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Updated: Aug 14, 2025

Virtual Hand with Ambiguous Movement between the Self and Other Origin: Sense of Ownership and 'Other-Produced' Agency
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The mind and the hand.

Jonathan Hobby1, David Ring2, Debbie Larson3

  • 1Department of Trauma and Orthopaedics, North Hampshire Hospital, Basingstoke, UK.

The Journal of Hand Surgery, European Volume
|January 13, 2023
PubMed
Summary
This summary is machine-generated.

Patient mindsets significantly influence symptom perception and functional capacity in hand surgery. Addressing psychological distress and unhelpful thoughts improves recovery and may reduce the need for surgery.

Keywords:
Mental healthanxietycatastrophic thinkingdepressionhand and upper extremity surgerykinesiophobiamindsetpsychology

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Area of Science:

  • Psychology
  • Hand Surgery
  • Medical Humanities

Background:

  • Patient experience of symptoms is complex, influenced by psychological factors.
  • Mindsets, distress, and unhelpful thoughts significantly impact perceived symptom severity and functional ability.
  • Underlying pathophysiology plays a role, but psychological elements often explain greater variability in patient outcomes.

Purpose of the Study:

  • To explore the impact of patient mindsets on symptom perception in hand surgery.
  • To investigate how distress and unhelpful thoughts contribute to functional limitations.
  • To integrate psychological support strategies into hand surgery practice for improved patient recovery.

Main Methods:

  • Review of experimental evidence on the psychological determinants of symptom experience.
  • Analysis of the contribution of mindsets versus pathophysiology to patient comfort and capability.
  • Development of strategies for clinical application in hand surgery.

Main Results:

  • Mindsets are a primary determinant of symptom experience, often more so than pathophysiology.
  • Distress and unhelpful thoughts account for significant variability in patient comfort and capability.
  • Psychological factors offer a substantial target for intervention to improve surgical outcomes.

Conclusions:

  • Hand surgery practice should incorporate psychological support to address patient mindsets.
  • Prioritizing alleviation of distress and redirection of unhelpful thoughts can enhance recovery.
  • Integrating psychological care may reduce unnecessary surgeries and improve overall patient well-being.