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

Authors
Chul-Hyun ChoHyuk-Jun SeoKi-Cheor BaeKyung-Jae LeeIlseon HwangJon J.P. Warner
Department
Dept. of Orthopedic Surgery (정형외과학); Dept. of Pathology (병리학)
Issue Date
2013
Citation
Journal of Shoulder and Elbow Surgery, Vol.22(9) : 1160-1166, 2013
ISSN
1058-2746
Abstract
Background: Psychological status may be an important predictor of outcome and patient satisfaction after treatment for rotator cuff disease. Few prior studies have considered these factors. The objective of the study was to investigate the prevalence of psychological distress and its effect on self-assessed pain, disability, and health-related quality of life in patients scheduled for rotator cuff repair. Materials and methods: We assessed 107 consecutive patients preoperatively using the Hospital Anxiety and Depression Scale (HADS); visual analog scale pain score; American Shoulder and Elbow Surgeons (ASES) scale; Korean Shoulder Scale (KSS); and World Health Organization Quality of Life Scale, Abbreviated Version (WHOQOL-BREF). Preoperative demographic, clinical, and radiologic parameters were also evaluated. Results: Of the patients, 28 (26.2%) had depression and 25 (23.4%) had anxiety. The HADS depression score was positively correlated with the visual analog scale pain score (P ¼.048) and negatively correlated with the ASES, KSS, and WHOQOL-BREF scores (P ¼ .005, P ¼ .004, and P < .0001, respectively). The HADS anxiety score was negatively correlated with the ASES, KSS, and WHOQOL-BREF scores (P ¼ .034, P ¼ .037, and P < .0001, respectively). On multivariate analysis with a linear regression model, the HADS depression score was an independent predictor of ASES, KSS, and WHOQOL-BREF scores (P ¼ .02, P ¼ .005, and P ¼ .001, respectively). Conclusion: Depression and anxiety had a negative impact on self-assessed outcome measurements in patients scheduled for rotator cuff repair. Depression was a strong predictor of functional disability and health-related quality of life. Our results suggest that preoperative psychological status may influence postoperative outcome after rotator cuff repair and thus is an essential part of preoperative assessment.Level of evidence: Level I, Prospective Cohort, Prognosis Study. Crown Copyright 2013 Published by Elsevier Ltd on behalf of Neonatal Nurses Association. All rights reserved. Keywords: Rotator cuff; psychological distress; depression; anxiety; pain; functional disability; quality of life
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/34834
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
Keimyung Author(s)
조철현; 배기철; 이경재; 황일선
Full Text
https://www.sciencedirect.com/science/article/pii/S1058274613001316?via%3Dihub
File in this Item
 사서에게 요청하기
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE