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Journal of Hand Surgery (British and European Volume)
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*Hand Injuries and Disorders
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Articles

Early Psychological Aspects of Severe Hand Injury

B. K. GRUNERT
CINDY J. SMITH
CECILIA A. DEVINE
BONNIE A. FEHRING
H. S. MATLOUB
J. R. SANGER
N. J. YOUSIF

From Froedtert Memorial Lutheran Hospital, Milwaukee, U.S.A.

We investigated the incidence and nature of psychological symptoms occurring during the first two months after severe hand injuries. 94% of patients had significant symptoms at some point early in rehabilitation, including nightmares (92%), flashbacks (88%), affective lability (84%), preoccupation with phantom limb sensations (13%), concentration/attention problems (12%), cosmetic concerns (10%), fear of death (5%), and denial of amputation (3%).

Two months later, flashbacks (63%) remained pronounced. Nightmares (13%), affective lability (48%), concentration/attention problems (5%), fear of death (0%), and denial of amputation (0%) declined markedly, while cosmetic concerns (17%) and preoccupation with phantom limb sensations (17%) increased. Based on these findings, we believe that psychological treatment should often be given as part of the rehabilitation process.

Journal of Hand Surgery (British and European Volume), Vol. 13, No. 2, 177-180 (1988)
DOI: 10.1016/0266-7681(88)90132-5
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Home page
 J Hand Surg Eur VolHome page
M. GROB, N. A. PAPADOPULOS, A. ZIMMERMANN, E. BIEMER, and L. KOVACS
The Psychological Impact of Severe Hand Injury
J Hand Surg Eur Vol., June 1, 2008; 33(3): 358 - 362.
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