{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T09:41:21Z","timestamp":1756460481306},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jnl Wrist Surg"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>\n            Background\u2003Ulnar-sided wrist pain (UWP) and lateral epicondylitis (LE) are common disorders that can be difficult to treat. Depression and anxiety have been shown to modify patient symptoms, disability and pain.<\/jats:p><jats:p>\n            Questions\/Purposes\u2003The purpose of our study was to quantify the prevalence of depression and anxiety among patients with LE or UWP. A secondary aim was to determine if these patients report higher levels of pain upon presentation and if they are more likely to require occupational therapy.<\/jats:p><jats:p>\n            Patients and Methods\u2003A retrospective chart review was conducted, and patients included those with LE or UWP, atraumatic in origin, ages 18 and over, and ongoing use of noninvasive treatment of LE or UWP.<\/jats:p><jats:p>\n            Results\u2003Our final analysis included 97 patients of which 57 had LE, 34 had UWP, and 6 had both. The prevalence of a mood disorder was 34.0%. Anxiety and\/or depression was more prevalent in patients with LE compared to UWP. The most common medication was alprazolam. Pain scores averaged 1.2 points higher in subjects with a history of a mental health disorder. After adjusting for age and sex, there was no significant association between prevalence of depression and\/or anxiety and utilization of physical or occupational therapy.<\/jats:p><jats:p>\n            Conclusions\u2003Patients with either LE, UWP or both along with depression and\/or anxiety may be less likely to improve with traditional treatments. Future investigations are warranted focusing on the value of a multidisciplinary team consisting of a hand surgeon, behavioral therapist, or psychologist to optimize treatment response.<\/jats:p><jats:p>\n            Level of Evidence\u2003This is a Level IV, case series study.<\/jats:p>","DOI":"10.1055\/s-0039-1685451","type":"journal-article","created":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T23:08:35Z","timestamp":1555542515000},"page":"295-299","source":"Crossref","is-referenced-by-count":4,"title":["Depression and Anxiety among Patients with Atraumatic Lateral Epicondylitis and Ulnar-Sided Wrist Pain"],"prefix":"10.1055","volume":"08","author":[{"given":"Michael J.","family":"Pensak","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Colorado School of Medicine; University of Colorado Hospital, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick M.","family":"Carry","sequence":"additional","affiliation":[{"name":"Children's Hospital Colorado, Musculoskeletal Research Center, Department of Orthopedic Surgery, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob M.","family":"Entin","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Colorado School of Medicine; University of Colorado Hospital, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy","family":"Lalka","sequence":"additional","affiliation":[{"name":"Children's Hospital Colorado, Musculoskeletal Research Center, Department of Orthopedic Surgery, Aurora, Colorado"},{"name":"Department of Orthopedics, University of Colorado School of Medicine Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nader A.","family":"Shourbaji","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Colorado School of Medicine; University of Colorado Hospital, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank A.","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Colorado School of Medicine; University of Colorado Hospital, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,4,17]]},"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1685451.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,7]],"date-time":"2019-08-07T22:41:55Z","timestamp":1565217715000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1685451"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,17]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,8,7]]},"published-print":{"date-parts":[[2019,8]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1685451","relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,17]]}}}