ArticleJournal of behavioral medicine2022
Resilience and recovery from total knee arthroplasty (TKA): a pathway for optimizing patient outcomes.
Article in Journal of behavioral medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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The trial behind it
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Who cites it
8 citing papers in PubMed.
- Clinical predictors of resilience following total knee arthroplasty: the PRIME-KNEE study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026Article
- Postoperative pain and surgical recovery: are we treating pain or building resilience?Frontiers in pain research (Lausanne, Switzerland) · 2026Article
- Does Discussing Patient-reported Outcome Measures Increase Pain Self-efficacy at an Orthopaedic Visit? A Prospective, Sequential, Comparative Series.Clinical orthopaedics and related research · 2025Article
- Biopsychosocial based machine learning models predict patient improvement after total knee arthroplasty.Scientific reports · 2025Article
- Chronic Pain Resilience Across Clinical Populations: A Concept Analysis.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2024Article
- The impact of mental health on shoulder arthroplasty and rotator cuff repair: a meta-analysis.Clinics in shoulder and elbow · 2024Article
- Influence of patients' preoperative expectations on postoperative outcomes after total knee or hip arthroplasty: a systematic review.EFORT open reviews · 2024Article
- Using Presurgical Biopsychosocial Features to Develop an Advanced Clinical Decision-Making Support Tool for Predicting Recovery Trajectories in Patients Undergoing Total Knee Arthroplasty: Protocol for a Prospective Observational Study.JMIR research protocols · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Identifying and promoting resilience factors may offer novel strategies for optimizing the recovery of patients following orthopedic surgery. Prior research has suggested that self-efficacy, positive affect, vigor, and vitality may function as resilience factors in the face of chronic pain. The present study examines these resilience factors in a prospective, cognitive-affective-behavioral pathway to recovery. Patients (n = 110) undergoing unilateral, total knee replacement surgery completed self-report assessments of study variables. Self-efficacy was assessed 2 ½ weeks prior to surgery, positive affect the day after surgery, vitality and vigor one-month following surgery, and post-operative pain at one- and three-months following surgery. Control variables included gender, pain, and depressive symptoms prior to surgery. Path analysis revealed significant coefficients from pre-operative self-efficacy to positive affect during hospitalization (β = .246, p = .017), as well as to vitality (β = .323, p = .001) and vigor (β = .387, p < .001) at one-month following surgery. Both indicators of energy predicted better post-operative recovery (one-month: vitality β = -.254, p = .016; vigor β = -.329, p = .002); three-months: vitality β = -.192, p = .047, vigor β = -.201, p = .044). Findings support a cognitive-affective-behavioral pathway to recovery.
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Registered trials
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