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 ?
Depressive Symptoms, Anatomical Region, and Clinical Outcomes for Patients Seeking Outpatient Physical Therapy for Musculoskeletal Pain
Background Clinical guidelines advocate the routine identification of depressive symptoms for patients with pain in the lumbar or cervical spine , but not for other anatomical regions . Objective The purpose of this study was to investigate the prevalence and impact of depressive symptoms for patients with musculoskeletal pain across different anatomical regions . Design This was a prospect i ve , associational study . Methods Demographic , clinical ,  depressive symptom ( Symptom Checklist 90–Revised )  , and outcome data were collected by self-report from a convenience sample of 8,304 patients . Frequency of severe depressive symptoms was assessed by chi-square analysis for demographic and clinical variables . An analysis of variance examined the influence of depressive symptoms and anatomical region on intake pain intensity and functional status . Separate hierarchical multiple regression models by anatomical region examined the influence of depressive symptoms on clinical outcomes . Results Prevalence of severe depression  was higher in women , in industrial and pain clinics , and in patients who reported chronic pain or prior surgery . Lower prevalence rates were found in patients older than 65 years and those who had upper- or lower-extremity pain .  Depressive symptoms had a moderate to large effect on pain ratings ( Cohen d=0.55–0.87 ) and a small to large effect on functional status ( Cohen d=0.28–0.95 ) . In multivariate analysis , depressive symptoms contributed additional variance to pain intensity and functional status for all anatomical locations , except for discharge values for the cervical region . Conclusions Rates of depressive symptoms varied slightly based on anatomical region of musculoskeletal pain . Depressive symptoms had a consistent detrimental influence on outcomes , except on discharge scores for the cervical anatomical region . Exp and ing screening recommendations for depressive symptoms to include more anatomical regions may be indicated in physical therapy setting
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 ?