational performance and occupational satisfaction (P<0.05), with mothers of children with cerebral palsy reporting lower scores for both. There were no relationships between demographic variables and the occupational performance and satisfaction of mothers with a child with cerebral palsy (P>0.05). The age of children with cerebral palsy had a direct positive relationship with the mothers' level of occupational satisfaction (P<0.05). Conclusion Mothers who take care of a child with cerebral palsy face significant reductions in occupational performance and satisfaction compared to mothers with a typically developing child, and therefore may need help and education in performing and organising their daily activities and roles.

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Satisfaction and performance in patient selected goals after grip reconstruction in tetraplegia

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193410373184 ◽

2010 ◽

Vol 35 (7) ◽

pp. 563-568 ◽

Cited By ~ 28

Author(s):

J. Wangdell ◽

J. Fridén

Keyword(s):

Upper Extremity ◽

Daily Life ◽

Performance Measure ◽

Occupational Performance ◽

Canadian Occupational Performance Measure ◽

Basic Activity ◽

The Mean ◽

And Performance ◽

And Control ◽

Better Than

Reconstruction of grip in tetraplegia aims to improve upper extremity performance and control in daily life. We evaluated the effects of surgery and rehabilitation on performance and satisfaction of patient identified activity goals in 20 patients (22 arms) who had grip reconstructions for both finger and thumb flexion. Patients assessed an improvement in both performance and satisfaction after surgery in all groups of activities assessed using the Canadian Occupational Performance Measure (COPM). The mean improvement at 6 and 12 months was 3.5 points better than the 2.5 points before surgery. Before surgery 36% of the goals identified were impossible to perform. After surgery, 78% of these goals were possible. The largest improvement was observed in the basic activity of ‘eating’ but significant improvement was also noted in activities generally regarded as complex and not measured in standard ADL such as ‘doing housework’ and taking part in ‘leisure’.

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Sleep disturbances and depressive and anxiety symptoms during pregnancy: associations with delivery and new-born health

10.21203/rs.3.rs-41849/v1 ◽

2020 ◽

Author(s):

Hilla Peltonen ◽

Ella Juulia Paavonen ◽

Outi Saarenpää-Heikkilä ◽

Tero Vahlberg ◽

Tiina Paunio ◽

...

Keyword(s):

Birth Weight ◽

Sleep Quality ◽

Sleep Disturbances ◽

Elective Caesarean Section ◽

Total Duration ◽

Depression Scale ◽

Anxiety Symptoms ◽

Cross Sectional ◽

New Born ◽

Mood Symptoms

Abstract Background: Sleep disturbances and mood symptoms are common in late pregnancy and they contribute to the decline in daytime quality of health and life in expecting mothers. This study evaluated the effect of these disturbances on delivery and new-born health as these associations have been insufficiently covered in the previous literature.Methods: A cohort of 1414 mothers was enrolled in the third trimester to this prospective cross-sectional questionnaire study. Basic Nordic Sleep Questionnaire was assessed for measurement of sleep quality and sleep length, Epworth sleepiness scale for sleepiness, the Center for Epidemiologic Studies Depression Scale for depression and State-Trait Anxiety Inventory for anxiety. The data on delivery and new-born outcomes was obtained from hospital medical records.Results. Sleep disturbances were very common during pregnancy. Higher insomnia score (β = -0.06, p = 0.047) and longer sleep need (β = 0.07, p = 0.047) were related to delivery at a lower gestational age. In addition, higher insomnia score (β = -28.30, p = 0.010) and lower general sleep quality (β = -62.15, p = 0.025) were associated with lower birth weight. Instead, longer sleep duration and longer sleep need with higher birth weight (β = 28.06, p = 0.019; β = 27.61, p = 0.028, respectively). However, these findings regarding birth weight lost their significance when the birth weight was standardized with gestational weeks. Snoring was associated with a shorter duration of the 1st phase (β = -78.71, p = 0.015) and total duration of delivery (β = -79.85, p = 0.016). Mothers who suffered from high insomnia, depressive or anxiety symptoms were more often treated with oxytocin (OR 1.54 95% CI 1.00-2.38, p = 0.049, OR 1.76, 95% CI 1.02-3.04, p = 0.049 and OR 1.91, CI 95% 1.28-2.84, p < 0.001, respectively) and very depressive and anxious mothers delivered more often with elective caesarean section (OR 4.67, 95% CI 2.04-12.68, p < 0.001 and OR 2.22, 95% CI 1.03-4.79, p = 0.042).Conclusions: Maternal sleep disturbances and mood symptoms during pregnancy are associated with delivery and new-born health. However, in this normative sample nearly all the outcomes fell within a normal range, implying that the actual risks are low.

