ArticlePloS one2016
The Influence of Preoperative and Postoperative Psychological Symptoms on Clinical Outcome after Shoulder Surgery: A Prospective Longitudinal Cohort Study.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 5 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 5 syntheses or guidelines pooled it, 53 citations in OpenAlex.
- Patients with rotator cuff tears present a psychological impairment, not only a functional deficit: a systematic review.International orthopaedics · 2024Pooled it
- Do psychological factors affect outcomes in musculoskeletal shoulder disorders? A systematic review.BMC musculoskeletal disorders · 2021Pooled it
- The influence of central pain modulation on postoperative outcomes after shoulder surgery: A systematic review.Acta orthopaedica et traumatologica turcica · 2021Pooled it
- Pooled it
- Are Psychosocial Factors Associated With Patient-reported Outcome Measures in Patients With Rotator Cuff Tears? A Systematic Review.Clinical orthopaedics and related research · 2018Pooled it
- Transient increase in anxiety and depression following rotator cuff repair.JSES international · 2026Article
- Patient-specific psychological characteristics and personality structure affect functional outcomes after surgical stabilization of acute and chronic acromioclavicular joint injuries.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Arthroscopic stabilization for atraumatic shoulder instability: minimum two-year outcomes.JSES international · 2026Article
- Anxiety and depression in non-cardiac surgical patients and associations with adverse outcomes: A systematic review and meta-analysis.Journal of anesthesia and translational medicine · 2025Review
- Correlation between the optimal screening for prediction of referral and outcome yellow flag tool and patient-reported legacy outcome measures in patients undergoing shoulder surgery.JSES international · 2024Article
- Psychological Outcomes and Quality of Life After Hysterectomy for Benign Diseases: A Prospective Cohort Study.Cureus · 2024Article
- The relationship between psychological distress and the nursing humanistic care demands in postoperative cancer inpatients: a cross-sectional study.BMC nursing · 2024Article
- Article
- Patients With Depression and/or Anxiety Having Arthroscopic Rotator Cuff Repair Show Decreased Number of Prescriptions and Number of Psychotherapy Sessions in the Year After Surgery.Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association · 2023Article
- Pain catastrophizing and pre-operative psychological state are predictive of chronic pain after joint arthroplasty of the hip, knee or shoulder: results of a prospective, comparative study at one year follow-up.International orthopaedics · 2022Observational
- The Unhappy Shoulder: A Conceptual Review of the Psychosomatics of Shoulder Pain.Journal of clinical medicine · 2022Review
- Manual wheelchair use leads to a series of failed shoulder replacements: A case report and literature review.Clinical case reports · 2022Article
- Atraumatic shoulder instability: patient characteristics, comorbidities, and disability.JSES international · 2021Article
- Prior mood disorder diagnoses do not relate to current mood disorder symptoms or patient-reported disease severity in rotator cuff patients.Shoulder & elbow · 2021Article
- The outcome of hydrodilation in frozen shoulder patients and the relationship with kinesiophobia, depression, and anxiety.Journal of experimental orthopaedics · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPsychological 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
findingsA prospective 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 Hand (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 validated Four-Dimensional Symptom Questionnaire (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.
conclusionsPreoperative 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.
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