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

doi:10.1123/ijatt.2021-0076

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 journal › Article › peer-review

2 Scopus citations

Abstract

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 language	English
Pages (from-to)	46-51
Number of pages	6
Journal	International Journal of Athletic Therapy and Training
Volume	28
Issue number	1
DOIs	https://doi.org/10.1123/ijatt.2021-0076
State	Published - Jan 2023

Bibliographical note

Publisher Copyright:
© 2023 Human Kinetics, Inc.

Funding

Dr. Doorley is supported by an NIH/NCCIH training grant (T32 AT000051). Dr. Duncan reports grants and personal fees from Smith and Nephew, grants from Zimmer/Biomet, grants from Stryker, grants from Medtronic, grants from Bone Support, outside the submitted work. This study was approved by the University of Kentucky Institutional Review Board.

Funders	Funder number
National Institutes of Health (NIH)
Medtronic
National Center for Complementary and Integrative Health	T32 AT000051

Keywords

femoroacetabular impingement syndrome
kinesiophobia
pain catastrophizing
self-efficacy

ASJC Scopus subject areas

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

Access to Document

10.1123/ijatt.2021-0076

Cite this

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title = "Postoperative Psychological Factors Are Associated With Perceived Improvement Following Hip Arthroscopy",

abstract = "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.",

keywords = "femoroacetabular impingement syndrome, kinesiophobia, pain catastrophizing, self-efficacy",

author = "Jochimsen, \{Kate N.\} and Doorley, \{James D.\} and Vranceanu, \{Ana Maria\} and Brian Noehren and Duncan, \{Stephen T.\} and Jacobs, \{Cale A.\}",

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doi = "10.1123/ijatt.2021-0076",

language = "English",

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AU - Jochimsen, Kate N.

AU - Doorley, James D.

AU - Vranceanu, Ana Maria

AU - Noehren, Brian

AU - Duncan, Stephen T.

AU - Jacobs, Cale A.

PY - 2023/1

Y1 - 2023/1

N2 - 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.

AB - 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.

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Postoperative Psychological Factors Are Associated With Perceived Improvement Following Hip Arthroscopy

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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Cite this