This exploratory repeated-measure study investigated the presence of stress reactions and coping mechanisms following traumatic upper limb injuries in 70 Arabic-speaking adults in Kuwait and the influence on hand impairment status. Data were collected twice, at the time of admittance to the hospital, and at the time of therapy conclusion. The presence of overall stress reaction, avoidance stress reaction, intrusive stress reaction, and the use of coping mechanisms have been confirmed at both admittance to the hospital and at the conclusion of therapy. The expression of overall stress reaction at the conclusion of therapy was slightly less than what the participants experienced at admittance to the hospital, though the difference was not significant. Use of coping mechanisms, on average, increased between the time of admittance to the hospital to the time of therapy conclusion. A positive correlation was established between hand impairment and each of the following: overall stress reaction, the avoidance and intrusion subscales, and problem solving-based coping. Furthermore, using baseline variables, problem solving-based coping and muscle/nerve tear diagnosis were related to how participants perceived their hand impairment at the time of therapy conclusion. This indicated that sustaining a muscle/nerve tear diagnosis is related to perceiving greater hand impairment than other types of injuries when patients are discharged from therapy. The findings also indicated that the higher the perception of hand impairment the more coping mechanisms participants had to use. A closer examination of the regression and correlation analyses revealed that when stress reaction increased, participants tended to report greater hand impairment and an increased use of coping mechanisms. Suggesting that subjects may have resorted to the use of problem-solving coping to manage the stress reaction they were experiencing. Giving rise to the possibility that problem-based coping may act as a mediator in the relationship between stress reaction and hand impairment. Thus, it is important for therapists to be aware of the presence and the relationship between these factors, and need to take into consideration stress reactions and the use of coping mechanisms when devising treatment plans for their patients to optimize recovery status.
|Commitee:||Halkitis, Perry, Voelbel, Gerlad|
|School:||New York University|
|School Location:||United States -- New York|
|Source:||DAI-B 77/03(E), Dissertation Abstracts International|
|Subjects:||Mental health, Social psychology, Occupational Therapy|
|Keywords:||Coping mechanisms, Hand impairment, Hand therapy, Stress reactions|
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