Hostname: page-component-76fb5796d-skm99 Total loading time: 0 Render date: 2024-04-25T08:45:25.371Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychological and psychiatric factors related to health-related quality of life after total hip replacement – preliminary report

Published online by Cambridge University Press:  16 April 2020

Karina Badura-Brzoza ,
Piotr Zajac ,
Zenon Brzoza ,
Alicja Kasperska-Zajac ,
Jerzy Matysiakiewicz ,
Magdalena Piegza ,
Robert T. Hese ,
Barbara Rogala ,
Jacek Semenowicz  and
Bogdan Koczy
Karina Badura-Brzoza*
Affiliation:
Chair and Clinical Department of Psychiatry in Tarnowskie Góry, Medical University of Silesia in Katowice, ul. Pyskowicka 49, 42-612 Tarnowskie Góry, Poland
Piotr Zajac
Affiliation:
District Hospital of Traumatology and Orthopaedics Surgery, Ul.Bytomska 42, 41-940 Piekary Śląskie, Poland
Zenon Brzoza
Affiliation:
Chair and Clinical Department of Internal Diseases, Allergology and Clinical Immunology, Medical University of Silesia in Katowice, ul. 3 Maja 13–15, 41-800Zabrze, Poland
Alicja Kasperska-Zajac
Affiliation:
Chair and Clinical Department of Internal Diseases, Allergology and Clinical Immunology, Medical University of Silesia in Katowice, ul. 3 Maja 13–15, 41-800Zabrze, Poland
Jerzy Matysiakiewicz
Affiliation:
Chair and Clinical Department of Psychiatry in Tarnowskie Góry, Medical University of Silesia in Katowice, ul. Pyskowicka 49, 42-612 Tarnowskie Góry, Poland
Magdalena Piegza
Affiliation:
Chair and Clinical Department of Psychiatry in Tarnowskie Góry, Medical University of Silesia in Katowice, ul. Pyskowicka 49, 42-612 Tarnowskie Góry, Poland
Robert T. Hese
Affiliation:
Chair and Clinical Department of Psychiatry in Tarnowskie Góry, Medical University of Silesia in Katowice, ul. Pyskowicka 49, 42-612 Tarnowskie Góry, Poland
Barbara Rogala
Affiliation:
Chair and Clinical Department of Internal Diseases, Allergology and Clinical Immunology, Medical University of Silesia in Katowice, ul. 3 Maja 13–15, 41-800Zabrze, Poland
Jacek Semenowicz
Affiliation:
District Hospital of Traumatology and Orthopaedics Surgery, Ul.Bytomska 42, 41-940 Piekary Śląskie, Poland
Bogdan Koczy
Affiliation:
District Hospital of Traumatology and Orthopaedics Surgery, Ul.Bytomska 42, 41-940 Piekary Śląskie, Poland
*
*Corresponding author. Tel./fax: +48 32 2854358. E-mail address: zbrzoza@mp.pl
Get access

Abstract

Abstract

Total hip replacement is one of the most successful orthopaedic interventions in improving considerably the patients' performance, nevertheless some patients demonstrate declined functional ability following an operation. Such condition is not a consequence of medical illness or the surgery itself but might rather be associated with mental status. The authors conduct an investigation concerning the relation between some psychological and psychiatric factors and their influence on health-related quality of life in patients after total hip replacement.

Methods

Into the study group we included 102 subjects undergoing total hip replacement (59 female, 43 male). In all subjects we measured depression (Beck Depression Inventory – BDI), anxiety (State and Trait Anxiety Inventory – STAI), sense of coherence (SOC-29), personality traits (Eysenck Personality Inventory – EPI) and health related quality of life (SF-36).

Results

The postoperative values of the PCS and the MCS for the whole group of patients correlated negatively with the SOC values (p = 0.04 and p = 0.03 respectively). Neuroticism (EPI) and anxiety as a trait (STAI) were also associated with postoperative performance, both in mental (p = 0.03 and p = 0.008 respectively) and physical (p = 0.005 and p = 0.04 respectively terms).

Conclusion

Total hip replacement improves significantly the patient’s health-related quality of life at 6 months after surgery, what is influenced by sense of coherence, neuroticism and anxiety as a trait. Above mentioned factors should be taken into account when rehabilitation and social readaptation processes are planned.

