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Isip, Stress, at Pagbawi

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How stress, low mood, anxiety and worry about pain affect recovery and surgical outcomes — and what helps.

Updated Aug 2026
Isang guhit-kamay na ilustrasyon ng isang tahimik at nakarelaks na walang mukhang tao.
Isip, Stress, at Pagbawi Kieran Hirpara 4.0

Ang pahinang ito ay isinalin ng makina at hindi pa nasusuri ng isang doktor. Ang bersyong Ingles ang siyang opisyal.

Ano ang nararamdaman mo

Ang iyong kalusugang pangkaisipan ay may malaking papel sa kung gaano ka magaling na magbawi. Ang mga hindi tinugunang disorder sa kalusugang pangkaisipan ay malamang na nagpapaliwanag sa patuloy na kakulangan sa pagkamit ng mataas na mga rate ng minimal clinically important difference at substansyal na klinikal na benepisyo sa hip preservation surgery. Ibig sabihin, kung ikaw ay nahihirapan sa iyong mood o antas ng stress, maaari itong gawing mas mahirap na makaranas ng malaking pagpapagaan ng sakit o muling makuha ang buong kakayahan.

Ang mga sintomas ng anxiety at depression ay may kaugnayan sa mas mahinang mga resulta sa mga pasyenteng nagsasagawa ng total hip arthroplasty. Maaaring magkaiba ang iyong trajectory ng pagbawi kumpara sa mga walang mga sintomas na ito. Ang mga pasyenteng dumaranas ng bagong-onset na anxiety o depression pagkatapos ng arthroscopic shoulder stabilization surgery ay may malaking tawak na panganib ng 90-day readmission. Ang status sa kalusugang pangkaisipan ay nagpapakita ng pinakamalakas na asosasyon sa mga baseline patient-reported outcome measures sa mga pasyenteng nagsasagawa ng revision rotator cuff repairs.

Maaari mong mapansin na mas malakas ang pakiramdam ng iyong sakit kung ikaw ay nasa ilalim ng malaking stress. Ang central sensitization sa chronic nonspecific low back pain ay maaaring makita bilang sobrang reaktibidad ng mga nociceptive neurons sa central nervous system sa normal o subthreshold afferent chronic stimuli sa mga taong may mga partikular na mental predispositions. Maaari itong gawing mas mahirap ang mga gawain sa araw-araw. Maaari mong mahirapan na umabot sa likod ng iyong likod upang i-fasten ang bra o itago ang shirt. Maaaring maging mahirap matulog, lalo na kung ikaw ay susubukang matulog sa gilid.

Habang ang mga interbensyon na batay sa cognitive behavioral therapy ay nagresulta sa marginal na pagpapabuti sa kaalaman tungkol sa sakit at psychological distress sa 6 linggo, hindi ito nagbigay ng makabuluhang mga benepisyo sa sakit at kakayahan hanggang 1 taon para sa low back pain. Mahalagang talakayin ang mga damdaming ito sa iyong surgeon. Ang karaniwang kinokolektang data mula sa routine preoperative clinical care ay nagpapakita ng pangako sa paghula ng psychological distress pagkatapos ng total joint arthroplasty. Ang Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score ay may superior na pagganap at integrasyon sa loob ng mga standard na outcome frameworks kumpara sa Brief Resiliency Scale sa pag-identipikar ng potensyal ng mahinang mga resulta pagkatapos ng elective total knee at hip arthroplasty. Maaaring gamitin ng iyong surgeon ang mga tool na ito upang mas maunawaan ang iyong karanasan at suportahan ang iyong pagbawi.

Ano ang nangyayari talaga

Malalim ang ugnayan ng iyong isipan at katawan. Kapag kinakaharap mo ang operasyon, may malaking epekto ang iyong kalusugang mental sa iyong paggaling. Madalas na hadlang sa pagkamit ng makabuluhang pagbaba ng sakit o pagpapabuti ng kakayahan pagkatapos ng hip preservation surgery ang hindi naaayos na mga disorder sa kalusugang mental. Ibig sabihin, kahit ayusin ang kasukasuan, maaaring manatili ang sakit kung hindi suportado ang iyong kalusugang pang-psiko.

Ang mga sintomas ng anxiety at depression ay nauugnay sa mas masamang resulta sa total hip replacement. Maaaring magkaiba ang iyong landas ng paggaling kung ikaw ay nahihirapan sa mga kondisyong ito kumpara sa mga taong hindi. Halimbawa, ang mga pasyenteng nakaranas ng bagong anxiety o depression pagkatapos ng shoulder stabilization surgery ay may mas mataas na risk na ma-admit muli sa ospital sa loob ng 90 araw. Ipinapakita nito na ang emosyonal na pagdurusa ay direktang nakakaapekto sa iyong pisikal na kaligtasan at timeline ng paggaling.

Sa ilang kaso, ang chronic pain ay hindi lamang tungkol sa pinsala sa tisyu. Ang central sensitization sa chronic low back pain ay maaaring intindihin bilang sobrang reaksyon ng iyong nervous system. Nagiging sobrang reactive ang iyong central nervous system sa mga normal na signal o banayad na stimuli. Mas madalas itong mangyari sa mga taong may mga mental predisposition, na nagdudulot ng mas matinding pakiramdam ng sakit kaysa sa ipinapahiwatig ng pisikal na pinsala lamang.

Naaapektuhan ng iyong mental state ang paraan ng iyong pagpapahiwatig sa iyong pangkalahatang kalusugan. Ang Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score ay isang tool na tumutulong sa pag-identify ng mga pasyenteng nasa risk para sa masamang resulta pagkatapos ng knee o hip replacement. Mas epektibo ito kaysa sa ibang scales, tulad ng Brief Resiliency Scale, sa pag-predict kung sino ang maaaring magkaroon ng hirap. Katulad nito, ang mga routine na preoperative data ay maaaring tumulong sa pag-predict ng psychological distress pagkatapos ng total joint replacement.

Sa huli, ang iyong baseline mental health ang pinakamalakas na predictor ng iyong starting point para sa paggaling sa revision rotator cuff repairs. Kung mayroon kang fibromyalgia, kahit nasa remission o may banayad na sintomas, maaaring maranasan mo ang mas matinding sakit at mas mababang quality of life kumpara sa mga may rheumatoid arthritis. Ang cognitive behavioral therapy ay makakatulong sa kaalaman tungkol sa sakit at pagdurusa sa 6 linggo, ngunit maaaring hindi ito magbigay ng makabuluhang benepisyo para sa sakit at function hanggang 1 taon para sa low back pain. Ang pag-unawa sa mga ugnayang ito ay tumutulong sa iyong surgeon na i-customize ang iyong pag-aalaga upang suportahan ang iyong isipan at katawan.

Ano ang inaasahan

Ang iyong kalusugang mental ay may malaking papel sa kung gaano kabilis o mabuti ang paggaling ng iyong katawan. Kung ikaw ay may hindi naaayos na anxiety o depression, mas maliit ang pagkakataon na mararanasan mo ang makabuluhang pagbawas ng sakit o pag-unlad ng kakayahan pagkatapos ng operasyon. Nagbabago ng landas ang mga sintomas na ito sa iyong paggaling kumpara sa mga pasyenteng walang ganitong kondisyon. Halimbawa, ang paglitaw ng bagong anxiety o depression pagkatapos ng shoulder stabilization surgery ay malaki ang pagtaas ng risk na ma-readmit ka sa ospital sa loob ng 90 araw.

Maaaring mapansin mo na mas matindi ang pakiramdam ng iyong sakit kung ikaw ay nasa ilalim ng stress. Ito ay madalas dulot ng central sensitization, kung saan ang iyong nervous system ay sobrang reaktibo sa karaniwang mga senyales. Ang sobrang reaktibidad na ito ay may kinalaman sa ilang mental na predisposisyon. Dahil dito, maaaring masusing suriin ng iyong surgeon ang iyong kalusugang mental, dahil madalas ito ang may pinakamalakas na ugnayan sa kung paano ka nararamdaman bago ang anumang prosedura.

Ang pag-screen para sa distress ay makakatulong na ma-predict kung paano ka magagaling pagkatapos ng joint replacement. Ang mga tool tulad ng Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score ay mas mahusay na nakakakilala ng posibleng masamang resulta kumpara sa ibang mga sukatan. Nakakatulong ito sa iyong care team na suportahan ka nang maaga.

Sa totoo lang, ang pamamahala ng iyong isipan ay bahagi ng paggamot. Ang mga intervention na batay sa cognitive behavioral therapy ay maaaring mag-alok ng kaunting pagpapabuti sa kaalaman tungkol sa sakit at distress sa 6 linggo. Gayunpaman, hindi laging nagdudulot ito ng makabuluhang benepisyo sa sakit o function hanggang 1 taon para sa mga kondisyon tulad ng low back pain. Katulad nito, ang mga pasyenteng may fibromyalgia ay madalas na nakakaranas ng mas malala na mga sintomas at mas mahinang kalidad ng buhay kumpara sa mga may rheumatoid arthritis na nasa remission.

Ang paggaling ay hindi lamang pisikal. Mayroong mga pagkakaiba sa paraan ng paggaling ng mga lalaki at babae sa pisikal, sikolohikal, at sa kanilang pagbabalik sa isports pagkatapos ng mga prosedura tulad ng anterior cruciate ligament reconstruction. Naiintindihan ng iyong surgeon na ang paggaling ay kinabibilangan ng iyong katawan at isipan. Ang pag-aaddress ng psychological distress ngayon ay makakatulong upang masiguro na makakuha ka ng pinakamainam na resulta mula sa iyong paggamot.

Reviewed by Kieran Hirpara · 13 June 2026.

Want the clinical detail? Read the clinician version.

Talk to your treating clinician for advice specific to you.

For an appointment with the CQ Hand + Upper Limb team, ask your GP about a referral or visit www.cqupperlimb.com.

Evidence & references

This is the clinical evidence summary written for health professionals. It is technical, and it lists the research this page was built from. You do not need to read it to understand your treatment or to make a decision about it.

Overview

  • Machine learning algorithms can predict psychological distress after total joint arthroplasty [1].
  • Early identification of patients at risk for postoperative psychological distress enables targeted behavioral health referral or psychologically informed physical therapy prior to surgery [1].
  • Anxiety and depression symptoms are associated with inferior outcomes in patients undergoing total hip arthroplasty [2].
  • Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories [2].
  • Tailored perioperative counseling and psychological support are needed for patients with anxiety and depression undergoing total hip arthroplasty [2].
  • Patients with lower preoperative mental health scores report similar or greater pain improvements after regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
  • Patients with lower preoperative mental health scores report similar functional improvements after regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
  • Regenerative peripheral nerve interface surgery benefits patients regardless of mental health status [3].
  • Anxiety and depression may be more important than the alpha angle or suction seal in hip preservation surgery outcomes [4].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery [4].
  • New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery [5].
  • There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
  • A cognitive behavioral therapy-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain [8].
  • The cognitive behavioral therapy-based intervention did not yield meaningful benefits in pain and function out to 1 year for low back pain [8].
  • Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
  • Patients with underlying mental health disorders may still significantly benefit from medial patellofemoral ligament reconstruction compared to their unaffected counterparts [10].
  • Patients with underlying mental health disorders report worse pre- and post-operative PROMIS scores after medial patellofemoral ligament reconstruction compared to unaffected counterparts [10].
  • Kinesiophobia is a critical psychological factor that adversely affects functional recovery following arthroscopic Bankart repair [12].
  • Kinesiophobia is a critical psychological factor that adversely affects return to sport following arthroscopic Bankart repair [12].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score has superior performance for identifying the potential for poor outcomes following elective total knee and hip arthroplasty [13].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is integrated within standard outcome frameworks [13].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening [13].

Anatomy & Pathophysiology

  • Machine learning models can predict psychological distress after total joint arthroplasty to enable early identification of at-risk patients [1].
  • Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty but have different recovery trajectories compared to those without these symptoms [2].
  • Patients with lower preoperative mental health scores report similar or greater pain improvements and similar functional improvements following regenerative peripheral nerve interface surgery for upper-extremity neuromas [3].
  • Revision rotator cuff repair patients are more commonly White, have lower mental health status, and have more severe rotator cuff pathology compared to primary rotator cuff repair patients [11].
  • Tear severity is not associated with baseline patient-reported outcomes in revision rotator cuff repair patients [11].
  • Kinesiophobia adversely affects functional recovery and return to sport following arthroscopic Bankart repair for glenohumeral instability [12].
  • A history of depression may not adversely affect patient-reported outcomes after thumb carpometacarpal arthroplasty [15].
  • Machine learning models demonstrate excellent predictive power and accuracy in assessing postoperative catastrophic cardiac complications following hip and knee periprosthetic fracture surgery using preoperative parameters [19].
  • Adding motor imagery to conservative treatment after distal radius fracture improves function, wrist extension, and hand grip strength compared to conventional treatment alone [20].
  • The Hip-RSI Score with a cutoff of 51.7 at 4 months postoperatively demonstrates moderate ability to predict return to sport after surgical repair of a proximal hamstring avulsion [21].
  • The Hip-RSI Score for predicting return to sport after proximal hamstring avulsion repair has a sensitivity of 69% and a specificity of 77% [21].
  • No operation for reconstruction of a resected part of the skeleton can restore a limb to normal function [22].
  • Patient-specific psychological characteristics and personality structure significantly affect functional outcomes after arthroscopically assisted acromioclavicular joint stabilization for acute and chronic injuries at mid-term follow-up [23].

Classification

  • Patients with remission or mild fibromyalgia experience more severe symptoms and poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
  • Patients with underlying mental health disorders report worse pre- and post-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
  • Revision rotator cuff repair patients have lower mental health status compared to primary rotator cuff repair patients [11].
  • Tear severity is not associated with baseline PROMs in revision rotator cuff repair patients [11].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening for poor outcomes following elective total knee and hip arthroplasty [13].
  • Adolescent AIS patients' anxiety levels are stable, independent of received therapeutic support [14].
  • Central sensitization in chronic nonspecific low back pain can be seen as an excessive reactivity of nociceptive neurons in the central nervous system to normal or subthreshold afferent chronic stimuli in people with certain mental predispositions [16].

Clinical Presentation

  • A cognitive-behavioral therapy-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain, but did not yield meaningful benefits in pain and function out to 1 year [8].
  • Revision rotator cuff repair cohorts have lower mental health status compared to primary rotator cuff repair cohorts [11].
  • Tear severity was not associated with baseline PROMs in patients undergoing revision rotator cuff repairs [11].
  • Kinesiophobia adversely affects functional recovery and return to sport following arthroscopic Bankart repair [12].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening for potential poor outcomes following elective total knee and hip arthroplasty [13].
  • Adolescent idiopathic scoliosis patients' anxiety levels are stable, independent of received therapeutic support [14].

