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 ?
Psychologic influence on experimental pain sensitivity and clinical pain intensity for patients with shoulder pain.
UNLABELLED Pain-related fear and pain catastrophizing are 2 central psychologic factors in fear-avoidance models . Our previous studies in healthy subjects indicated that pain-related fear , but not pain catastrophizing , was associated with cold pressor pain outcomes . The current study extends previous work by investigating pain-related fear and pain catastrophizing in a group of subjects with shoulder pain , and included concurrent measures of experimental and clinical pain . Fifty nine consecutive subjects seeking operative treatment of shoulder pain were enrolled in this study ( 24 women , mean age = 50.4 , SD = 14.9 ) . Subjects completed vali date d measures of  pain-related fear , pain catastrophizing , and clinical pain intensity  and then underwent a cold pressor task to determine experimental pain sensitivity . Multivariate regression models used sex , age , pain-related fear , and pain catastrophizing to predict experimental pain sensitivity and clinical pain intensity . Results indicated that only pain-related fear uniquely contributed to variance in experimental pain sensitivity ( beta = -.42 , P < .01 ) . In contrast , sex ( beta = -.29 , P = .02 ) and pain catastrophizing ( beta = .43 , P < .01 ) uniquely contributed to variance in clinical pain intensity . These data provide additional support for application of fear-avoidance models to subjects with shoulder pain . Our results also suggest that pain-related fear and pain catastrophizing may influence different components of the pain experience , providing preliminary support for recent theoretical conceptualizations of the role of pain catastrophizing . PERSPECTIVE This study provided additional information on how specific psychological variables potentially influence experimental and clinical pain . In this sample of subjects with shoulder pain , we replicated findings from our previous studies involving healthy subjects , as fear of pain was uniquely associated with experimental pain sensitivity . In contrast , pain catastrophizing emerged as the sole psychological variable related to clinical pain intensity
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 ?