title: Relationships between pain misconceptions, disability, patients' goals and interpretation of information from hand therapists.
abstract: BACKGROUND
  Patient interpretation of advice from hand therapists may be related to nonadaptive pain thoughts (automatic, overprotective, unduly pessimistic statements triggered by nociception and exacerbated by psychological distress).
  
  
  OBJECTIVE
  This study aimed to determine whether there were correlations between participants' hand therapy goals, interpretation of advice from hand therapists, nonadaptive pain thoughts, and upper extremity-specific disability.
  
  
  METHODS
  One hundred and five participants completed questionnaires assessing nonadaptive pain thoughts, upper extremity-specific disability, lessons from hand therapists, and hand therapy goals.
  
  
  RESULTS
  Nonadaptive pain thoughts correlated with disability and were bi-directionally related to participant goals and interpretation of advice from hand therapists.
  
  
  CONCLUSIONS
  Patients' nonadapative pain thoughts and the words/concepts used by hand therapists are both important in recovery from upper extremity illness.
  
  
  CONCLUSIONS
  Hand therapists should be mindful that nonadaptive pain thoughts are an important determinant of disability and that such thoughts can affect and be affected by their recommendations.
  
  
  METHODS
  n/a.
authors: Department of Orthopaedic Surgery, Harvard Medical School, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA 02114, USA.
authors: Stijn
authors: S
authors: Bekkers
authors: Department of Orthopaedic Surgery, Harvard Medical School, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA 02114, USA.
authors: Stéphanie J E
authors: SJ
authors: Becker
authors: Department of Orthopaedic Surgery, Harvard Medical School, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA 02114, USA.
authors: Jeroen K J
authors: JK
authors: Bossen
authors: Department of Orthopaedic Surgery, Harvard Medical School, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA 02114, USA.
authors: Chaitanya S
authors: CS
authors: Mudgal
authors: Department of Orthopaedic Surgery, Harvard Medical School, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA 02114, USA. Electronic address: dring@mgh.harvard.edu.
authors: David
authors: D
authors: Ring
authors: Department of Psychiatry, Harvard Medical School, Behavioral Medicine Service, Massachusetts General Hospital, Boston, MA 02114, USA.
authors: Ana-Maria
authors: AM
authors: Vranceanu
mesh_terms: D000328:Adult; D000368:Aged; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation*; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D050723:Fractures, Bone / Q000175:diagnosis / Q000534:rehabilitation; D006040:Goals; D006230:Hand Injuries / Q000175:diagnosis / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000523:psychology / Q000534:rehabilitation*; D010147:Pain Measurement; D059825:Physical Therapists; D011369:Professional-Patient Relations; D012494:Sampling Studies; D011795:Surveys and Questionnaires; D055990:Therapeutic Misconception / Q000523:psychology*; D016896:Treatment Outcome
keywords: Disability; Hand therapy; Misconceptions; Negative pain thoughts