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Related Experiment Videos

Flashbacks after traumatic hand injuries: prognostic indicators.

B K Grunert1, C A Devine, H S Matloub

  • 1Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee.

The Journal of Hand Surgery
|January 1, 1988
PubMed
Summary
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Patients experiencing replay flashbacks after traumatic hand injuries most often returned to work. Those with appraisal or projected flashbacks were significantly less likely to return to employment.

Area of Science:

  • Psychology
  • Occupational Health
  • Trauma Studies

Background:

  • Traumatic hand injuries can lead to psychological distress, impacting rehabilitation.
  • Flashbacks are common in patients with work-related hand injuries.
  • Understanding flashback types is crucial for predicting return-to-work outcomes.

Purpose of the Study:

  • To investigate the nature and significance of flashbacks in patients with work-related hand injuries.
  • To assess the relationship between flashback types and return-to-work rates at the injury site.
  • To evaluate the effectiveness of psychotherapy in managing these symptoms.

Main Methods:

  • Sixty-one patients with work-related traumatic hand injuries underwent psychological evaluation and treatment.
  • Patients were categorized based on the type of flashback experienced: replay, appraisal, or projected.

Related Experiment Videos

  • Return-to-work data and psychotherapy session counts were collected and analyzed.

    • Main Results:

    • All 61 patients reported experiencing flashbacks.
    • Patients with 'replay flashbacks' (re-experiencing the traumatic event) showed a high return-to-work rate (95.2%) after minimal psychotherapy (4.8 sessions).
    • Patients with 'appraisal flashbacks' (imaging the injured hand) or 'projected flashbacks' (imagining a more severe injury) had a significantly lower return-to-work rate (10.3%), despite more extensive therapy (13.1 sessions).

    Conclusions:

    • The type of flashback experienced after a traumatic hand injury is a significant predictor of return-to-work.
    • 'Replay flashbacks' are associated with successful return to employment.
    • Appraisal and projected flashbacks indicate a more complex psychological response, hindering return-to-work and requiring more intensive intervention.