Isip, Stress, at Pagbawi Impormasyon

Ano ang nararamdaman mo

Ang iyong kalusugang pangkaisipan ay may malaking papel sa kung paano ka makakaramdam pagkatapos ng operasyon. Ang hindi tinutugunan na mga disorder sa kalusugang pangkaisipan ay malamang na nag-aakala ng patuloy na kakulangan sa pagkamit ng mataas na mga rate ng minimal clinically important difference at substansyal na klinikal na benepisyo sa mga resulta ng hip preservation surgery. Ang mga sintomas ng anxiety at depression ay nauugnay sa mas mahinang mga resulta sa mga pasyenteng nagsasagawa ng total hip arthroplasty. Maaaring magkaiba ang iyong recovery trajectory mula sa mga walang mga sintomas na ito.

Ang bagong paglitaw ng anxiety o depression pagkatapos ng arthroscopic shoulder stabilization surgery ay may malaking pinataas na risk ng 90-day readmission. Ang kalagayan ng kalusugang pangkaisipan ay nagpapakita ng pinakamalakas na asosasyon sa mga baseline patient-reported outcome measures sa mga pasyenteng nagsasagawa ng revision rotator cuff repairs. Ang mga pasyenteng may mas mababang preoperative mental health scores ay nag-ulat ng katulad o mas malaking pagpapabuti ng sakit at katulad na mga pagpapabuti ng functional pagkatapos ng regenerative peripheral nerve interface surgery para sa upper-extremity neuromas.

Ang mas mahabang duration ng sintomas ay isang independent predictor ng postoperative dissatisfaction sa mga pasyenteng may cervical disc herniation. Ang kinesiophobia ay isang kritikal na psychological factor na nakakaapekto nang hindi maganda sa functional recovery at pagbabalik sa sport pagkatapos ng arthroscopic Bankart repair para sa glenohumeral instability. Ang central sensitization sa chronic nonspecific low back pain ay maaaring makita bilang isang sobrang reactivity ng mga nociceptive neurons sa central nervous system sa normal o subthreshold afferent chronic stimuli sa mga taong may mga partikular na mental predispositions.

Ano ang nangyayari talaga

Ang iyong isipan at katawan ay nagpapagaling nang sabay. Ang mga hindi tinutugun na disorder sa mental health ay malamang na nag-aakala ng patuloy na kakulangan sa pagkamit ng mataas na mga rate ng minimal clinically important difference at substansyal na klinikal na benepisyo sa hip preservation surgery. Ibig sabihin, kung hindi gagamutin ang anxiety o depression, maaaring hindi makukuha ng iyong operasyon ang buong ginhawa na inaasahan mo.

Ang mga sintomas ng anxiety at depression ay nauugnay sa mas mahinang mga resulta sa mga pasyenteng nagsasagawa ng total hip arthroplasty. Iba ang iyong trajectory ng paggaling kumpara sa mga walang mga sintomas na ito. Ang mga pasyenteng nagkakaroon ng bagong-onset na anxiety o depression pagkatapos ng arthroscopic shoulder stabilization surgery ay may malaking tawid na panganib ng 90-day readmission. Ipinapakita nito na direktang nakakaapekto ang iyong mental state sa bilis at kaligtasan ng iyong pisikal na paggaling.

Ang status ng mental health ay nagpapakita ng pinakamalakas na asosasyon sa mga baseline patient-reported outcomes sa mga pasyenteng nagsasagawa ng revision rotator cuff repairs. Katulad nito, ang kasaysayan ng anxiety at/o depression ay patuloy na nauugnay sa mas mahinang mga resulta pagkatapos ng arthroscopic hip surgery. Ang kinesiophobia, o takot sa paggalaw, ay isang kritikal na psychological factor na nakakaapekto nang hindi maganda sa functional recovery at pagbabalik sa sports pagkatapos ng arthroscopic Bankart repair para sa glenohumeral instability.

Maaaring palakasin ng iyong utak ang mga signal ng sakit. Ang central sensitization sa chronic nonspecific low back pain ay maaaring makita bilang sobrang reaktibidad ng mga nociceptive neurons sa central nervous system sa normal o subthreshold afferent chronic stimuli sa mga taong may ilang mental predispositions. Ito ang dahilan kung bakit ang stress ay parang pisikal na sakit.