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Effects of virtual reality training on occupational performance and self-efficacy of patients with stroke: a randomized controlled trial

10.21203/rs.3.rs-43588/v2 ◽

2020 ◽

Author(s):

Yi Long ◽

Rangge Ouyang ◽

Jiaqi Zhang

Keyword(s):

Virtual Reality ◽

Upper Extremity ◽

Self Efficacy ◽

Controlled Trial ◽

Performance Measure ◽

Group Differences ◽

Occupational Performance ◽

Randomized Controlled ◽

Canadian Occupational Performance Measure ◽

Vr Training

Abstract Background—Virtual reality (VR) has been broadly applied in post-stroke rehabilitation. However, studies on occupational performance and self-efficacy as primary outcomes of stroke rehabilitation using VR are lacking. Thus, this study aims to investigate the effects of VR training on occupational performance and self-efficacy in patients with stroke.Methods—This was an assessor-blinded, randomized controlled trial. Sixty participants with first-ever stroke (< 1-year onset) underwent rehabilitation in a single acute hospital. Participants were randomly assigned to either the VR group (n = 30) or control group (n = 30). Both groups received dose-matched conventional rehabilitation (i.e., 45 min, five times per week over 3 weeks). The VR group received additional 45-min VR training for five weekdays over 3 weeks. The primary outcome measures were the Canadian Occupational Performance Measure and Stroke Self-Efficacy Questionnaire. Secondary outcome measures included Modified Barthel Index, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity. The assessment was conducted at baseline and after the 3-week intervention.Results—A total of 52 participants (86.7%) completed the trial. Significant between-group differences in Stroke Self-Efficacy Questionnaire (Median Difference = 8, P = 0.043) and Modified Barthel Index (Median Difference = 10, P = 0.030) were found; however, no significant between-group differences in Canadian Occupational Performance Measure, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity were noted. No serious adverse reactions related to the program were reported.Conclusions—Additional VR training could help improve the self-efficacy and activities of daily living of patients with stroke; however, it was not superior to conventional training in the improvement of upper limb functions, occupational performance, and satisfaction. Nevertheless, VR could be integrated into conventional rehabilitation programs to enhance self-efficacy of patients after stroke.Trial Registration—This study was successfully registered under the title “Effects of virtual reality training on occupational performance and self-efficacy of patients with stroke” on October 13 2019 and could be located in http://www.chictr.org with the study identifier ChiCTR1900026550.

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Looking into the Content of the Canadian Occupational Performance Measure (COPM): A Danish Cross-Sectional Study

Occupational Therapy International ◽

10.1155/2020/9573950 ◽

2020 ◽

Vol 2020 ◽

pp. 1-11

Author(s):

Anette Enemark Larsen ◽

Sonja Wehberg ◽

Jeanette Reffstrup Christensen

Keyword(s):

