Psychological attributes of preoperative total joint replacement patients: implications for optimal physical outcome

UMMS Affiliation

Department of Orthopedics and Physical Rehabilitation

Publication Date


Document Type



Adaptation, Psychological; Adult; Analysis of Variance; Anxiety; Arthroplasty, Replacement; Depression; Female; Humans; Male; Psychiatric Status Rating Scales; Regression Analysis; Social Support


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.

DOI of Published Version



J Arthroplasty. 2004 Oct;19(7 Suppl 2):125-30.

Journal/Book/Conference Title

The Journal of arthroplasty

Related Resources

Link to article in PubMed

PubMed ID