TY - JOUR
T1 - Psychological attributes of preoperative total joint replacement patients
T2 - Implications for optimal physical outcome
AU - Ayers, David C.
AU - Franklin, Patricia Durkin
AU - Trief, Paula M.
AU - Ploutz-Snyder, Robert
AU - Freund, Deborah
PY - 2004/10
Y1 - 2004/10
N2 - 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 ≥ 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.
AB - 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 ≥ 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.
KW - emotional health
KW - function
KW - outcomes
KW - total joint replacement
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U2 - 10.1016/j.arth.2004.06.019
DO - 10.1016/j.arth.2004.06.019
M3 - Article
C2 - 15457431
AN - SCOPUS:5344254589
SN - 0883-5403
VL - 19
SP - 125
EP - 130
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 7 SUPPL.
ER -