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 ?
The Influence of Preoperative and Postoperative Psychological Symptoms on Clinical Outcome after Shoulder Surgery: A Prospective Longitudinal Cohort Study
Background Psychological symptoms are highly prevalent in patients with shoulder complaints . Psychological symptoms in patients with shoulder complaints might play a role in the aetiology , perceived disability and pain and clinical outcome of treatment . The aim of this study was to assess whether preoperative symptoms of distress , depression , anxiety and somatisation were associated with a change in function after shoulder surgery and postoperative patient perceived improvement of pain and function . In addition , the change of psychological symptoms after shoulder surgery was analyzed and the influence of postoperative symptoms of psychological disorders after surgery on the change in function after shoulder surgery and perceived postoperative improvement of pain and function . Methods and Findings A prospect i ve longitudinal cohort study was performed in a general teaching hospital . 315 consecutive patients planned for elective shoulder surgery were included . Outcome measures included change of Disabilities of the Arm , Shoulder and H and ( DASH ) score and anchor questions about improvement in pain and function after surgery . Psychological symptoms were identified before and 12 months after surgery with the vali date d Four-Dimensional Symptom Question naire ( 4DSQ ) . Psychological symptoms were encountered in all the various shoulder diagnoses . Preoperative symptoms of psychological disorders persisted after surgery in 56 % of patients , 10 % of patients with no symptoms of psychological disorders before surgery developed new psychological symptoms . Preoperative symptoms of psychological disorders were not associated with the change of DASH score and perceived improvement of pain and function after shoulder surgery . Patients with symptoms of psychological disorders after surgery were less likely to improve on the DASH score . Postoperative symptoms of distress and depression were associated with worse perceived improvement of pain . Postoperative symptoms of distress , depression and somatisation were associated with worse perceived improvement of function . Conclusions Preoperative symptoms of distress , depression , anxiety and somatisation were not associated with worse clinical outcome 12 months after shoulder surgery . Symptoms of psychological disorders before shoulder surgery persisted in 56 % of patients after surgery . Postoperative symptoms of psychological disorders 12 months after shoulder surgery were strongly associated with worse clinical outcome
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 ?