Investigations

  • Such models support early identification of patients at risk for postoperative psychological distress [1].
  • Early identification enables targeted behavioral health referral prior to surgery [1].
  • Early identification enables psychologically informed physical therapy prior to surgery [1].
  • Patients with anxiety and depression experience major clinical improvement after total hip arthroplasty [2].
  • Patients with anxiety and depression have different recovery trajectories after total hip arthroplasty [2].
  • Tailored perioperative counseling is needed for patients with anxiety and depression undergoing total hip arthroplasty [2].
  • Psychological support is needed for patients with anxiety and depression undergoing total hip arthroplasty [2].
  • Patients with lower preoperative mental health scores report similar or greater pain improvements after regenerative peripheral nerve interface surgery [3].
  • Patients with lower preoperative mental health scores report similar functional improvements after regenerative peripheral nerve interface surgery [3].
  • Regenerative peripheral nerve interface benefits patients regardless of mental health status [3].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference in hip preservation surgery [4].
  • Unaddressed mental health disorders likely account for the persistent inability to achieve substantial clinical benefit in hip preservation surgery [4].
  • There is a disparity between sexes in physical recovery following anterior cruciate ligament reconstruction [6].
  • There is a disparity between sexes in psychological recovery following anterior cruciate ligament reconstruction [6].
  • There is a disparity between sexes in return to sport status following anterior cruciate ligament reconstruction [6].
  • Patients with remission or mild fibromyalgia experience more severe symptoms than patients with remission or low disease activity rheumatoid arthritis [7].
  • Patients with remission or mild fibromyalgia experience poorer quality of life than patients with remission or low disease activity rheumatoid arthritis [7].
  • Patients with remission or mild fibromyalgia experience more severe symptoms than healthy controls [7].
  • Patients with remission or mild fibromyalgia experience poorer quality of life than healthy controls [7].
  • A cognitive-behavioral therapy-based intervention resulted in marginal improvements in pain-related knowledge at 6 weeks for low back pain [8].
  • A cognitive-behavioral therapy-based intervention resulted in marginal improvements in psychological distress at 6 weeks for low back pain [8].
  • A cognitive-behavioral therapy-based intervention did not yield meaningful benefits in pain out to 1 year for low back pain [8].
  • A cognitive-behavioral therapy-based intervention did not yield meaningful benefits in function out to 1 year for low back pain [8].
  • Patients with major depressive disorder are at risk for inferior outcomes after patellar stabilization surgery [10].
  • Patients with undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery [10].
  • Patients with underlying mental health disorders report worse pre-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
  • Patients with underlying mental health disorders report worse post-operative PROMIS scores after MPFL-R compared to unaffected counterparts [10].
  • Patients with underlying mental health disorders may still significantly benefit from MPFL-R compared to their unaffected counterparts [10].
  • Revision rotator cuff repair patients are more commonly White than primary rotator cuff repair patients [11].
  • Revision rotator cuff repair patients have lower mental health status than primary rotator cuff repair patients [11].
  • Revision rotator cuff repair patients have more severe rotator cuff pathology than primary rotator cuff repair patients [11].
  • Tear severity was not associated with baseline PROMs in revision rotator cuff repair patients [11].
  • Kinesiophobia adversely affects functional recovery following arthroscopic Bankart repair [12].
  • Kinesiophobia adversely affects return to sport following arthroscopic Bankart repair [12].
  • Music therapy intervention effects on pain and anxiety in adult patients undergoing total shoulder arthroplasty were not dependent on live vs. recorded presentation [17].
  • Adding motor imagery to conservative treatment after distal radius fracture improved function compared to conventional treatment alone [20].
  • Adding motor imagery to conservative treatment after distal radius fracture improved wrist extension compared to conventional treatment alone [20].
  • Adding motor imagery to conservative treatment after distal radius fracture improved hand grip strength compared to conventional treatment alone [20].

Treatment

  • Machine learning algorithms can predict psychological distress after total joint arthroplasty to support early identification of at-risk patients [1].
  • The differing recovery trajectories of patients with anxiety and depression emphasize the need for tailored perioperative counseling and psychological support [2].
  • Regenerative peripheral nerve interface (RPNI) surgery provides similar or greater pain improvements and similar functional improvements regardless of preoperative mental health status [3].
  • Sex-based disparities exist in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction [6].
  • Distal biceps tendon repair using a cortical button with or without an interference screw provides excellent short- to mid-term clinical and functional outcomes [9].
  • Patients with major depressive disorder and undiagnosed depression report worse pre- and post-operative PROMIS scores after patellar stabilization surgery compared to unaffected counterparts [10].
  • Kinesiophobia is a critical psychological factor that adversely affects functional recovery and return to sport following arthroscopic Bankart repair [12].
  • The Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score is a valuable tool for preoperative psychosocial screening due to its superior performance and integration within standard outcome frameworks [13].
  • Adolescent idiopathic scoliosis patients' anxiety levels are stable and independent of received therapeutic support [14].
  • Music therapy intervention effects on pain and anxiety in adult patients undergoing total shoulder arthroplasty were not dependent on live versus recorded presentation [17].

