Psychological Factors As Risk Factors for Poor Hip Function After Total Hip Arthroplasty

Overview

Journal Ther Clin Risk Manag

Publisher Dove Medical Press

Date 2017 Mar 7

PMID 28260910

Citations 17

Authors

Achim Benditz

Petra Jansen

Jan Schaible

Christina Roll

Joachim Grifka

Jurgen Gotz

Affiliations

Soon will be listed here.

Abstract

Recovery after total hip arthroplasty (THA) is influenced by several psychological aspects, such as depression, anxiety, resilience, and personality traits. We hypothesized that preoperative depression impedes early functional outcome after THA (primary outcome measure). Additional objectives were perioperative changes in the psychological status and their influence on perioperative outcome. This observational study analyzed depression, anxiety, resilience, and personality traits in 50 patients after primary unilateral THA. Hip functionality was measured by means of the Harris Hip Score. Depression, state anxiety, and resilience were evaluated preoperatively as well as 1 and 5 weeks postoperatively. Trait anxiety and personality traits were measured once preoperatively. Patients with low depression and anxiety levels had significantly better outcomes with respect to early hip functionality. Resilience and personality traits did not relate to hip functionality. Depression and state anxiety levels significantly decreased within the 5-week stay in the acute and rehabilitation clinic, whereas resilience remained at the same level. Our study suggests that low depression and anxiety levels are positively related to early functionality after THA. Therefore, perioperative measurements of these factors seem to be useful to provide the best support for patients with risk factors.

Citing Articles

Prevalence of Depressive Symptoms in Patients Undergoing Aseptic Revision Total Hip Arthroplasty Differs Based on Mode of Failure.

Barton K, Bracey D, Hegde V, Pollet A, Johnson R, Dennis D Arthroplast Today. 2025; 32:101627.

PMID: 40035044 PMC: 11874526. DOI: 10.1016/j.artd.2025.101627.

Comparative Review of Postoperative Analgesic Use After Total Hip Replacement: Opioids Versus Non-opioids.

Singh G, Dhaniwala N, Jadawala V, Salwan A, Batra N Cureus. 2024; 16(8):e68237.

PMID: 39347367 PMC: 11439489. DOI: 10.7759/cureus.68237.

Early functional recovery outcomes and return to work after primary total hip arthroplasty: a novel patient reported outcomes questionnaire.

Fawley D, Bernard T, Thomason 3rd H, Zagra L, Ten Broeke R, Johnson K J Orthop Surg Res. 2024; 19(1):434.

PMID: 39061099 PMC: 11282613. DOI: 10.1186/s13018-024-04937-z.

Resilience as a psychiatric factor affecting outcomes after total joint arthroplasty: a systematic review.

Kim A, Sanghvi P, Rizk A, Ahn A, Pumo T, Kamath A Arthroplasty. 2024; 6(1):16.

PMID: 38576001 PMC: 10996138. DOI: 10.1186/s42836-024-00240-8.

The Effectiveness of Preoperative Outpatient and Home Rehabilitation and the Impact on the Results of Hip Arthroplasty: Introductory Report.

Zdziechowski A, Zdziechowska M, Rysz J, Woldanska-Okonska M Healthcare (Basel). 2024; 12(3).

PMID: 38338212 PMC: 10855594. DOI: 10.3390/healthcare12030327.

References

Hartl K, Engel J, Herschbach P, Reinecker H, Sommer H, Friese K . Personality traits and psychosocial stress: quality of life over 2 years following breast cancer diagnosis and psychological impact factors. Psychooncology. 2009; 19(2):160-9. DOI: 10.1002/pon.1536. View

Lentz T, Beneciuk J, Bialosky J, Zeppieri Jr G, Dai Y, Wu S . Development of a Yellow Flag Assessment Tool for Orthopaedic Physical Therapists: Results From the Optimal Screening for Prediction of Referral and Outcome (OSPRO) Cohort. J Orthop Sports Phys Ther. 2016; 46(5):327-43. DOI: 10.2519/jospt.2016.6487. View

KAY A, Davison B, Badley E, Wagstaff S . Hip arthroplasty: patient satisfaction. Br J Rheumatol. 1983; 22(4):243-9. DOI: 10.1093/rheumatology/22.4.243. View

