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 ?
Mental Health Has a Stronger Association with Patient-Reported Shoulder Pain and Function Than Tear Size in Patients with Full-Thickness Rotator Cuff Tears.
BACKGROUND Patient-reported outcome measures have increasingly accompanied objective examination findings in the evaluation of orthopaedic interventions . Our objective was to determine whether a vali date d measure of mental health ( Short Form-36 Mental Component Summary [ SF-36 MCS ] ) or measures of tear severity on magnetic resonance imaging were more strongly associated with self-assessed shoulder pain and function in patients with symptomatic full-thickness rotator cuff tears . METHODS One hundred and sixty-nine patients with full-thickness rotator cuff tears were prospect ively enrolled . Patients completed the Short Form-36 , visual analog scales for shoulder pain  and function , the Simple Shoulder Test ( SST ) , and the American Shoulder and Elbow Surgeons ( ASES ) instrument at the time of diagnosis . Shoulder magnetic resonance imaging examinations were review ed to document the number of tendons involved , tear size , tendon retraction , and tear surface area . Age , sex , body mass index , number of medical comorbidities , smoking status , and Workers ' Compensation status were recorded . Bivariate correlations and multivariate regression models were calculated to identify associations with baseline shoulder scores . RESULTS The SF-36 MCS had the strongest correlation with the visual analog scale for shoulder pain ( Pearson correlation coefficient , -0.48 ; p < 0.001 ) , the visual analog scale for shoulder function ( Pearson correlation coefficient , -0.33 ; p < 0.001 ) , the SST ( Pearson correlation coefficient , 0.37 ; p < 0.001 ) , and the ASES score ( Pearson correlation coefficient , 0.51 ; p < 0.001 ) . Tear severity only correlated with the visual analog scale for shoulder function ; the Pearson correlation coefficient was 0.19 for tear size ( p = 0.018 ) , 0.18 for tendon retraction ( p = 0.025 ) , 0.18 for tear area ( p = 0.022 ) , and 0.20 for the number of tendons involved ( p = 0.011 ) . Tear severity did not correlate with other scores in bivariate correlations ( all p > 0.05 ) . In all multivariate models , the SF-36 MCS had the strongest association with the visual analog scale for shoulder pain , the visual analog scale for shoulder function , the SST , and the ASES score ( all p < 0.001 ) . CONCLUSIONS Patient mental health may play an influential role in patient-reported pain and function in patients with full-thickness rotator cuff tears . Further studies are needed to determine its effect on the outcome of the treatment of rotator cuff disease
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 ?