Complications

  • Patients with lower preoperative mental health scores report similar or greater pain improvements after regenerative peripheral nerve interface (RPNI) surgery for upper-extremity neuromas [3].
  • Patients with lower preoperative mental health scores report similar functional improvements after RPNI surgery for upper-extremity neuromas [3].
  • RPNI benefits patients regardless of mental health status [3].
  • There is a disparity between sexes in physical and psychological recovery, as well as return to sport status, in community-level patients undergoing anterior cruciate ligament reconstruction (ACLR) [6].
  • A cognitive behavioral therapy (CBT)-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks for low back pain [8].
  • The CBT-based intervention did not yield meaningful benefits in pain and function out to 1 year for low back pain [8].
  • Risk-stratified care improves pain-related knowledge and reduces psychological distress for low back pain [8].
  • Revision rotator cuff repair (RCR) patients are more commonly White than primary RCR patients [11].
  • Revision RCR patients have lower mental health status than primary RCR patients [11].
  • Revision RCR patients have more severe rotator cuff pathology than primary RCR patients [11].
  • Tear severity was not associated with baseline PROMs in revision RCR patients [11].
  • A history of depression may not adversely affect patient-reported outcomes after thumb carpometacarpal (CMC) arthroplasty [15].
  • A history of anxiety and/or depression is consistently associated with poorer outcomes after arthroscopic hip surgery at 2-year follow-up [18].
  • Resilience demonstrates a less consistent and variable association with outcomes after arthroscopic hip surgery [18].
  • Machine learning models demonstrate excellent predictive power and accuracy in assessing postoperative cardiac complications following hip and knee periprosthetic fracture surgery using preoperative parameters [19].

Recovery

  • Early identification of postoperative psychological distress risk enables targeted behavioral health referral or psychologically informed physical therapy prior to surgery [1].
  • The CBT-based intervention for low back pain did not yield meaningful benefits in pain and function out to 1 year [8].
  • Tear severity was not associated with baseline patient-reported outcome measures (PROMs) in revision rotator cuff repair patients [11].
  • Kinesiophobia is a critical psychological factor that adversely affects functional recovery following arthroscopic Bankart repair for glenohumeral instability [12].
  • Kinesiophobia is a critical psychological factor that adversely affects return to sport following arthroscopic Bankart repair for glenohumeral instability [12].

