The impact of depression and anxiety on self-assessed pain, disability, and quality of life in patients scheduled for rotator cuff repair

Cho, Chul-Hyun; Seo, Hyuk-Jun; Bae, Ki-Cheor; Lee, Kyung-Jae; Hwang, Ilseon; Warner, Jon J.P.

doi:10.1016/j.jse.2013.02.006

Cited by 152 publications

(138 citation statements)

References 38 publications

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“…If it is truly the case that distressed patients undergoing arthroscopic rotator cuff achieve similar levels of pain and function compared with nondistressed patients after surgery, this finding contrasts with the majority of previously reported results from other aspects of orthopaedic surgery. We [23] and others [6,28] have reported that greater distress is associated with lower preoperative self-assessment scores in patients with shoulder pathology, but to our knowledge, this is the first investigation to consider the relationship of distress and outcome scores after arthroscopic rotator cuff repair. Results from populations undergoing total joint arthroplasty [16], surgery for degenerative spine conditions [19,31,32], hip arthroscopy [22], or upper extremity surgery [33] have suggested that for distressed patients, higher levels of pain and lower levels of function often persist after surgical intervention.…”

Section: Discussionmentioning

confidence: 79%

“…Psychosocial factors have been shown to influence baseline scores on many commonly used upper extremity orthopaedic outcome scales [6,17,23,25,26,28,33]. Higher levels of psychological distress also correlate with inferior patient-reported outcomes after surgical intervention in other areas of orthopaedics [4,16,22,31,32,34].…”

Section: Discussionmentioning

confidence: 99%

“…Baseline preoperative scores on the Simple Shoulder Test have been shown to correlate with psychosocial variables in patients with shoulder pain [28] and full-thickness rotator cuff tears [23]. Similarly, preoperative scores on the VAS for pain and the American Shoulder and Elbow Surgeons score correlate with scores on the Hospital Anxiety and Depression Scale [6] and the Distress Risk Assessment Method [23] in patients with rotator cuff disease. In addition to influencing preoperative self-assessment scores, higher levels of distress also correlate with inferior patient-reported outcomes after surgical intervention in several areas of orthopaedics [4,16,22,31,32,34].…”

Section: Introductionmentioning

confidence: 98%

“…Higher levels of psychological distress correlate with greater pain and decreased function in patients with low back pain [3,10], surgical spine conditions [1,4,31,32], hip and knee arthritis [11,14,16], femoroacetabular impingement [22,24], shoulder and rotator cuff pathology [6,23,27,28], and orthopaedic hand and elbow conditions [17,25,33,34].…”

Section: Introductionmentioning

confidence: 99%

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One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

Potter

Wylie

Greis

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Patients with shoulder and rotator cuff pathology who exhibit greater levels of psychological distress report inferior preoperative self-assessments of pain and function. In several other areas of orthopaedics, higher levels of distress correlate with a higher likelihood of persistent pain and disability after recovery from surgery. To our knowledge, the relationship between psychological distress and outcomes after arthroscopic rotator cuff repair has not been similarly investigated. Questions/purposes (1) Are higher levels of preoperative psychological distress associated with differences in outcome scores (visual analog scale [VAS] for pain, Simple Shoulder Test, and American Shoulder and Elbow Surgeons score) 1 year after arthroscopic rotator cuff repair? (2) Are higher levels of preoperative psychological distress associated with less improvement in outcome scores (VAS for pain, Simple Shoulder Test, and American Shoulder and Elbow Surgeons score) 1 year after arthroscopic rotator cuff repair? (3) Does the prevalence of psychological distress in a population with full-thickness rotator cuff tears change when assessed preoperatively and 1 year after arthroscopic rotator cuff repair? Methods Eighty-five patients with full-thickness rotator cuff tears were prospectively enrolled; 70 patients (82%) were assessed at 1-year followup. During the study period, the three participating surgeons performed 269 rotator cuff repairs; in large part, the low overall rate of enrollment was related to two surgeons enrolling only two patients total in the initial 14 months of the study. Psychological distress was quantified using the Distress Risk Assessment Method questionnaire, and patients completed self-assessments including the VAS for pain, the Simple Shoulder Test, and the American Shoulder and Elbow Surgeons score preoperatively and 1 year after arthroscopic rotator cuff repair. Fifty of 85 patients (59%) had normal levels of distress, 26 of 85 (31%) had moderate levels of distress, and nine of 85 (11%) had severe levels of distress. Statistical models were used to assess the effect of psychological distress on patient self-assessment of shoulder pain and function at 1 year after surgery. Results With the numbers available, distressed patients were not different from nondistressed patients in terms of One of the authors certifies that he (PEG), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of less than USD 10,000 of research support funding from DePuy Mitek (Raynham, MA, USA). One of the authors certifies that he (RTB), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of USD 10,000 to USD 100,000 of research support funding from DePuy Mitek. One of the authors certifies that he (RZT), or a member of his immediate family, has or may receive payments or benefits, during the study period, an amount of USD 100,000 to USD 1,000,000 of research support funding from the Depart...

