@article{ref1,
title="Anxiety symptoms after orthopedic injury: a systematic review",
journal="Journal of trauma nursing",
year="2021",
author="Redeker, Nancy S. and Gaiser, Edward and Conley, Samantha and Breazeale, Stephen",
volume="28",
number="1",
pages="46-55",
abstract="BACKGROUND: Millions of Americans are injured each year, with 75% suffering orthopedic injuries. Those with orthopedic injury often experience postinjury  symptoms, such as anxiety, that negatively influence long-term outcomes. The purpose  of this systematic review was to evaluate (1) the prevalence of anxiety symptoms  chronologically in relation to time of orthopedic injury, (2) the associations of  anxiety symptoms with other symptoms in individuals with orthopedic injury, and (3)  the associations between anxiety symptoms and functional performance and mental  health outcomes in individuals with orthopedic injury. <br><br>METHODS: The databases  CINAHL, Ovid MEDLINE, Ovid PsycInfo, Ovid Embase, ProQuest, and ClinicalTrials.gov  were searched on June 25, 2020. Studies were selected for review if (1) participants  were 16 years or older, (2) the prevalence of anxiety symptoms was listed, (3)  anxiety symptoms were assessed using a validated instrument, (4) the study was  published in English, and (5) more than 50% of the participants suffered orthopedic  injury to the appendicular skeleton or pelvic ring. <br><br>RESULTS: Anxiety symptoms were  present in 11.5%-55.9% of individuals up to 10 years after orthopedic injury and  often co-occurred with those of depression, pain, and posttraumatic stress disorder  to negatively influence functional performance and mental health outcomes. <br><br>CONCLUSIONS: Anxiety symptoms post-orthopedic injury are highly prevalent and  persistent. Anxiety symptoms are associated with other distressing symptoms and  influence long-term outcomes. These findings highlight the need to screen for and  treat anxiety symptoms following orthopedic injury and may help in designing future  self-management interventions.<p /> <p>Language: en</p>",
language="en",
issn="1078-7496",
doi="10.1097/JTN.0000000000000557",
url="http://dx.doi.org/10.1097/JTN.0000000000000557"
}