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 ?
Does Rotator Cuff Repair Improve Psychologic Status and Quality of Life in Patients With Rotator Cuff Tear?
Background Recently , psychological status , patient-centered outcomes , and health-related quality of life ( HRQoL ) in patients with scheduled or who underwent orthopaedic surgeries have been emphasized . The relationship between preoperative psychological status and postoperative clinical outcome in patients with rotator cuff repair has not yet been investigated . Questions / purpose sThe primary objective of this study was to investigate changes in psychological status ( depression , anxiety , insomnia ) and HRQoL after rotator cuff repair . The secondary objective was to assess whether preoperative depression , anxiety , and insomnia predict clinical outcome after rotator cuff repair . Methods Forty-seven patients who underwent rotator cuff repair prospect ively completed the  visual analog scale ( VAS ) pain score , the UCLA Scale , the  American Shoulder and Elbow Surgeons ’ Scale ( ASES ) , the Hospital Anxiety and Depression Scale ( HADS ) , the Pittsburgh Sleep Quality Index ( PSQI ) , and the World Health Organization Quality -of-life Scale Abbreviated Version ( WHOQOL-BREF ) before surgery and at 3 , 6 , and 12 months after surgery . Repeated- measures analysis of variance was used to evaluate the serial changes in psychological parameters and outcome measurements . The chi-square test was also used to compare preoperative and postoperative prevalence of depression , anxiety , and insomnia . Finally , multiple regression analysis was applied to determine the relationship between preoperative psychological status and postoperative clinical outcome . Results With surgery , depression , anxiety , and insomnia decreased , whereas quality of life increased . The mean HADS-D and HADS-A scores and the mean PSQI score decreased from 3.7 ± 3.3 , 4.3 ± 4.3 , and 6.6 ± 3.6 , respectively , before surgery to 2.1 ± 2.3 , 1.4 ± 2.4 , and 4.2 ± 3.3 , respectively , at 12 months after surgery ( HADS-D mean difference 1.6 [ 95 % confidence interval { CI } , 0.6–2.6 ] , p = 0.003 ; HADS-A mean difference 2.9 [ 1.5–4.4 ] , p < 0.001 ; PSQI mean difference 2.4 [ 1.3–3.4 ] , p < 0.001 ) . The mean WHOQOL-BREF score increased from 60.4 ± 11.0 before surgery to 67.4 ± 11.8 at 12 months after surgery ( mean difference −7.0 [ 95 % CI , −10.7 to −3.4 ] , p < 0.001 ) . At 12 months after surgery , there were decreases in the prevalence of depression ( six of 47 [ 22.8 % ] versus three of 47 [ 6.4 % ] , p = 0.002 ) , anxiety ( 11 of 47 [ 23.4 % ] versus two of 47 [ 4.3 % ] , p = 0.016 ) , and insomnia ( 33 of 47 [ 70.2 % ] versus 20 of 47 [ 42.6 % ] , p = 0.022 ) . Preoperative HADS-depression , HADS-anxiety , and PSQI scores did not correlate with the VAS pain score , UCLA , or ASES scores at 12 months after surgery . Conclusions Psychological status and HRQoL improved with decreasing pain and increasing functional ability from 3 months after surgery . Preoperative depression , anxiety , and insomnia did not predict poor outcome after rotator cuff repair . Our findings suggest that successful rotator cuff repair may improve psychological status and HRQoL.Level of Evidence Level II , prospect i ve 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 ?