May mga intervention na tumutulong, ngunit magkakaiba ang mga resulta. Isang intervention na batay sa cognitive-behavioral therapy ay nagresulta sa marginal na pagpapabuti sa kaalaman tungkol sa sakit at psychological distress sa 6 linggo ngunit hindi nagbigay ng makabuluhang mga benepisyo sa sakit at function hanggang 1 taon para sa low back pain. Ginagamit ng iyong doktor ang mga tool tulad ng Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score upang i-screen ang mga panganib na ito bago ang operasyon. Tumutulong ito na ma-predict ang psychological distress pagkatapos ng total joint arthroplasty.

Mangyaring malaman na ang iyong mental well-being ay bahagi ng treatment plan. Ang pagtugon sa stress at mood ay tumutulong sa iyong joint na mas mabuting magpagaling at pinapanatili kang nasa labas ng ospital.

Ano ang maaari naming gawin dito

Ang iyong kalusugang pangkaisipan ay may malaking papel sa kung gaano ka mabuti ang paggaling. Ang mga hindi tinutugunan na disorder sa kalusugang pangkaisipan ay malamang na nagkukumbin sa patuloy na kakulangan na makamit ang mataas na antas ng minimal clinically important difference at substansyal na klinikal na benepisyo sa mga resulta ng hip preservation surgery. Ibig sabihin, ang iyong damdamin ay maaaring magbago ng iyong pisikal na resulta.

Maaari kang magsimula sa self-management. Ang mga simpleng pagbabago sa istilo ng buhay at physiotherapy ay tumutulong sa iyo na muling makuha ang lakas at kumpiyansa. Kung ikaw ay may takot sa paggalaw, na kilala bilang kinesiophobia, ito ay isang kritikal na psychological factor na nakakaapekto nang negatibo sa functional recovery at pagbabalik sa sports pagkatapos ng arthroscopic Bankart repair para sa glenohumeral instability. Ang pagtugon sa takot na ito ay susi.

Ang pagdaragdag ng motor imagery sa conservative treatment pagkatapos ng distal radius fracture ay nag-improve ng function, wrist extension, at hand grip strength kumpara sa conventional treatment lamang. Ibig sabihin, ang pag-visualize ng iyong paggalaw ay maaaring tumulong sa paggaling ng iyong katawan. Para sa mga lower limb amputees, ang mga comprehensive rehabilitation programs ay dapat magbigay-prioridad sa epektibong pain management, social support, at personalized care. Ang mga hakbang na ito ay tumutulong sa iyo na maramdaman ang mas malaking kontrol sa iyong paggaling.

Ang medical management ay nag-aalok ng karagdagang suporta kapag ang self-care ay hindi sapat. Maaaring pag-usapan ng iyong doktor ang gamot sa sakit o anti-inflammatories upang matulungan kang pamahalaan ang hindi komportableng pakiramdam. Para sa ilang mga pasyente, maaaring isaalang-alang ang hormone therapy, bagaman may mga trade-offs ito na ipapaliwanag ng iyong doktor.

Kung ikaw ay may anxiety o depression, ang mga sintomas na ito ay nauugnay sa mas mahinang mga resulta sa mga pasyenteng nagsasagawa ng total hip arthroplasty. Iba ang mga recovery trajectories mula sa mga walang mga sintomas na ito. Gayunpaman, ang treatment ay maaaring tumulong. Ang pagbibigay ng duloxetine sa mga pasyenteng may anxiety o depression na nagsasagawa ng arthroscopic rotator cuff repair ay nag-improve ng anxiety at distress, pati na rin ang active range of motion, ASES, at SST scores sa unang 3 buwan pagkatapos ng operasyon. Mag-ingat na ang pagbibigay ng duloxetine sa mga pasyenteng nagsasagawa ng arthroscopic rotator cuff repair ay nagresulta sa 16% na nakaranas ng nausea at vomiting. Ito ay isang side effect na dapat bantayan.

Ang mga non-drug therapies ay maaari ring bawasan ang stress. Ang mga pasyenteng tumatanggap ng music therapy intervention ay may malaking pagbaba sa mga score ng sakit at anxiety kumpara sa controls habang nasa total shoulder arthroplasty. Ang simpleng tool na ito ay maaaring magdulot ng tunay na pagkakaiba sa kung paano ka nararamdaman habang nasa treatment.

