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 ?
Effect of depressive symptoms on perceived disability in patients with chronic shoulder pain
Background Psychological distress may be an important determinant of perceived disability in patients with chronic musculoskeletal disorders . We evaluated the relationship between depressive symptoms and perceived disability in patients with chronic shoulder pain and quantified the contribution made by depression to perceived disability . Methods In this prospect i ve study , 109 patients with chronic shoulder pain caused by degenerative or inflammatory disorders were evaluated using the  Disability of Arm , Shoulder and H and ( DASH ) question naire and the Center for Epidemiologic Studies -Depression ( CES-D ) Scale to determine relationships between depressive symptoms and perceived disability in patients with chronic shoulder pain . In addition , pain scores were evaluated using a  visual analog scale  ( VAS ) during activity , and range of motion ( ROM ) and abduction strength ( strength ) measurements were measured . Multivariate analyses of variance and regression modeling were used to assess the relative contributions made by depressive symptoms ( CES-D ) and other clinical parameters to patient-perceived disability ( DASH ) . Results DASH scores were found to be moderately correlated ( 0.3 < r < 0.6 ) with ROM , strength , pain VAS and CES-D ; DASH scores were more strongly correlated with CES-D scores than with pain VAS scores or range of motion ( r = 0.58 ; p < 0.001 , 0.37 ; p < 0.001 , 0.32 ; p = 0.04 respectively ) . Multiple stepwise regression analyses revealed that gender , ROM , pain VAS and CES-D scores independently predicted DASH score and accounted for 43 % of the variance . CES-D score was found to be the strongest predictor of DASH score and accounted for 23 % of the variance . Conclusions Degrees of depressive symptoms were found to be significantly associated with higher symptom scores and greater disability in patients with chronic shoulder pain . Although a large proportion of perceived disability remains unexplained , perceived disability in patients with chronic shoulder pain was found to be strongly influenced by depressive symptoms . Type of study /level of evidence Level 2 , prospect i ve cohort study , prognostic study
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 ?