ArticleOrthopaedic journal of sports medicine2026
Effect of A History of Anxiety and Depression on Patient-Reported Outcomes After Hip Arthroscopy at 2-Year Follow-up.
Article in Orthopaedic journal of sports medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Patient resilience and mental health, including anxiety and depression, are increasingly recognized as critical factors influencing outcomes in orthopaedic surgery. However, the relative effect of these psychosocial factors on postoperative outcomes after hip arthroscopy remains unclear. Purpose: To quantify the relationship between anxiety, depression, the Brief Resilience Scale (BRS), and 4 validated patient-reported outcomes (PROMs) after hip arthroscopy. Study Design: Cohort study; Level of evidence, 3. Methods: A retrospective review of prospectively collected data for patients undergoing primary hip labrum repair from January 1, 2021, to January 1, 2022. Patients completed the BRS and 4 PROMs-modified Harris Hip Score (mHHS), visual analog scale for pain (VAS), Hip Outcomes Score for Activities of Daily Living (HOS-ADL), and Hip Outcomes Score for Sports-Related Activities (HOS-SP)-preoperatively, 6 months, 1 year, and 2 years postoperatively. Patients were stratified into tertiles based on baseline BRS scores: low resilience, normal resilience, and high resilience. Outcomes were analyzed using Results: In total, 35 patients met the inclusion criteria with a mean follow-up of 741.4 days. Resilience showed a variable effect on PROMs, with no consistent differences observed across resilience tertiles at any follow-up interval. In contrast, patients with a history of anxiety and/or depression had significantly lower mHHS scores (68.7 vs 80.5, Conclusion: The present study suggests that a history of anxiety and/or depression is consistently associated with poorer outcomes after arthroscopic hip surgery, whereas resilience demonstrates a less consistent and variable association.
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