Kung ang iyong mga sintomas ay seryoso at patuloy kahit ang mga nabanggit na hakbang, maaaring irefer ka ng doktor para sa specialist assessment. Para sa ilang mga partikular na kondisyon, maaaring isaalang-alang ang isang procedure upang tugunan ang mga underlying issues. Gabayin ka ng iyong doktor sa pinakamainam na susunod na hakbang batay sa iyong natatanging pangangailangan. Tandaan, ang paghingi ng tulong para sa iyong kalusugang pangkaisipan ay isang malakas na hakbang patungo sa mas mahusay na pisikal na paggaling.

Kailan makipag-ugnayan sa doktor

Kumonsulta sa iyong doktor kung ikaw ay may patuloy na sakit na hindi gumagaling kahit may pahinga, o kung napapansin mo ang kahinaan o kawalan ng katatagan sa iyong mga kasu-kasuan. Humingi ng pagsusuri ng espesyalista kung ang iyong mga sintomas ay nagdudulot ng pagkakasara o pagbagsak ng kasu-kasuan, o kung nakakaapekto ito sa iyong pagtulog o trabaho. Ang biglaang paglala ng mga sintomas ay nangangailangan din ng agad na pansin. Magkaroon ng kaalaman na ang anxiety at depression ay maaaring magdulot ng mas mahinang resulta pagkatapos ng operasyon sa kasu-kasuan, tulad ng total hip arthroplasty. Ang bagong nagsimulang anxiety o depression pagkatapos ng mga prosedura tulad ng shoulder stabilization ay malaki ang pagtaas ng iyong risk na ma-readmit sa loob ng 90 araw. Ang hindi naaayos na mga isyu sa mental health ay maaaring hadlangan ka na makamit ang makabuluhang klinikal na benepisyo. Maaaring gamitin ng iyong doktor ang mga partikular na screening tools upang suriin ang iyong psychological state bago ang operasyon upang makatulong na ma-predict ang iyong recovery trajectory.

Evidence & references

Overview

Machine learning algorithms can predict psychological distress after total joint arthroplasty [1].
Early identification of patients at risk for postoperative psychological distress enables targeted behavioral health referral or psychologically informed physical therapy prior to surgery [1].
Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories [2].
Tailored perioperative counseling and psychological support are needed for patients with anxiety and depression undergoing total hip arthroplasty [2].
Patients with lower preoperative mental health scores report similar or greater pain improvements after regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
Patients with lower preoperative mental health scores report similar functional improvements after regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
Regenerative peripheral nerve interface surgery benefits patients regardless of mental health status [3].
Anxiety and depression may be more important than the alpha angle or suction seal in hip preservation surgery outcomes [4].
Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
A cognitive behavioral therapy-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain [8].
The cognitive behavioral therapy-based intervention did not yield meaningful benefits in pain and function out to 1 year for low back pain [8].
Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
Patients with underlying mental health disorders may still significantly benefit from medial patellofemoral ligament reconstruction compared to their unaffected counterparts [10].
Patients with underlying mental health disorders report worse pre- and post-operative PROMIS scores after medial patellofemoral ligament reconstruction compared to unaffected counterparts [10].
Kinesiophobia is a critical psychological factor that adversely affects functional recovery following arthroscopic Bankart repair [12].
Kinesiophobia is a critical psychological factor that adversely affects return to sport following arthroscopic Bankart repair [12].
The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score has superior performance for identifying the potential for poor outcomes following elective total knee and hip arthroplasty [13].
The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is integrated within standard outcome frameworks [13].
The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening [13].

