Pulvertaft Hand Centre, Derby, UK.
J Hand Surg Eur Vol. 2023 Jan;48(1):27-32. doi: 10.1177/17531934221128867. Epub 2022 Oct 7.
We investigated the effectiveness of cognitive behavioural therapy (CBT) for patients with psychological disorders thought to be influencing recovery from elective and traumatic hand conditions. Demographic data and psychological assessment scores (Primary Health Questionnaire 9 (PHQ9), General Anxiety Disorder Assessment (GAD7), Impact of Event Scale (IES)) were prospectively collected before and after CBT treatment. One hundred and fourteen patients underwent CBT with 81 completing treatment. Full data was available for 78 (68%) patients. Mean age was 43 (range 13-84) and 63% were women. Sixty-one per cent had sustained a traumatic hand injury. PHQ9, GAD7 and IES scores decreased significantly following treatment. Many patients with hand conditions have associated psychological problems that may influence outcome. CBT in a hand unit setting appears to be an effective treatment. Further research with a control group should investigate whether CBT improves psychological health or if this may occur as patients recover from their physical hand disorder regardless of CBT. IV.
我们研究了认知行为疗法（CBT）对被认为影响择期和创伤性手部疾病康复的心理障碍患者的疗效。在 CBT 治疗前后，前瞻性地收集了人口统计学数据和心理评估评分（初级健康问卷 9 项（PHQ9）、广泛性焦虑症评估量表（GAD7）、事件影响量表（IES））。114 名患者接受了 CBT 治疗，其中 81 名完成了治疗。78 名（68%）患者可获得完整数据。平均年龄为 43 岁（范围 13-84 岁），63%为女性。61%的患者手部受伤。PHQ9、GAD7 和 IES 评分在治疗后显著下降。许多手部疾病患者存在相关的心理问题，这可能会影响治疗效果。手部单位环境中的 CBT 似乎是一种有效的治疗方法。进一步的研究应包括对照组，以调查 CBT 是否改善心理健康，或者是否会发生这种情况，因为患者无论是否接受 CBT，都会从手部疾病的康复中受益。IV。
