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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

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Affiliated Author(s)
조철현배기철이경재황일선
Alternative Author(s)
Cho, Chul HyunBae, Ki CheorLee, Kyung JaeHwang, Il Seon
Journal Title
Journal of Shoulder and Elbow Surgery
ISSN
1058-2746
Issued Date
2013
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
Department
Dept. of Orthopedic Surgery (정형외과학)
Dept. of Pathology (병리학)
Publisher
School of Medicine
Citation
Chul-Hyun Cho et al. (2013). The impact of depression and anxiety on self-assessed pain, disability, and quality of life in patients scheduled for rotator cuff repair. Journal of Shoulder and Elbow Surgery, 22(9), 1160–1166. doi: 10.1016/j.jse.2013.02.006
Type
Article
ISSN
1058-2746
DOI
10.1016/j.jse.2013.02.006
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34834
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
1. School of Medicine (의과대학) > Dept. of Pathology (병리학)
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