Anatomy & Pathophysiology

Machine learning models can predict psychological distress after total joint arthroplasty to enable early identification of at-risk patients [1].
Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories compared to those without these symptoms [2].
Patients with lower preoperative mental health scores report similar or greater pain improvements and similar functional improvements following regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
Revision rotator cuff repair patients are more commonly White, have lower mental health status, and have more severe rotator cuff pathology compared to primary rotator cuff repair patients [11].
Tear severity is not associated with baseline patient-reported outcomes in revision rotator cuff repair patients [11].
Kinesiophobia adversely affects functional recovery and return to sport following arthroscopic Bankart repair for glenohumeral instability [12].
A history of depression may not adversely affect patient-reported outcomes after thumb carpometacarpal arthroplasty [15].
Machine learning models demonstrate excellent predictive power and accuracy in assessing postoperative catastrophic cardiac complications following hip and knee periprosthetic fracture surgery using preoperative parameters [19].
Adding motor imagery to conservative treatment after distal radius fracture improves function, wrist extension, and hand grip strength compared to conventional treatment alone [20].
The Hip-RSI Score with a cutoff of 51.7 at 4 months postoperatively demonstrates moderate ability to predict return to sport after surgical repair of a proximal hamstring avulsion [21].
The Hip-RSI Score for predicting return to sport after proximal hamstring avulsion repair has a sensitivity of 69% and a specificity of 77% [21].
No operation for reconstruction of a resected part of the skeleton can restore a limb to normal function [22].
Patient-specific psychological characteristics and personality structure significantly affect functional outcomes after arthroscopically assisted acromioclavicular joint stabilization for acute and chronic injuries at mid-term follow-up [23].

Classification

Machine learning algorithms can predict psychological distress after total joint arthroplasty [1].
Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
Patients with lower preoperative mental health scores report similar or greater pain improvements and similar functional improvements following regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
Patients with remission or mild fibromyalgia experience more severe symptoms and poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
Patients with underlying mental health disorders report worse pre- and post-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
Revision rotator cuff repair patients have lower mental health status compared to primary rotator cuff repair patients [11].
Tear severity is not associated with baseline PROMs in revision rotator cuff repair patients [11].
The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening for poor outcomes following elective total knee and hip arthroplasty [13].
Adolescent AIS patients' anxiety levels are stable, independent of received therapeutic support [14].
Central sensitization in chronic nonspecific low back pain can be seen as an excessive reactivity of nociceptive neurons in the central nervous system to normal or subthreshold afferent chronic stimuli in people with certain mental predispositions [16].

Clinical Presentation

Machine learning algorithms can predict psychological distress after total joint arthroplasty [1].
Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
Patients with lower preoperative mental health scores report similar or greater pain improvements and similar functional improvements following regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
Patients with remission or mild fibromyalgia experience more severe symptoms and poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
A cognitive-behavioral therapy-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain, but did not yield meaningful benefits in pain and function out to 1 year [8].
Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
Patients with underlying mental health disorders report worse pre- and post-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
Revision rotator cuff repair cohorts have lower mental health status compared to primary rotator cuff repair cohorts [11].
Tear severity was not associated with baseline PROMs in patients undergoing revision rotator cuff repairs [11].
Kinesiophobia adversely affects functional recovery and return to sport following arthroscopic Bankart repair [12].
The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening for potential poor outcomes following elective total knee and hip arthroplasty [13].
Adolescent idiopathic scoliosis patients' anxiety levels are stable, independent of received therapeutic support [14].
Central sensitization in chronic nonspecific low back pain can be seen as an excessive reactivity of nociceptive neurons in the central nervous system to normal or subthreshold afferent chronic stimuli in people with certain mental predispositions [16].

