Anahita Dehmoobad Sharifabadi, Jonathan Bellini, Abdullah Alabousi, Sandra Monteiro, Arun Mensinkai, Basma Al-Arnawoot
Investigating Canadian Radiology Residents' Personal Financial Literacy: A Nation-Wide Assessment
Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes
adverse childhood experiences aces affect adult mental health tend contribute greater symptoms depression frequent suicide attempts given relationship symptoms depression patientreported outcomes pros adversity childhood might associated pros patients seeking care musculoskeletal problems clear whether fact association among patients seeking care outpatient upper extremity orthopaedic practice 1 ace scores independently associated variation physical limitations measured among patients seen orthopaedic surgeon 2 ace scores independently associated variations pain intensity 3 factors associated ace scores treated continuous variable categorical variable prospectively enrolled 143 adult patients visiting one seven participating orthopaedic surgeons three private one academic orthopaedic surgery offices large urban area recorded demographics measured aces using validated 10item binary questionnaire measured physical emotional sexual abuse first 18 years life magnitude physical limitations pain intensity symptoms depression catastrophic thinking health anxiety 143 patients mean age 51 years 62 43 men addition 112 78 presented specific diagnosis n 79 55 upper extremity symptoms created one logistic three linear regression models test whether age gender race marital status children level education work status insurance type comorbidities body mass index smoking site symptoms type diagnosis symptoms depression catastrophic thinking health anxiety independently associated 1 magnitude limitations 2 pain intensity 3 ace scores continuum 4 ace scores categorized 3 3 calculated priori detect medium effect size 90 statistical power set 005 sample 136 patients needed regression five predictors aces would account 5 variability physical function complete model would account 15 overall variability account 5 incomplete responses enrolled 143 patients found association ace scores magnitude physical limitations measured patientreported outcomes measurement information system physical function p 067 adjusted r 055 ace scores independently associated pain intensity pearson correlation r 011 p 018 greater ace scores independently associated diagnosed mental comorbidities analyzed continuum regression coefficient 11 95 confidence interval ci 03219 standard error se 041 p 0006 categorized odds ratio 33 95 ci 1292 se 17 p 0024 greater levels health anxiety 11 95 ci 09013 se 0096 p 044 c statistic 071 symptoms depression ace 3 mean sd 073 14 ace 3 10 14 p 029 catastrophic thinking ace 3 36 35 ace 3 49 51 p 088 aces may contribute greater pain intensity magnitude physical limitations unless accompanied greater health anxiety less effective coping strategies adverse events contribute anxiety depression perhaps sometimes lead development resilience effective coping strategies future research might address whether aces affect symptoms limitations younger adult patients patients severe musculoskeletal pathology major traumatic injuries level ii prognostic study