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Treatment of posttraumatic stress disorder after work-related hand trauma. J Hand Surg Am 1990 May;15(3):511-5 PMID: 2348077

Pubmed ID

2348077

Abstract

Posttraumatic stress disorder frequently accompanies severe work-related hand trauma and, when a patient attempts to return to work it can potentially be as debilitating as the hand injury. Four techniques were examined for their effectiveness in the treatment of the symptoms of posttraumatic stress disorder. Confronting and reprocessing of intrusive thoughts, combined with coping skills training, effectively reduced all symptoms except avoidance reactions. An early return to the worksite was useful with those patients who experienced mild avoidance reactions, although many patients were not able to use this. Graded work exposure was a highly successful technique for those patients with moderate avoidance reactions. For those with severe avoidance reactions, on-site job evaluations were used with good success. We believe that actual exposure to the worksite greatly enhances the ability of occupationally hand-injured patients to return to work for their previous employer. An algorithm for treatment is proposed.

Author List

Grunert BK, Matloub HS, Sanger JR, Yousif NJ

Authors

Brad K. Grunert PhD Professor in the Plastic Surgery department at Medical College of Wisconsin
Hani S. Matloub MD Professor in the Plastic Surgery department at Medical College of Wisconsin
James R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin




Scopus

2-s2.0-0025337449   53 Citations

MESH terms used to index this publication - Major topics in bold

Employment
Hand Injuries
Humans
Stress Disorders, Post-Traumatic
jenkins-FCD Prod-336 69ef4a6b262d135130251597d5d39873903802b5