title: The role of self-efficiency toward pain following surgical treatment of carpal tunnel syndrome.
abstract: Some very poor results after carpal tunnel syndrome (CTS) surgery are difficult to explain. The main hypothesis of this study was that a relationship exists between self-efficiency toward pain and the difference between pre-operative and post-operative pain. The secondary hypothesis was that a relationship exists between self-efficiency toward pain and the pre-operative and post-operative QuickDASH score. The records of 64 patients operated for purely subjective CTS were reviewed. The evaluation consisted in determining self-efficacy beliefs from two PSEQ2 questions (1: I can still accomplish most of my goals in life, despite the pain; 2: I can live a normal lifestyle, despite the pain), pain levels and the QuickDASH score. There was an inversely proportional relationship between the pre-operative PSEQ2 and pain on one hand, and post-operative pain and the pre-operative QuickDASH score on the other hand. We found no correlation between the pre-operative PSEQ2 and post-operative QuickDASH score. Self-efficiency beliefs as measured by PSEQ2 help to predict pain levels after surgical CTS treatment in the absence of sensory and/or motor deficits and/or associated morbidity.
authors.affiliation: Department of Hand Surgery, SOS Main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357 - 10, avenue Baumann, 67400 Illkirch-Graffenstaden, France.
authors.forename: J J
authors.initials: JJ
authors.lastname: Hidalgo Diaz
authors.affiliation: Department of Hand Surgery, SOS Main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357 - 10, avenue Baumann, 67400 Illkirch-Graffenstaden, France.
authors.forename: S S
authors.initials: SS
authors.lastname: Botero
authors.affiliation: Department of Hand Surgery, SOS Main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357 - 10, avenue Baumann, 67400 Illkirch-Graffenstaden, France.
authors.forename: P
authors.initials: P
authors.lastname: Vernet
authors.affiliation: Université François Rabelais, Département de Psychologie, EA 2114, Tours, France.
authors.forename: C
authors.initials: C
authors.lastname: Aguerre
authors.affiliation: Department of Hand Surgery, SOS Main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357 - 10, avenue Baumann, 67400 Illkirch-Graffenstaden, France.
authors.forename: S
authors.initials: S
authors.lastname: Facca
authors.affiliation: Department of Hand Surgery, SOS Main, CCOM, University Hospital of Strasbourg, FMTS, University of Strasbourg, Icube CNRS 7357 - 10, avenue Baumann, 67400 Illkirch-Graffenstaden, France. Electronic address: Philippe.liverneaux@chru-strasbourg.fr.
authors.forename: P
authors.initials: P
authors.lastname: Liverneaux
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002349:Carpal Tunnel Syndrome / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000379:methods / Q000523:psychology*; D010149:Postoperative Pain / Q000523:psychology*; D020377:Self Efficacy; D016896:Treatment Outcome
keywords: Auto-efficacité; Canal carpien; Carpal tunnel; Douleur; PSEQ2; Pain; Quick DASH; Self-efficiency