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

Potter

Wylie

Greis

et al. 2015

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

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“…Self-rated health, including psychological status, substantially predicts outcomes after total joint arthroplasty, above and beyond prior physical health [20]. Cho et al [9] documented that psychological distress has a negative effect on outcome measurements in patients scheduled for rotator cuff repair. However, the impact of psychological predispositions, including depression, anxiety, and insomnia, on clinical outcomes after rotator cuff repair is still poorly understood.…”

Section: Introductionmentioning

confidence: 99%

Does Rotator Cuff Repair Improve Psychologic Status and Quality of Life in Patients With Rotator Cuff Tear?

Cho

Song

Hwang

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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109

107

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Validation of the four‐dimensional symptom questionnaire (4DSQ) and prevalence of psychological symptoms in orthopedic shoulder patients

Koorevaar

Terluin

Riet

et al. 2015

Journal Orthopaedic Research

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Psychological problems are common in shoulder patients. A validated psychological questionnaire measuring clinically relevant psychological symptoms (including distress, depression, anxiety, and somatization) in shoulder patients is lacking. The FourDimensional Symptom Questionnaire (4DSQ) is a self-report questionnaire to identify distress, depression, anxiety, and somatization which has been validated in primary care populations. The aim of this study was to validate the 4DSQ in orthopedic shoulder patients. We assessed whether the 4DSQ measures these four constructs the same way in an orthopedic population with shoulder problems compared to a general practice population. We also investigated the prevalence of psychological symptoms in shoulder patients. The shoulder group consisted of 200 consecutive patients and the general practice group comprised 368 patients, matched for gender and age. Differential item functioning analysis showed that the 4DSQ measures the different psychological symptoms in orthopedic shoulder patients the same way as in general practice patients. The shoulder patients tended to score higher on the somatization scale, resulting in a new cut-off point for somatization. The prevalence of distress, somatization, anxiety, and depression in the shoulder group was 23%, 14%, 10%, and 8%, respectively. It can be concluded from this study that the 4DSQ in orthopedic shoulder patients measures the same constructs as in general practice patients and can therefore be used in orthopedic practice to measure psychological symptoms in patients with shoulder complaints. ß

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The impact of depression and anxiety on self-assessed pain, disability, and quality of life in patients scheduled for rotator cuff repair

Cited by 152 publications

References 38 publications

One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

One-year Patient-reported Outcomes After Arthroscopic Rotator Cuff Repair Do Not Correlate With Mild to Moderate Psychological Distress

Does Rotator Cuff Repair Improve Psychologic Status and Quality of Life in Patients With Rotator Cuff Tear?

Validation of the four‐dimensional symptom questionnaire (4DSQ) and prevalence of psychological symptoms in orthopedic shoulder patients

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