@article{ref1,
title="Psychosocial factors are associated with risk acceptance in upper extremity  patients",
journal="Hand (NY)",
year="2020",
author="Fatehi, Amirreza and Ring, David and Reichel, Lee M. and Vagner, Gregg A.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Patients who help choose their health strategies are more adherent and  achieve better health. An important role of the clinician is to verify that a  patient's expressed preferences are consistent with what matters most to the patient  and not muddled by common misconceptions about symptoms or conditions. Patient  choices are influenced by estimation of the potential benefits and potential harms  of a given intervention. One method for quantifying these estimations is the concept  of maximum acceptable risk (MAR), or the maximum risk that subjects are willing to  accept in exchange for a given therapeutic benefit. This study addressed the  hypothesis that misconceptions due to unhelpful cognitive bias regarding pain are  associated with risk acceptance among people seeking care for an upper extremity  condition. <br><br>METHODS: We invited 140 new adult patients visiting an upper extremity  specialist to complete a survey including demographics, pain intensity, depression  and anxiety symptoms, catastrophic thinking, activity limitations, and MAR. Trauma  or nontrauma diagnosis was obtained from the treating clinician and recorded by the  research assistant. We used bivariate and linear regression analyses to identify  factors associated with MAR among this population. <br><br>RESULTS: Accounting for potential  confounding in multivariable analysis, higher MAR was associated with older age and  greater catastrophic thinking. <br><br>CONCLUSIONS: Specialists can be aware that people  with more unhelpful cognitive biases may be willing to take more risk. Vigilance for  common misconceptions and gentle, incremental reorientation of those misconceptions  can increase the probability that people will choose options consistent with what  matters most to them.<p /> <p>Language: en</p>",
language="en",
issn="1558-9447",
doi="10.1177/1558944720974123",
url="http://dx.doi.org/10.1177/1558944720974123"
}