Investigations

Machine learning algorithms can predict psychological distress after total joint arthroplasty [1].
Such models support early identification of patients at risk for postoperative psychological distress [1].
Early identification enables targeted behavioral health referral prior to surgery [1].
Early identification enables psychologically informed physical therapy prior to surgery [1].
Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty [2].
Patients with anxiety and depression have different recovery trajectories after total hip arthroplasty [2].
Tailored perioperative counseling is needed for patients with anxiety and depression undergoing total hip arthroplasty [2].
Psychological support is needed for patients with anxiety and depression undergoing total hip arthroplasty [2].
Patients with lower preoperative mental health scores report similar or greater pain improvements after regenerative peripheral nerve interface surgery [3].
Patients with lower preoperative mental health scores report similar functional improvements after regenerative peripheral nerve interface surgery [3].
Regenerative peripheral nerve interface benefits patients regardless of mental health status [3].
Anxiety and depression may be more important than the alpha angle or suction seal in hip preservation surgery outcomes [4].
Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference in hip preservation surgery [4].
Unaddressed mental health disorders likely account for the persistent inability to achieve substantial clinical benefit in hip preservation surgery [4].
New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
There is a disparity between sexes in physical recovery following anterior cruciate ligament reconstruction [6].
There is a disparity between sexes in psychological recovery following anterior cruciate ligament reconstruction [6].
There is a disparity between sexes in return to sport status following anterior cruciate ligament reconstruction [6].
Patients with remission or mild fibromyalgia experience more severe symptoms than patients with remission or low disease activity rheumatoid arthritis [7].
Patients with remission or mild fibromyalgia experience poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
Patients with remission or mild fibromyalgia experience more severe symptoms than healthy controls [7].
Patients with remission or mild fibromyalgia experience poorer quality of life than healthy controls [7].
A cognitive-behavioral therapy-based intervention resulted in marginal improvements in pain-related knowledge at 6 weeks for low back pain [8].
A cognitive-behavioral therapy-based intervention resulted in marginal improvements in psychological distress at 6 weeks for low back pain [8].
A cognitive-behavioral therapy-based intervention did not yield meaningful benefits in pain out to 1 year for low back pain [8].
A cognitive-behavioral therapy-based intervention did not yield meaningful benefits in function out to 1 year for low back pain [8].
Patients with major depressive disorder are at risk for inferior outcomes after patellar stabilization surgery [10].
Patients with undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
Patients with underlying mental health disorders report worse pre-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
Patients with underlying mental health disorders report worse post-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
Patients with underlying mental health disorders may still significantly benefit from MPFL-R compared to their unaffected counterparts [10].
Revision rotator cuff repair patients are more commonly White than primary rotator cuff repair patients [11].
Revision rotator cuff repair patients have lower mental health status than primary rotator cuff repair patients [11].
Revision rotator cuff repair patients have more severe rotator cuff pathology than primary rotator cuff repair patients [11].
Tear severity was not associated with baseline PROMs in revision rotator cuff repair patients [11].
Kinesiophobia adversely affects functional recovery following arthroscopic Bankart repair [12].
Kinesiophobia adversely affects return to sport following arthroscopic Bankart repair [12].
The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score has superior performance for identifying the potential for poor outcomes following elective total knee and hip arthroplasty [13].
The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is integrated within standard outcome frameworks [13].
The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening [13].
Adolescent idiopathic scoliosis patients' anxiety levels are stable independent of received therapeutic support [14].
Music therapy intervention effects on pain and anxiety in adult patients undergoing total shoulder arthroplasty were not dependent on live vs. recorded presentation [17].
Adding motor imagery to conservative treatment after distal radius fracture improved function compared to conventional treatment alone [20].
Adding motor imagery to conservative treatment after distal radius fracture improved wrist extension compared to conventional treatment alone [20].
Adding motor imagery to conservative treatment after distal radius fracture improved hand grip strength compared to conventional treatment alone [20].

Treatment

Machine learning algorithms can predict psychological distress after total joint arthroplasty to support early identification of at-risk patients [1].
Early identification of patients at risk for postoperative psychological distress enables targeted behavioral health referral or psychologically informed physical therapy prior to surgery [1].
Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories [2].
The differing recovery trajectories of patients with anxiety and depression emphasize the need for tailored perioperative counseling and psychological support [2].
Regenerative peripheral nerve interface (RPNI) surgery provides similar or greater pain improvements and similar functional improvements regardless of preoperative mental health status [3].
Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
Sex-based disparities exist in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
Patients with remission or mild fibromyalgia experience more severe symptoms and poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
A cognitive-behavioral therapy-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain but did not yield meaningful benefits in pain and function out to 1 year [8].
Distal biceps tendon repair using a cortical button with or without an interference screw provides excellent short- to mid-term clinical and functional outcomes [9].
Patients with major depressive disorder and undiagnosed depression report worse pre- and post-operative PROMIS scores after patellar stabilization surgery compared to unaffected counterparts [10].
Patients with underlying mental health disorders may still significantly benefit from medial patellofemoral ligament reconstruction compared to their unaffected counterparts [10].
Kinesiophobia is a critical psychological factor that adversely affects functional recovery and return to sport following arthroscopic Bankart repair [12].
The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening due to its superior performance and integration within standard outcome frameworks [13].
Adolescent idiopathic scoliosis patients' anxiety levels are stable and independent of received therapeutic support [14].
Music therapy intervention effects on pain and anxiety in adult patients undergoing total shoulder arthroplasty were not dependent on live versus recorded presentation [17].

