Psychological attributes of preoperative total joint replacement patients: implications for optimal physical outcome
Department of Orthopedics and Physical Rehabilitation
Adaptation, Psychological; Adult; Analysis of Variance; Anxiety; Arthroplasty, Replacement; Depression; Female; Humans; Male; Psychiatric Status Rating Scales; Regression Analysis; Social Support
Life Sciences | Medicine and Health Sciences | Women's Studies
In this study, 107 primary total joint replacement (TJR) patients were assessed preoperatively using the SF-36 (Mental Component Score [MCS] and Physical Component Score [PCS]), Beck Depression Inventory (BDI), Spielberger Trait Anxiety Inventory, Interpersonal Support Evaluation List, and the Coping Strategies Questionnaire. Patients with preoperative MCS < 50 had significantly higher trait anxiety (P <.001), higher BDI scores (P <.001), and lower appraisal (P <.018) and belonging (P <.006) support when compared with patients with preoperative MCS > or = 50. Low MCS patients used more catastrophizing coping techniques (P <.001) and reported poorer pain control (P <.04). A multivariate prediction model found that adding preoperative MCS to baseline demographic and physical function (PCS) measures significantly improved the prediction of 6-month change in PCS. Further research should evaluate the role of multimodality emotional support in assuring optimal physical return after TJR.
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Citation: J Arthroplasty. 2004 Oct;19(7 Suppl 2):125-30.