While this article does not related specifically to the shoulder, there is every reason to believe that the message applies.
Among 319 patients with various hand problems, the authors sought to determine the factors that contributed to upper extremity disability as measured by the Disabilities of the Arm, Shoulder and Hand (DASH) instrument (a lower score indicates less perceived disability). They found that men had less disability than women. DASH scores differed significantly by diagnosis, marital status, and employment status. The DASH score correlated significantly with depressive symptoms, catastrophic thinking, fear of moving (kinesophobia), and pain anxiety. the authors suggest that a multidisciplinary approach to modifiable psychological factors may be helpful in lessening disability associated with upper extremity diagnoses.
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