Content Validity ◽

Cross Sectional Study ◽

Performance Measure ◽

Occupational Performance ◽

Sectional Study ◽

Rehabilitation Centre ◽

Community Based ◽

Cross Sectional ◽

Canadian Occupational Performance Measure ◽

Community Based Rehabilitation

Purpose. To examine the content validity of the Danish version of the Canadian Occupational Performance Measure (COPM-DK). Materials and Methods. This cross-sectional study was performed in a hospital and a community rehabilitation centre. The content validity of the COPM was assessed by relating the clients’ prioritized occupational performance issues (OPIs) to the conceptual model of the Canadian Model of Occupational Performance and Engagement (CMOP-E) and the levels of the Taxonomic Code of Occupational Performance (TCOP). Six occupational therapy lecturers participated in classifying the OPIs using the TCOP. Results. A total of 112 clients from a regional and community-based rehabilitation participated. The 56% regional participants came from a hospital’s hand and knee surgery department. The remaining 44% participants came from a community-based rehabilitation centre with in- and outpatient departments. There were 44% males, with a mean age of 65.2 years. They prioritized 495 OPIs, of which 40% concerned self-care, 32% productivity, and 28% leisure. The prioritized OPIs were divided into a total of 224 different OPIs. There were significant differences in which areas were prioritized in the various population groups. Of the OPIs, 64.3% could be classified into the TCOP levels of occupation and activity, i.e., 1/3 of the OPIs were related to tasks and actions, and thus beyond the scope of the COPM. The interrater agreement of the OPI classification was only fair (kappa 0.3). Conclusion. The content validity of the COPM seems to depend on how and with which clients it is administered. Caution must be taken to secure OPIs on the higher levels of the TCOP, while maintaining the clients’ right to nominate OPI preferences. Therefore, an introductory course and on-going support are recommendable. Bearing this in mind, the COPM seems useful to identify individual clients’ prioritized OPIs in a Danish context.

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Adherence to low carbohydrate diet and prevalence of psychological disorders in adults

Nutrition Journal ◽

10.1186/s12937-019-0513-8 ◽

2019 ◽

Vol 18 (1) ◽

Cited By ~ 1

Author(s):

Soraiya Ebrahimpour-Koujan ◽

Ammar Hassanzadeh Keshteli ◽

Hamid Afshar ◽

Ahmad Esmaillzadeh ◽

Peyman Adibi

Keyword(s):

Psychological Distress ◽

Depression Scale ◽

Psychological Disorders ◽

Carbohydrate Intake ◽

Carbohydrate Diet ◽

Cross Sectional ◽

Low Carbohydrate Diet ◽

Increased Risk ◽

Low Carbohydrate ◽

Prevalence Of Depression

Abstract Background Although individual macronutrients were studied in relation to mental health, no information exist about the association between adherence to low carbohydrate diet and psychological disorders. This study was conducted to investigate the association between adherence to a low carbohydrate diet and prevalence of psychological disorders among Iranian adults. Methods In this cross-sectional study on 3362 adult men and women, dietary intakes were examined by the use of a validated semi-quantitative food frequency questionnaire. Low carbohydrate diet (LCD) score was computed for each participant based on deciles of percentages of energy from macronutrients. Then the scores of carbohydrate, protein and fat intake for each participant were summed up to achieve the overall LCD score, which ranged from 3 (highest carbohydrate intake and lowest fat and protein intakes) to 30 (lowest carbohydrate intake and highest fat and protein intakes). Anxiety, depression, and psychological distress were assessed by validated Iranian versions of the Hospital Anxiety and Depression Scale and General Health Questionnaire-12. Results Prevalence of depression, anxiety and psychological distress in the whole population were 28.0, 13.3 and 22.6%, respectively. No significant differences were observed in the distribution of depression, anxiety and psychological distress across different quartiles of LCD score. After controlling for potential confounders, no significant association was seen between LCD score and prevalence of depression (OR for the highest vs. the lowest quartile of LCD score: (1.15; 95% CI: 0.93, 1.39). Consumption of LCD was not also associated with increased risk of anxiety (0.82; 95% CI: 0.59, 1.14) and psychological distress (0.92; 95% CI: 0.72, 1.16). These associations did not alter when the analyses were done stratified by gender or BMI status. Conclusion Adherence to the low carbohydrate diet, which contains high amount of fat and proteins but low amounts of carbohydrates, was not associated with increased odds of psychological disorders including depression, anxiety and psychological distress. Given the cross-sectional nature of the study which cannot reflect causal relationships, longitudinal studies, focusing on types of macronutrients, are required to clarify this association.

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