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心智、压力与恢复

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

Updated Aug 2026
一幅手绘插图，描绘了一个平静放松的无脸人物。
心智、压力与恢复 Kieran Hirpara 4.0

本页面由机器翻译，尚未经临床医生审核。英文版本为权威版本。

您的感受

您的心理健康在康复效果中起着至关重要的作用。未得到处理的心理健康问题可能是导致髋关节保留手术难以持续实现高比例的“最小临床重要差异”和“实质性临床获益”的主要原因。这意味着，如果您在情绪或压力水平方面存在困扰，可能会使您更难感受到显著的疼痛缓解或恢复全部功能。

焦虑和抑郁症状与接受全髋关节置换术患者的较差预后相关。您的康复轨迹可能与没有这些症状的患者不同。在关节镜下肩关节稳定术后出现新发焦虑或抑郁的患者，其90天内再入院的风险显著增加。在接受翻修肩袖修复术的患者中，心理健康状况与基线患者报告结局测量指标的相关性最强。

您可能会注意到，如果您处于高度压力之下，疼痛感会更为剧烈。在中枢敏化现象中，慢性非特异性腰痛患者的中枢神经系统伤害性感受神经元对正常或亚阈值传入慢性刺激表现出过度反应，这在具有特定心理易感性的个体中可见。这会使日常任务变得更加困难。您可能会发现更难将手伸到背后扣上胸罩或把衬衫塞进裤子里。睡眠可能变得难以获得，尤其是如果您尝试侧卧时。

虽然基于认知行为疗法的干预措施在6周时对疼痛知识和心理困扰产生了边际改善，但在长达1年的时间里，并未为腰痛带来有意义的疼痛和功能改善。重要的是，您应与您的外科医生讨论这些感受。常规术前临床护理中常规收集的数据显示出预测全关节置换术后心理困扰的潜力。与简短韧性量表相比，患者报告结局测量信息系统（PROMIS）全球健康工具心理健康T分在识别择期全膝关节和全髋关节置换术后出现不良预后的潜在风险方面，具有更优越的性能，并能更好地整合到标准结局框架中。您的外科医生可能会使用这些工具来更好地理解您的经历并支持您的康复。

实际发生的情况

您的身心紧密相连。当您面临手术时，您的心理健康在很大程度上决定了您的恢复效果。未得到处理的心理健康障碍通常会阻碍患者在髋关节保留手术后实现显著的疼痛缓解或功能改善。这意味着，即使关节得到了修复，如果您的心理状态未得到支持，疼痛仍可能持续存在。

焦虑和抑郁症状与全髋关节置换术后的较差预后相关。如果您患有这些疾病，您的康复路径可能与没有这些疾病的人不同。例如，在肩关节稳定手术后出现新发焦虑或抑郁的患者，在90天内再次入院的风险显著更高。这表明情绪困扰会直接影响您的身体安全和愈合时间线。

在某些情况下，慢性疼痛不仅仅是组织损伤的问题。慢性腰痛的中央敏感化可以理解为您的神经系统过度反应。您的中枢神经系统对正常信号或轻微刺激变得过度反应。这种情况在有特定心理倾向的人群中更为常见，导致疼痛感比单纯的物理损伤所暗示的更为强烈。

您的心理状态也会影响您对自身整体健康的感知。患者报告结局测量信息系统（PROMIS）全球健康量表心理健康T分数是一种有助于识别膝关节或髋关节置换术后预后不良风险患者的工具。在预测哪些患者可能遇到困难方面，它优于其他量表，如简短韧性量表（Brief Resiliency Scale）。同样，常规的术前数据有助于预测全关节置换术后的心理困扰。

最后，您的基线心理健康是翻修肩袖修复术后恢复起点的最强预测因子。如果您患有纤维肌痛，即使在缓解期或症状轻微，您经历的疼痛可能比类风湿关节炎患者更严重，生活质量更低。认知行为疗法有助于在6周时改善疼痛知识和减轻困扰，但对于腰痛，在长达1年的时间里，它可能无法为疼痛和功能带来有意义的益处。理解这些联系有助于您的外科医生量身定制您的护理方案，以同时支持您的身心。

预期情况

您的心理健康对身体的愈合程度起着重要作用。如果您患有未经治疗的焦虑或抑郁，您在手术后感到显著疼痛缓解或功能改善的可能性会降低。这些症状会使您的康复路径与没有这些症状的患者不同。例如，在肩关节稳定手术后出现新的焦虑或抑郁，会显著增加您在 90 天内再次住院的风险。

您可能会注意到，如果您处于压力之下，疼痛感会更强。这通常是由于中枢敏化所致，即您的神经系统对正常信号反应过度。这种过度反应与某些心理倾向有关。因此，您的外科医生可能会仔细评估您的心理健康状况，因为它通常与您在任何手术前的感受联系最为紧密。

筛查痛苦症状有助于预测关节置换术后的恢复情况。患者报告结果测量信息系统全球健康工具心理健康 T 评分在识别潜在不良结果方面优于其他量表。这有助于您的护理团队尽早提供支持。

从现实角度来看，管理您的心理状态是治疗的一部分。基于认知行为疗法的干预措施可能在 6 周时带来疼痛知识和痛苦症状的轻微改善。然而，对于腰椎间盘突出症等疾病，这些措施并不总能带来长达 1 年的疼痛或功能方面的有意义改善。同样，与处于缓解期的类风湿关节炎患者相比，纤维肌痛症患者通常经历更严重的症状和更低的生活质量。

康复不仅仅是身体上的。在诸如前交叉韧带重建等手术后，男性和女性在身体、心理以及重返运动方面的恢复存在差异。您的外科医生明白，愈合涉及您的身体和心理。现在解决心理痛苦有助于确保您从治疗中获得最佳结果。

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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