Complications

Machine learning algorithms can predict psychological distress after total joint arthroplasty [1].
Early identification of patients at risk for postoperative psychological distress enables targeted behavioral health referral or psychologically informed physical therapy prior to surgery [1].
Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories [2].
Tailored perioperative counseling and psychological support are needed for patients with anxiety and depression undergoing total hip arthroplasty [2].
Patients with lower preoperative mental health scores report similar or greater pain improvements after regenerative peripheral nerve interface (RPNI) surgery for upper-extremity neuromas [3].
Patients with lower preoperative mental health scores report similar functional improvements after RPNI surgery for upper-extremity neuromas [3].
RPNI benefits patients regardless of mental health status [3].
Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
Anxiety and depression may be more important than the alpha angle or suction seal in hip preservation surgery outcomes [4].
New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction (ACLR) [6].
Patients with remission or mild fibromyalgia experience more severe symptoms and poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
A cognitive behavioral therapy (CBT)-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain [8].
The CBT-based intervention did not yield meaningful benefits in pain and function out to 1 year for low back pain [8].
Risk-stratified care improves pain-related knowledge and reduces psychological distress for low back pain [8].
Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
Patients with underlying mental health disorders report worse pre- and post-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
Patients with underlying mental health disorders may still significantly benefit from MPFL-R compared to their unaffected counterparts [10].
Revision rotator cuff repair (RCR) patients are more commonly White than primary RCR patients [11].
Revision RCR patients have lower mental health status than primary RCR patients [11].
Revision RCR patients have more severe rotator cuff pathology than primary RCR patients [11].
Tear severity was not associated with baseline PROMs in revision RCR patients [11].
A history of depression may not adversely affect patient-reported outcomes after thumb carpometacarpal (CMC) arthroplasty [15].
A history of anxiety and/or depression is consistently associated with poorer outcomes after arthroscopic hip surgery at 2-year follow-up [18].
Resilience demonstrates a less consistent and variable association with outcomes after arthroscopic hip surgery [18].
Machine learning models demonstrate excellent predictive power and accuracy in assessing postoperative cardiac complications following hip and knee periprosthetic fracture surgery using preoperative parameters [19].

Recovery

Machine learning algorithms can predict psychological distress after total joint arthroplasty to support early identification of at-risk patients [1].
Early identification of postoperative psychological distress risk enables targeted behavioral health referral or psychologically informed physical therapy prior to surgery [1].
Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories [2].
The differing recovery trajectories of patients with anxiety and depression emphasize the need for tailored perioperative counseling and psychological support [2].
Patients with lower preoperative mental health scores report similar or greater pain improvements after regenerative peripheral nerve interface (RPNI) surgery for upper-extremity neuromas [3].
Patients with lower preoperative mental health scores report similar functional improvements after RPNI surgery for upper-extremity neuromas [3].
RPNI benefits patients regardless of mental health status [3].
Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction (ACLR) [6].
Patients with remission or mild fibromyalgia experience more severe symptoms and poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
A cognitive behavioral therapy (CBT)-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain [8].
The CBT-based intervention for low back pain did not yield meaningful benefits in pain and function out to 1 year [8].
Revision rotator cuff repair patients are more commonly White than primary rotator cuff repair patients [11].
Revision rotator cuff repair patients have lower mental health status than primary rotator cuff repair patients [11].
Revision rotator cuff repair patients have more severe rotator cuff pathology than primary rotator cuff repair patients [11].
Tear severity was not associated with baseline patient-reported outcome measures (PROMs) in revision rotator cuff repair patients [11].
Kinesiophobia is a critical psychological factor that adversely affects functional recovery following arthroscopic Bankart repair for glenohumeral instability [12].
Kinesiophobia is a critical psychological factor that adversely affects return to sport following arthroscopic Bankart repair for glenohumeral instability [12].
A history of depression may not adversely affect patient-reported outcomes after thumb carpometacarpal (CMC) arthroplasty [15].
A history of anxiety and/or depression is consistently associated with poorer outcomes after arthroscopic hip surgery at 2-year follow-up [18].
Resilience demonstrates a less consistent and variable association with outcomes after arthroscopic hip surgery [18].