Key Evidence

  • [L4] Such models could support early identification of patients at risk for postoperative psychological distress, enabling targeted behavioral health referral or psychologically informed physical therapy prior to surgery. [1] (10.1016/j.arth.2026.05.039)
  • [L2] While these patients experience major clinical improvement after THA, their recovery trajectories differ, emphasizing the need for tailored perioperative counseling and psychological support. [2] (10.1016/j.arth.2025.06.013)
  • [L4] Patients with lower preoperative mental health scores reported similar or greater pain improvements and similar functional improvements, suggesting RPNI benefits patients regardless of mental health status. [3] (10.1016/j.jhsg.2026.100985)
  • [L5] Unaddressed mental health disorders likely account for the persistent inability to achieve high rates of minimal clinically important difference and substantial clinical benefit in hip preservation surgery. [4] (10.1002/arj.70034)
  • [L3] New-onset anxiety and depression occur in 5.1% of patients within 1 year following arthroscopic shoulder stabilization surgery. [5] (10.1016/j.jseint.2025.101413)
  • [L2] This study demonstrates the disparity between sexes in physical and psychological recovery, as well as RTS status, in community-level patients undergoing ACLR. [6] (10.1177/2325967125s00328)
  • [L4] Despite being in a mild activity or remission stage, RFM patients experience more severe symptoms and poorer QOL than RRA patients. [7] (10.1186/s12891-025-08323-6)
  • [Paper] This CORR Insights commentary discusses a secondary analysis of a randomized trial, noting that while a CBT-based intervention resulted in marginal improvements in pain knowledge and psychological distress at 6 weeks, it did not yield meaningful benefits in pain and function out to 1 year. [8] (10.1097/corr.0000000000003410)
  • [L3] Both techniques provided excellent short- to mid-term clinical and functional outcomes. [9] (10.1177/17585732261441889)
  • [L3] Patients with underlying mental health disorders may still significantly benefit from MPFL-R compared to their unaffected counterparts but will nonetheless report worse pre- and post-operative PROMIS scores. [10] (10.1016/j.jisako.2026.101080)
  • [L3] Compared to primary RCR patients, the revision cohort were more commonly White, had lower mental health status and more severe rotator cuff pathology, though tear severity was not associated with baseline PROMs. [11] (10.1016/j.jse.2026.05.007)
  • [L3] Kinesiophobia is a critical psychological factor that adversely affects functional recovery and return to sport following arthroscopic Bankart repair. [12] (10.1186/s12891-026-09567-6)
  • [L3] Its superior performance and integration within standard outcome frameworks make it a valuable tool for preoperative psychosocial screening. [13] (10.1016/j.arth.2025.09.034)
  • [L3] AIS patients' anxiety levels are stable, independent of received therapeutic support. [14] (10.1186/s12891-026-09645-9)
  • [L4] These findings suggest that a history of depression may not adversely affect patient-reported outcomes after thumb CMC arthroplasty. [15] (10.1016/j.jhsg.2026.100989)
  • [L5] Central sensitization can be seen as an excessive reactivity of nociceptive neurons in the central nervous system to normal or subthreshold afferent chronic stimuli in people with certain mental predispositions. [16] (10.3390/jcm14020577)
  • [L2] Findings were not dependent on live vs. recorded presentation. [17] (10.1016/j.jseint.2025.101438)
  • [L3] 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. [18] (10.1177/23259671251407329)
  • [L3] All models demonstrated excellent predictive power and accuracy in assessing postoperative cardiac complications. [19] (10.1016/j.arth.2026.04.007)
  • [L1] Adding motor imagery to conservative treatment after distal radius fracture improved function, wrist extension, and hand grip strength compared to conventional treatment alone. [20] (10.1016/j.jht.2025.02.018)
  • [L3] This score, with a cutoff of 51.7 at 4 months postoperatively, demonstrated a moderate ability to predict which patients would return to sport, with a sensitivity of 69% and a specificity of 77%. [21] (10.1177/23259671251389118)
  • [Paper] No operation for reconstruction of a resected part of the skeleton can restore a limb to normal function. [22] (10.2106/00004623-196446020-00012)
  • [L4] Patient-specific psychological characteristics and personality structure significantly affect functional outcomes after arthroscopically assisted ACJ stabilization for acute and chronic ACJ injuries at mid-term follow-up. [23] (10.1002/ksa.70349)

References

[1] Development of Machine Learning Algorithms Predicting Psychological Distress After Total Joint Arthroplasty. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2026.05.039

[2] Anxiety and Depression Symptoms Are Associated With Inferior Outcomes in Patients Undergoing Total Hip Arthroplasty: A Prospective Cohort Study. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2025.06.013

[3] Outcomes Following Regenerative Peripheral Nerve Interface Surgery and Associations With Preoperative Mental Health: A Retrospective Analysis of Upper-Extremity Neuromas. Journal of Hand Surgery Global Online. 2026. DOI: 10.1016/j.jhsg.2026.100985

[4] Editorial Commentary

                : Anxiety and Depression May Be More Important Than the Alpha Angle or Suction Seal in Hip Preservation Surgery Outcomes. *Arthroscopy*. 2026. DOI: 10.1002/arj.70034

[5] Risk factors for new-onset anxiety and depression after arthroscopic shoulder stabilization surgery. JSES International. 2026. DOI: 10.1016/j.jseint.2025.101413

