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Carpal Tunnel Syndrome and Ulnar Nerve Entrapment Are Associated with Impaired Psychological Health in Adults as Appraised by Their Increased Use of Psychotropic Medication

Dahlin, Lars B. LU orcid ; Perez, Raquel LU ; Nyman, Erika LU ; Zimmerman, Malin LU orcid and Merlo, Juan LU orcid (2022) In Journal of Clinical Medicine 11(13).
Abstract

We aimed to study psychological health, as approximated by the use of psychotropic drugs, in a population diagnosed and surgically treated for carpal tunnel syndrome (CTS) or ulnar nerve entrapment (UNE), or both, also considering the demographic and socioeconomic factors of the individuals. Linking data from five large national registers, use of psychotropics (at least one dispensation during the first year after the surgery or the baseline date) was examined in around 5.8 million people 25–80 years old residing in Sweden 2010. Among these individuals, 9728 (0.17%), 890 (0.02%) and 149 (0.00%) were identified as diagnosed and surgically treated for CTS, UNE, or both, respectively. As much as 28%, 34% and 36% in each group,... (More)

We aimed to study psychological health, as approximated by the use of psychotropic drugs, in a population diagnosed and surgically treated for carpal tunnel syndrome (CTS) or ulnar nerve entrapment (UNE), or both, also considering the demographic and socioeconomic factors of the individuals. Linking data from five large national registers, use of psychotropics (at least one dispensation during the first year after the surgery or the baseline date) was examined in around 5.8 million people 25–80 years old residing in Sweden 2010. Among these individuals, 9728 (0.17%), 890 (0.02%) and 149 (0.00%) were identified as diagnosed and surgically treated for CTS, UNE, or both, respectively. As much as 28%, 34% and 36% in each group, respectively, used psychotropic drugs, compared with 19% in the general population. Regression analyses showed a general higher risk for use of psychotropics related to these nerve compression disorders, to higher age, being a woman, and having low income or low occupational qualification level. Individuals born outside of Sweden had a lower risk. We conclude that surgically treated individuals with a nerve compression disorder have an increased risk of impaired psychological health. Caregivers should be aware of the risk and provide necessary attention.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
carpal tunnel surgery, carpal tunnel syndrome, cubital tunnel syndrome, national quality register, nerve compression, psychological health, psychotropic drugs, socioeconomical factors, ulnar nerve entrapment
in
Journal of Clinical Medicine
volume
11
issue
13
article number
3871
publisher
MDPI AG
external identifiers
  • scopus:85134229470
  • pmid:35807165
ISSN
2077-0383
DOI
10.3390/jcm11133871
language
English
LU publication?
yes
id
38c1222c-d8d5-4677-8a4d-af1668c8b6aa
date added to LUP
2022-09-07 15:49:19
date last changed
2024-04-18 14:01:37
@article{38c1222c-d8d5-4677-8a4d-af1668c8b6aa,
  abstract     = {{<p>We aimed to study psychological health, as approximated by the use of psychotropic drugs, in a population diagnosed and surgically treated for carpal tunnel syndrome (CTS) or ulnar nerve entrapment (UNE), or both, also considering the demographic and socioeconomic factors of the individuals. Linking data from five large national registers, use of psychotropics (at least one dispensation during the first year after the surgery or the baseline date) was examined in around 5.8 million people 25–80 years old residing in Sweden 2010. Among these individuals, 9728 (0.17%), 890 (0.02%) and 149 (0.00%) were identified as diagnosed and surgically treated for CTS, UNE, or both, respectively. As much as 28%, 34% and 36% in each group, respectively, used psychotropic drugs, compared with 19% in the general population. Regression analyses showed a general higher risk for use of psychotropics related to these nerve compression disorders, to higher age, being a woman, and having low income or low occupational qualification level. Individuals born outside of Sweden had a lower risk. We conclude that surgically treated individuals with a nerve compression disorder have an increased risk of impaired psychological health. Caregivers should be aware of the risk and provide necessary attention.</p>}},
  author       = {{Dahlin, Lars B. and Perez, Raquel and Nyman, Erika and Zimmerman, Malin and Merlo, Juan}},
  issn         = {{2077-0383}},
  keywords     = {{carpal tunnel surgery; carpal tunnel syndrome; cubital tunnel syndrome; national quality register; nerve compression; psychological health; psychotropic drugs; socioeconomical factors; ulnar nerve entrapment}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{13}},
  publisher    = {{MDPI AG}},
  series       = {{Journal of Clinical Medicine}},
  title        = {{Carpal Tunnel Syndrome and Ulnar Nerve Entrapment Are Associated with Impaired Psychological Health in Adults as Appraised by Their Increased Use of Psychotropic Medication}},
  url          = {{http://dx.doi.org/10.3390/jcm11133871}},
  doi          = {{10.3390/jcm11133871}},
  volume       = {{11}},
  year         = {{2022}},
}