Key Evidence

[L4] Such models could support early identification of patients at risk for postoperative psychological distress, enabling targeted behavioral health referral or psychologically informed physical therapy prior to surgery. [1] (10.1016/j.arth.2026.05.039)
[L2] While these patients experience major clinical improvement after THA, their recovery trajectories differ, emphasizing the need for tailored perioperative counseling and psychological support. [2] (10.1016/j.arth.2025.06.013)
[L4] Patients with lower preoperative mental health scores reported similar or greater pain improvements and similar functional improvements, suggesting RPNI benefits patients regardless of mental health status. [3] (10.1016/j.jhsg.2026.100985)
[L5] Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery. [4] (10.1002/arj.70034)
[L3] New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery. [5] (10.1016/j.jseint.2025.101413)
[L2] This study demonstrates the disparity between sexes in physical and psychological recovery, as well as RTS status, in community-level patients undergoing ACLR. [6] (10.1177/2325967125s00328)
[L4] Despite being in a mild activity or remission stage, RFM patients experience more severe symptoms and poorer QOL than RRA patients. [7] (10.1186/s12891-025-08323-6)
[Paper] This CORR Insights commentary discusses a secondary analysis of a randomized trial, noting that while a CBT-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks, it did not yield meaningful benefits in pain and function out to 1 year. [8] (10.1097/corr.0000000000003410)
[L3] Both techniques provided excellent short- to mid-term clinical and functional outcomes. [9] (10.1177/17585732261441889)
[L3] Patients with underlying mental health disorders may still significantly benefit from MPFL-R compared to their unaffected counterparts but will nonetheless report worse pre- and post-operative PROMIS scores. [10] (10.1016/j.jisako.2026.101080)
[L3] Compared to primary RCR patients, the revision cohort were more commonly White, had lower mental health status and more severe rotator cuff pathology, though tear severity was not associated with baseline PROMs. [11] (10.1016/j.jse.2026.05.007)
[L3] Kinesiophobia is a critical psychological factor that adversely affects functional recovery and return to sport following arthroscopic Bankart repair. [12] (10.1186/s12891-026-09567-6)
[L3] Its superior performance and integration within standard outcome frameworks make it a valuable tool for preoperative psychosocial screening. [13] (10.1016/j.arth.2025.09.034)
[L3] AIS patients' anxiety levels are stable, independent of received therapeutic support. [14] (10.1186/s12891-026-09645-9)
[L4] These findings suggest that a history of depression may not adversely affect patient-reported outcomes after thumb CMC arthroplasty. [15] (10.1016/j.jhsg.2026.100989)
[L5] Central sensitization can be seen as an excessive reactivity of nociceptive neurons in the central nervous system to normal or subthreshold afferent chronic stimuli in people with certain mental predispositions. [16] (10.3390/jcm14020577)
[L2] Findings were not dependent on live vs. recorded presentation. [17] (10.1016/j.jseint.2025.101438)
[L3] The present study suggests that a history of anxiety and/or depression is consistently associated with poorer outcomes after arthroscopic hip surgery, whereas resilience demonstrates a less consistent and variable association. [18] (10.1177/23259671251407329)
[L3] All models demonstrated excellent predictive power and accuracy in assessing postoperative cardiac complications. [19] (10.1016/j.arth.2026.04.007)
[L1] Adding motor imagery to conservative treatment after distal radius fracture improved function, wrist extension, and hand grip strength compared to conventional treatment alone. [20] (10.1016/j.jht.2025.02.018)
[L3] This score, with a cutoff of 51.7 at 4 months postoperatively, demonstrated a moderate ability to predict which patients would return to sport, with a sensitivity of 69% and a specificity of 77%. [21] (10.1177/23259671251389118)
[Paper] No operation for reconstruction of a resected part of the skeleton can restore a limb to normal function. [22] (10.2106/00004623-196446020-00012)
[L4] Patient-specific psychological characteristics and personality structure significantly affect functional outcomes after arthroscopically assisted ACJ stabilization for acute and chronic ACJ injuries at mid-term follow-up. [23] (10.1002/ksa.70349)