Montin L, Leino-Kilpi H, Katajisto J, Lepisto J, Kettunen J, Suominen T . Anxiety and health-related quality of life of patients undergoing total hip arthroplasty for osteoarthritis. Chronic Illn. 2007; 3(3):219-27. DOI: 10.1177/1742395307084405. View

Quintana J, Escobar A, Aguirre U, Lafuente I, Arenaza J . Predictors of health-related quality-of-life change after total hip arthroplasty. Clin Orthop Relat Res. 2009; 467(11):2886-94. PMC: 2758977. DOI: 10.1007/s11999-009-0868-9. View

Reime B, Steiner I . [Burned-out or depressive? An empirical study regarding the construct validity of burnout in contrast to depression]. Psychother Psychosom Med Psychol. 2001; 51(8):304-7. DOI: 10.1055/s-2001-15996. View

Ramirez-Maestre C, Esteve R, Lopez A . The path to capacity: resilience and spinal chronic pain. Spine (Phila Pa 1976). 2011; 37(4):E251-8. DOI: 10.1097/BRS.0b013e31822e93ab. View

Mancuso C, Salvati E . Patients' satisfaction with the process of total hip arthroplasty. J Healthc Qual. 2003; 25(2):12-8; quiz 18-9. DOI: 10.1111/j.1945-1474.2003.tb01039.x. View

Feeney S . The relationship between pain and negative affect in older adults: anxiety as a predictor of pain. J Anxiety Disord. 2004; 18(6):733-44. DOI: 10.1016/j.janxdis.2001.04.001. View

10.

Tristaino V, Lantieri F, Tornago S, Gramazio M, Carriere E, Camera A . Effectiveness of psychological support in patients undergoing primary total hip or knee arthroplasty: a controlled cohort study. J Orthop Traumatol. 2015; 17(2):137-47. PMC: 4882293. DOI: 10.1007/s10195-015-0368-5. View

11.

Buller L, Best M, Klika A, Barsoum W . The influence of psychiatric comorbidity on perioperative outcomes following primary total hip and knee arthroplasty; a 17-year analysis of the National Hospital Discharge Survey database. J Arthroplasty. 2014; 30(2):165-70. DOI: 10.1016/j.arth.2014.08.034. View

12.

Pauls C, Stemmler G . Repressive and defensive coping during fear and anger. Emotion. 2003; 3(3):284-302. DOI: 10.1037/1528-3542.3.3.284. View

13.

Wagnild G, Young H . Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993; 1(2):165-78. View

14.

Badura-Brzoza K, Zajac P, Kasperska-Zajac A, Brzoza Z, Matysiakiewicz J, Piegza M . Anxiety and depression and their influence on the quality of life after total hip replacement: preliminary report. Int J Psychiatry Clin Pract. 2014; 12(4):280-4. DOI: 10.1080/13651500802095012. View

15.

Badura-Brzoza K, Zajac P, Brzoza Z, Kasperska-Zajac A, Matysiakiewicz J, Piegza M . Psychological and psychiatric factors related to health-related quality of life after total hip replacement - preliminary report. Eur Psychiatry. 2008; 24(2):119-24. DOI: 10.1016/j.eurpsy.2008.06.009. View

16.

Whiteford H, Ferrari A, Degenhardt L, Feigin V, Vos T . The global burden of mental, neurological and substance use disorders: an analysis from the Global Burden of Disease Study 2010. PLoS One. 2015; 10(2):e0116820. PMC: 4320057. DOI: 10.1371/journal.pone.0116820. View

17.

Shan L, Shan B, Graham D, Saxena A . Total hip replacement: a systematic review and meta-analysis on mid-term quality of life. Osteoarthritis Cartilage. 2014; 22(3):389-406. DOI: 10.1016/j.joca.2013.12.006. View

18.

Soderman P, Malchau H . Is the Harris hip score system useful to study the outcome of total hip replacement?. Clin Orthop Relat Res. 2001; (384):189-97. DOI: 10.1097/00003086-200103000-00022. View

19.

Radl R, Leithner A, Zacherl M, Lackner U, Egger J, Windhager R . The influence of personality traits on the subjective outcome of operative hallux valgus correction. Int Orthop. 2004; 28(5):303-6. PMC: 3456971. DOI: 10.1007/s00264-004-0574-x. View

20.

Salmon P, Hall G, Peerbhoy D . Influence of the emotional response to surgery on functional recovery during 6 months after hip arthroplasty. J Behav Med. 2001; 24(5):489-502. DOI: 10.1023/a:1012275611394. View