[6] Sex-based differences in physical and psychological recovery, and return to sport, following anterior cruciate ligament reconstruction. Orthopaedic Journal of Sports Medicine. 2026. DOI: 10.1177/2325967125s00328

[7] Quality of life, pain, depression, fatigue and sleep in patients with remission or mild fibromyalgia: a comparison with remission or low disease activity rheumatoid arthritis and healthy controls. BMC Musculoskeletal Disorders. 2025. DOI: 10.1186/s12891-025-08323-6

[8] CORR Insights®: Risk-stratified Care Improves Pain-related Knowledge and Reduces Psychological Distress for Low Back Pain: A Secondary Analysis of a Randomized Trial. Clinical Orthopaedics & Related Research. 2025. DOI: 10.1097/corr.0000000000003410

[9] Distal biceps tendon repair using cortical button with or without interference screw: A comparative study. Shoulder & Elbow. 2026. DOI: 10.1177/17585732261441889

[10] Patients with major depressive disorder and undiagnosed depression are at risk for inferior outcomes after patellar stabilization surgery. Journal of ISAKOS. 2026. DOI: 10.1016/j.jisako.2026.101080

[11] Associations of preoperative patient mental health status, sociodemographic and clinical characteristics with baseline pain, function and satisfaction in patients undergoing revision rotator cuff repairs. Journal of Shoulder and Elbow Surgery. 2026. DOI: 10.1016/j.jse.2026.05.007

[12] The impact of kinesiophobia on rehabilitation and return to sport following arthroscopic Bankart repair for glenohumeral instability: a minimum 1-year follow-up. BMC Musculoskeletal Disorders. 2026. DOI: 10.1186/s12891-026-09567-6

[13] The Effectiveness of the Patient-Reported Outcomes Measurement Information System Global Health Instrument Mental Health T-Score Versus the Brief Resiliency Scale at Identifying the Potential for Poor Outcomes Following Elective Total Knee and Hip Arthroplasty. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2025.09.034

[14] Pre- and postsurgical anxiety and body perception: the significance of cognitive-behavioral therapy in scoliosis adolescents. BMC Musculoskeletal Disorders. 2026. DOI: 10.1186/s12891-026-09645-9

[15] The Impact of Depression and Antidepressant Treatment on Patient-Reported Outcomes Following Thumb Carpometacarpal Arthroplasty. Journal of Hand Surgery Global Online. 2026. DOI: 10.1016/j.jhsg.2026.100989

[16] Is the Central Sensitization in Chronic Nonspecific Low Back Pain Structural Phenomenon or Psychological Reaction? A Narrative Review. Journal of Clinical Medicine. 2025. DOI: 10.3390/jcm14020577

[17] A prospective randomized controlled trial on the effect of music therapy intervention on pain and anxiety in adult patients undergoing total shoulder arthroplasty. JSES International. 2026. DOI: 10.1016/j.jseint.2025.101438

[18] Effect of A History of Anxiety and Depression on Patient-Reported Outcomes After Hip Arthroscopy at 2-Year Follow-up. Orthopaedic Journal of Sports Medicine. 2026. DOI: 10.1177/23259671251407329

[19] Utility of Machine Learning in Predicting Catastrophic Cardiac Complications Following Hip and Knee Periprosthetic Fracture Surgery Using Preoperative Parameters. The Journal of Arthroplasty. 2026. DOI: 10.1016/j.arth.2026.04.007

[20] The effect of motor imagery on functionality, pain, kinesiophobia, and quality of life in patients with distal radius fractures: A randomized controlled double-blind study. Journal of Hand Therapy. 2025. DOI: 10.1016/j.jht.2025.02.018

[21] The Hip-RSI Score for Evaluating Psychological Readiness to Return to Sport After Surgical Repair of a Proximal Hamstring Avulsion. Orthopaedic Journal of Sports Medicine. 2025. DOI: 10.1177/23259671251389118

[22] PREFACE. The Journal of Bone & Joint Surgery. 1964. DOI: 10.2106/00004623-196446020-00012

[23] 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. 2026. DOI: 10.1002/ksa.70349

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