References

[1] Development of Machine Learning Algorithms Predicting Psychological Distress After Total Joint Arthroplasty. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2026.05.039 [2] Anxiety and Depression Symptoms Are Associated With Inferior Outcomes in Patients Undergoing Total Hip Arthroplasty: A Prospective Cohort Study. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2025.06.013 [3] Outcomes Following Regenerative Peripheral Nerve Interface Surgery and Associations With Preoperative Mental Health: A Retrospective Analysis of Upper-Extremity Neuromas. Journal of Hand Surgery Global Online. 2026. DOI: 10.1016/j.jhsg.2026.100985 [4] Editorial Commentary : Anxiety and Depression May Be More Important Than the Alpha Angle or Suction Seal in Hip Preservation Surgery Outcomes. Arthroscopy. 2026. DOI: 10.1002/arj.70034 [5] Risk factors for new-onset anxiety and depression after arthroscopic shoulder stabilization surgery. JSES International. 2026. DOI: 10.1016/j.jseint.2025.101413 [6] Sex-based differences in physical and psychological recovery, and return to sport, following anterior cruciate ligament reconstruction. Orthopaedic Journal of Sports Medicine. 2026. DOI: 10.1177/2325967125s00328 [7] Quality of life, pain, depression, fatigue and sleep in patients with remission or mild fibromyalgia: a comparison with remission or low disease activity rheumatoid arthritis and healthy controls. BMC Musculoskeletal Disorders. 2025. DOI: 10.1186/s12891-025-08323-6 [8] CORR Insights®: Risk-stratified Care Improves Pain-related Knowledge and Reduces Psychological Distress for Low Back Pain: A Secondary Analysis of a Randomized Trial. Clinical Orthopaedics & Related Research. 2025. DOI: 10.1097/corr.0000000000003410 [9] Distal biceps tendon repair using cortical button with or without interference screw: A comparative study. Shoulder & Elbow. 2026. DOI: 10.1177/17585732261441889 [10] Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery. Journal of ISAKOS. 2026. DOI: 10.1016/j.jisako.2026.101080 [11] Associations of preoperative patient mental health status, sociodemographic and clinical characteristics with baseline pain, function and satisfaction in patients undergoing revision rotator cuff repairs. Journal of Shoulder and Elbow Surgery. 2026. DOI: 10.1016/j.jse.2026.05.007 [12] The impact of kinesiophobia on rehabilitation and return to sport following arthroscopic Bankart repair for glenohumeral instability: a minimum 1-year follow-up. BMC Musculoskeletal Disorders. 2026. DOI: 10.1186/s12891-026-09567-6 [13] The Effectiveness of the Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score Versus the Brief Resiliency Scale at Identifying the Potential for Poor Outcomes Following Elective Total Knee and Hip Arthroplasty. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2025.09.034 [14] Pre- and postsurgical anxiety and body perception: the significance of cognitive-behavioral therapy in scoliosis adolescents. BMC Musculoskeletal Disorders. 2026. DOI: 10.1186/s12891-026-09645-9 [15] The Impact of Depression and Antidepressant Treatment on Patient-Reported Outcomes Following Thumb Carpometacarpal Arthroplasty. Journal of Hand Surgery Global Online. 2026. DOI: 10.1016/j.jhsg.2026.100989 [16] Is the Central Sensitization in Chronic Nonspecific Low Back Pain Structural Phenomenon or Psychological Reaction? A Narrative Review. Journal of Clinical Medicine. 2025. DOI: 10.3390/jcm14020577 [17] A prospective randomized controlled trial on the effect of music therapy intervention on pain and anxiety in adult patients undergoing total shoulder arthroplasty. JSES International. 2026. DOI: 10.1016/j.jseint.2025.101438 [18] Effect of A History of Anxiety and Depression on Patient-Reported Outcomes After Hip Arthroscopy at 2-Year Follow-up. Orthopaedic Journal of Sports Medicine. 2026. DOI: 10.1177/23259671251407329 [19] Utility of Machine Learning in Predicting Catastrophic Cardiac Complications Following Hip and Knee Periprosthetic Fracture Surgery Using Preoperative Parameters. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2026.04.007 [20] The effect of motor imagery on functionality, pain, kinesiophobia, and quality of life in patients with distal radius fractures: A randomized controlled double-blind study. Journal of Hand Therapy. 2025. DOI: 10.1016/j.jht.2025.02.018 [21] The Hip-RSI Score for Evaluating Psychological Readiness to Return to Sport After Surgical Repair of a Proximal Hamstring Avulsion. Orthopaedic Journal of Sports Medicine. 2025. DOI: 10.1177/23259671251389118 [22] PREFACE. The Journal of Bone & Joint Surgery. 1964. DOI: 10.2106/00004623-196446020-00012 [23] Patient‐specific psychological characteristics and personality structure affect functional outcomes after surgical stabilization of acute and chronic acromioclavicular joint injuries. Knee Surgery, Sports Traumatology, Arthroscopy. 2026. DOI: 10.1002/ksa.70349