Results Weak to moderate cross-sectional associations were found for emotional or mental health with function or disability and pain in multiple studies .
Lower emotional or mental health function was associated with greater pain or disability or lower physical function at initial evaluation .
Conclusions At the initial evaluation of patients with rotator cuff tear , there was an association between self-reported function and pain and emotional or mental health .
However , these factors were not associated with patient-reported outcomes after intervention .
Preoperative patient expectation is an important predictor of patient-reported outcomes in patients after rotator cuff surgery and may be a modifiable target for enhancing recovery .
Background Psychosocial factors are key determinants of health and can influence patient-reported outcomes after rotator cuff tears .
However , to our knowledge , a systematic review of published studies has not been conducted to determine the degree of consistency and strength of the relationship between psychosocial factors and patient-reported outcomes in this patient population .
Questions / purpose s ( 1 ) Are psychosocial factors associated with patient-reported measures at initial clinical presentation in patients with rotator cuff tears ? (
2 ) Are psychosocial factors associated with patient-reported outcomes after treatment in patients with rotator cuff tears ?
Pain Sensitivity and Pain Catastrophizing Are Associated With Persistent Pain and Disability After Lumbar Spine Surgery.
OBJECTIVE To examine whether pain sensitivity and pain catastrophizing are associated with  persistent pain and disability after lumbar spine surgery . DESIGN Prospect i ve observational cohort study . SETTING Academic medical center . PARTICIPANTS Patients ( N=68 ; mean age , 57.9±13.1y ; 40 women [ 58.8 % ] ) undergoing spine surgery for a degenerative condition from March 1 , 2012 to April 30 , 2013 were assessed 6 weeks , 3 months , and 6 months after surgery . INTERVENTIONS Not applicable . MAIN OUTCOME MEASURES The main outcome measures were persistent back pain intensity , pain interference , and disability .  Patients with persistent back pain intensity , pain interference , or disability  were identified as those patients reporting Brief Pain Inventory scores ≥4 and Oswestry Disability Index scores ≥21 at all postoperative time points . RESULTS From 6 weeks to 6 months after surgery , approximately 12.9 % , 24.2 % , and 46.8 % of patients reported persistent back pain intensity , pain interference , or disability , respectively . Increased pain sensitivity at 6 weeks was associated with having persistent back pain intensity ( odds ratio [ OR ] , 2.0 ; 95 % confidence interval [ CI ] , 1.0 - 4.1 ) after surgery . Increased pain catastrophizing at 6 weeks was associated with having persistent back pain intensity ( OR , 1.1 ; 95 % CI , 1.0 - 1.2 ) , pain interference ( OR , 1.1 ; 95 % CI , 1.0 - 1.2 ) , and disability ( OR , 1.3 ; 95 % CI , 1.1 - 1.4 ) . An interaction effect was not found between pain sensitivity and pain catastrophizing on persistent outcomes ( P>.05 ) . CONCLUSIONS The findings suggest the importance of early postoperative screening for pain sensitivity and pain catastrophizing to identify patients at risk for poor postoperative pain intensity , pain interference , and /or disability outcomes . Future research should consider the benefit of targeted therapeutic strategies for patients with these postoperative prognostic factors
Results Weak to moderate cross-sectional associations were found for emotional or mental health with function or disability and pain in multiple studies .
Lower emotional or mental health function was associated with greater pain or disability or lower physical function at initial evaluation .
Conclusions At the initial evaluation of patients with rotator cuff tear , there was an association between self-reported function and pain and emotional or mental health .
However , these factors were not associated with patient-reported outcomes after intervention .
Preoperative patient expectation is an important predictor of patient-reported outcomes in patients after rotator cuff surgery and may be a modifiable target for enhancing recovery .
Background Psychosocial factors are key determinants of health and can influence patient-reported outcomes after rotator cuff tears .
However , to our knowledge , a systematic review of published studies has not been conducted to determine the degree of consistency and strength of the relationship between psychosocial factors and patient-reported outcomes in this patient population .
Questions / purpose s ( 1 ) Are psychosocial factors associated with patient-reported measures at initial clinical presentation in patients with rotator cuff tears ? (
2 ) Are psychosocial factors associated with patient-reported outcomes after treatment in patients with rotator cuff tears ?