{"id":{"repo_id":"uwo","oai_identifier":"oai:uwo.scholaris.ca:20.500.14721/39553"},"canonical_url":"https://search.dev.ndltd.org/etd/uwo/oai:uwo.scholaris.ca:20.500.14721/39553","repository":{"repo_id":"uwo","name":"Western University","base_url":"https://uwo.scholaris.ca/server/oai/request"},"display":{"title":"Psychological Factors and Health-Related Quality of Life in Upper Extremity Conditions","abstract":"Recovery following upper extremity musculoskeletal injury is influenced by both physical and psychological factors; however, the role of early psychological responses remains incompletely understood. This thesis aimed to examine how positive and negative psychological characteristics relate to health-related quality of life (HRQoL) and to explore patients’ emotional experiences following distal radius fracture. A qualitative study (n = 14) explored patients’ early emotional responses, identifying four themes: prior psychological and life context, injury appraisal, social support, and loss of independence with adaptive coping. A quantitative study (n = 390) examined associations between psychological traits and HRQoL using the PAST-PANE, EQ-5D-5L, and EQ-VAS. Negative psychological traits were strongly associated with lower HRQoL, while positive traits showed smaller but significant contributions. Together, findings demonstrate that early psychological responses are shaped by contextual and individual factors and are meaningfully associated with perceived health, supporting the importance of early psychosocial assessment in upper extremity care.","abstract_html":"Recovery following upper extremity musculoskeletal injury is influenced by both physical and psychological factors; however, the role of early psychological responses remains incompletely understood. This thesis aimed to examine how positive and negative psychological characteristics relate to health-related quality of life (HRQoL) and to explore patients’ emotional experiences following distal radius fracture. A qualitative study (n = 14) explored patients’ early emotional responses, identifying four themes: prior psychological and life context, injury appraisal, social support, and loss of independence with adaptive coping. A quantitative study (n = 390) examined associations between psychological traits and HRQoL using the PAST-PANE, EQ-5D-5L, and EQ-VAS. Negative psychological traits were strongly associated with lower HRQoL, while positive traits showed smaller but significant contributions. Together, findings demonstrate that early psychological responses are shaped by contextual and individual factors and are meaningfully associated with perceived health, supporting the importance of early psychosocial assessment in upper extremity care.","abstract_has_math":false,"creators":["Vafaei, Farnaz"],"institution":"The University of Western Ontario","degree_name":"M Sc","degree_level":null,"degree_discipline":"Health and Rehabilitation Sciences","degree_department":null,"school":null,"contributors":[],"advisors":["MacDermid, Joy"],"committee_chairs":[],"committee_members":[],"year":2026,"date_issued":"2026-04-17","date_published":"2026-04-17","updated_at":"2026-07-27T21:56:11Z","subjects":["Upper extremity","Distal radius fracture","Health-related quality of life","psychological factors","PAST-PANE","EQ-5D-5L","EQ-VAS","Qualitative research."],"languages":["en"],"rights":["Attribution 4.0 International"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/20.500.14721/39553","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["MacDermid, Joy"]},{"key":"dc:creator","label":"Author","values":["Vafaei, Farnaz"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2026-04-23T19:00:16Z"]},{"key":"dc:date.issued","label":"Date","values":["2026-04-17"]},{"key":"dc:publisher","label":"Institution","values":["The University of Western Ontario"]},{"key":"dc:type","label":"Dc Type","values":["thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Health and Rehabilitation Sciences"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M Sc"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["The University of Western Ontario"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Upper extremity","Distal radius fracture","Health-related quality of life","psychological factors","PAST-PANE","EQ-5D-5L","EQ-VAS","Qualitative research."]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Attribution 4.0 International"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/20.500.14721/39553"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Recovery following upper extremity musculoskeletal injury is influenced by both physical and psychological factors; however, the role of early psychological responses remains incompletely understood. This thesis aimed to examine how positive and negative psychological characteristics relate to health-related quality of life (HRQoL) and to explore patients’ emotional experiences following distal radius fracture. A qualitative study (n = 14) explored patients’ early emotional responses, identifying four themes: prior psychological and life context, injury appraisal, social support, and loss of independence with adaptive coping. A quantitative study (n = 390) examined associations between psychological traits and HRQoL using the PAST-PANE, EQ-5D-5L, and EQ-VAS. Negative psychological traits were strongly associated with lower HRQoL, while positive traits showed smaller but significant contributions. Together, findings demonstrate that early psychological responses are shaped by contextual and individual factors and are meaningfully associated with perceived health, supporting the importance of early psychosocial assessment in upper extremity care."]},{"key":"dc:title","label":"Title","values":["Psychological Factors and Health-Related Quality of Life in Upper Extremity Conditions"]}]}],"canonical_facts":{"dc:contributor.advisor":["MacDermid, Joy"],"dc:creator":["Vafaei, Farnaz"],"dc:date.accessioned":["2026-04-23T19:00:16Z"],"dc:date.issued":["2026-04-17"],"dc:description.abstract":["Recovery following upper extremity musculoskeletal injury is influenced by both physical and psychological factors; however, the role of early psychological responses remains incompletely understood. This thesis aimed to examine how positive and negative psychological characteristics relate to health-related quality of life (HRQoL) and to explore patients’ emotional experiences following distal radius fracture. A qualitative study (n = 14) explored patients’ early emotional responses, identifying four themes: prior psychological and life context, injury appraisal, social support, and loss of independence with adaptive coping. A quantitative study (n = 390) examined associations between psychological traits and HRQoL using the PAST-PANE, EQ-5D-5L, and EQ-VAS. Negative psychological traits were strongly associated with lower HRQoL, while positive traits showed smaller but significant contributions. Together, findings demonstrate that early psychological responses are shaped by contextual and individual factors and are meaningfully associated with perceived health, supporting the importance of early psychosocial assessment in upper extremity care."],"dc:identifier.uri":["https://hdl.handle.net/20.500.14721/39553"],"dc:language.iso":["en"],"dc:publisher":["The University of Western Ontario"],"dc:rights":["Attribution 4.0 International"],"dc:subject":["Upper extremity","Distal radius fracture","Health-related quality of life","psychological factors","PAST-PANE","EQ-5D-5L","EQ-VAS","Qualitative research."],"dc:title":["Psychological Factors and Health-Related Quality of Life in Upper Extremity Conditions"],"dc:type":["thesis"],"thesis:degree_discipline":["Health and Rehabilitation Sciences"],"thesis:degree_name":["M Sc"],"thesis:institution_name":["The University of Western Ontario"]},"updated_at":"2026-07-27T21:56:11Z"}