Postoperative Psychological Factors Are Associated With Perceived Improvement Following Hip Arthroscopy

Kate N. Jochimsen, James D. Doorley, Ana Maria Vranceanu, Brian Noehren, Stephen T. Duncan, Cale A. Jacobs

Research output: Contribution to journalArticlepeer-review


Psychological factors are receiving increased attention for their role in musculoskeletal health, surgical outcomes, and patientreported outcome measures. This study examined if preoperative and 3-month postoperative pain catastrophizing, kinesiophobia, and self-efficacy differ between patients who report greater versus less than 75% overall improvement from baseline to 3 months after hip arthroscopy for femoroacetabular impingement syndrome. Of 43 patients, 13 (30.2%) reported <75% improvement 3 months after surgery. Patients who reported <75% improvement had higher pain catastrophizing (p =.04), higher kinesiophobia (p =.02), and lower self-efficacy (p =.007) 3 months after surgery. None of the preoperative psychological factors differed between groups (p ≥.67). Findings suggest that patients with maladaptive psychological responses 3 months following surgery may also perceive suboptimal surgical improvement.

Original languageEnglish
Pages (from-to)46-51
Number of pages6
JournalInternational Journal of Athletic Therapy and Training
Issue number1
StatePublished - Jan 2023

Bibliographical note

Publisher Copyright:
© 2023 Human Kinetics, Inc.


  • femoroacetabular impingement syndrome
  • kinesiophobia
  • pain catastrophizing
  • self-efficacy

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


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