Keywords

AnxietyDepressionPersonality traitSense of coherenceHealth-related quality of lifeHip replacementTHRtotal hip replacementBDIBeck Depression InventorySTAIState-Trait Anxiety InventoryX1level of anxiety as a stateX2level of anxiety as a traitSOC-29sense of coherence questionnaireSOCsense of coherenceEPIEysenck Personality InventoryEextroversion subscale of Eysenck Personality InventoryNneuroticism subscale of Eysenck Personality InventoryLlie subscale of Eysenck Personality InventoryHRQoLhealth related quality of lifeSF-36health related quality of life questionnaireBPbody painPFphysical functioningRPphysical role limitationREemotional role limitationMHmental healthSFsocial functioningVTvitalityGHgeneral healthPCSPhysical Component Summary ScaleMCSMental Component Summary Scale
Type
Original article
Information
European Psychiatry , Volume 24 , Issue 2 , March 2009 , pp. 119 - 124
Copyright
Copyright © Elsevier Masson SAS 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aarstad, H., Heimdal, J., Aasrard, A., Olofsson, J.Personality trait in head and neck squamous cell carcinoma patients in relation to the disease state, disease extent and prognosis. Acta Otolaryngol 2002;122(8):892–899Google ScholarPubMed
Antonovsky, A.The life cycle, mental, health and sense of coherence. Isr J Psychiatry Res 1985;22:273–280Google ScholarPubMed
Antonovsky, A. Rozwikłanie tajemnicy zdrowia. Jak sobie radzić ze stresem i nie zachorować. Warszawa. Instytut Psychiatrii i Neurologii 1995;Google Scholar
Bowling, A.Measuring health. A review of quality of life measurement scales Buckingham, EnglandOpen University Press 1992Google Scholar
Brzozowski, P., Drwal, R. Kwestionariusz Osobowości Eysencka. Polska adaptacja EPQ-R. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego. Warszawa 1995;Google Scholar
Caracciolo, B., Giaquinto, S.Self-perceived distress and self-perceived functional recovery after recent total hip and knee arthroplasty. Arch Gerontol Geriatr 2005;41:177–181CrossRefGoogle ScholarPubMed
Cassidy, E., Tomkins, E., Hardiman, O., O’Keane, V.Factors associated with burden of primary headache in a specialty clinic. Headache 2003;43(6):638–4Google Scholar
Caumo, W., Schmidt, A.P., Schneider, C.N., Bergmann, J., Iwamoto, C.W., Adamatti, L.C.et al.Risk factors for preoperative anxiety in adults. Acta Anaesthesiol Scand 2001;45:298–307CrossRefGoogle ScholarPubMed
Caumo, W., Schmidt, A.P., Schneider, C.N., Bergmann, J., Iwamoto, C.W., Adamatti, L.C.et al.Risk factors for postoperative anxiety in adults. Anaesthesia 2001;56:720–728CrossRefGoogle ScholarPubMed
Ciesielski, M., Michale, E., Szlapo, E., Scislowicz, B.Personality types and emotional disturbances in women with a pathological course of pregnancy. Wiad Lek 1994;47(1-2):25–30Google ScholarPubMed
Dorr, L.D., Chao, L.The emotional state of the patient after total hip and knee arthroplasty. Clin Orthop Relat Res 2007;463:7–12Google ScholarPubMed
Dorr, L.D., Thomas, D., Long, W.T., Polatin, P.B., Siriannin, L.E.Psychologic reason for patients preferring minimally invasive total hip arthroplasty. Clin Orthop Relat Res 2007;458:94–100Google Scholar
Dubojska, A., Split, W., Rostowski, J.Psychological aspects of tension type headache. Wiad Lek 1998;51(9-10):404–408Google ScholarPubMed
Fanuele, J.C., Birkmeyer, J., William, A., Tosteson, T., Weinstein, J.The impact of spinal problems on the health status of patients. Spine 2000;25:1509–1514CrossRefGoogle ScholarPubMed
Feeney, S.L.The relationship between pain and negative affect in older adults: anxiety as a predictor of pain. J Anxiety Disord 2004;6:733–744CrossRefGoogle Scholar
Gammon, J., Clive, W.Effect of preparatory information prior to elective total hip replacement on psychological coping outcomes. J Adv Nurs 1996;24:303–308CrossRefGoogle ScholarPubMed
Gibson, L., Cook, M.Neuroticism and sense of coherence. Psychol Rep 1996;79(1):343–349CrossRefGoogle ScholarPubMed
Giraudet-Le-Quintrec, J.S., Coste, J., Vastel, L., Pacault, V., Jeanne, L., Lamas, J.P.et al.Positive effect of patients education for hip surgery: a randomized trial. Clin Orthop 2003;414:112–120CrossRefGoogle Scholar
Hansen, P., Floderus, B., Fredderiksen, K., Johansen, C.Personality traits, health behaviour and risk for cancer. Cancer 2005;103(5):1082–1091Google ScholarPubMed
Hassmen, P., Koivvula, N., Uutela, A.Physical exercise and psychological well-being: a population study in Finland. Prevent Med 2000;30:17–25CrossRefGoogle ScholarPubMed
Kelly, W., Kelly, M., Faraghert, B.A prospective study of psychiatric and psychological aspects of Cushing’s syndrome. Clin Endocrinol 1996;45(6):715–720Google ScholarPubMed
Kurlowicz, L.H.Perceived self-efficacy, functional ability, and depressive symptoms in older elective surgery patients. Nurs Res 1998;47(4):219–226Google ScholarPubMed
Montin, L., Leino-Kilpi, H., Katajisto, J., Lepistv, J., Kettunen, J., Suominen, T.Anxiety and health-related quality of life of patients undergoing total hip arthroplasty for osteoarthritis. Chronic Illness 2007;3(3):219–227Google ScholarPubMed
Neeleman, J., Ormel, J., Bijl, R.The distribution of psychiatric and somatic ill health: association with personality and socioeconomic status. Psychosom Med 2001;63:239–247Google Scholar
Nilsdotter, A.K., Petersson, I.F., Roos, E.M., Lohmander, L.S.Predictors of patient relevant outcome after total hip replacement for osteoarthritis: a prospective study. Ann Rheum Dis 2003;63:923–930CrossRefGoogle Scholar
Orbell, S., Espley, A., Johnston, M., Rowley, D.Health benefits of joint replacement surgery for patients with osteoarthrosis prospective evaluation using independent assessments in Scotland. J Epidemiol Community Health 1998;52(9):564–570CrossRefGoogle ScholarPubMed
Ostendorf, M., van-Stel, H.F., Buskens, E., Schrijvers, A.J., Marting, L.N., Verbout, A.J.et al.Patient-reported outcome in total hip replacement. A comparison of five instruments of health status. J Bone Joint Surg Br 2004 Aug;86(6):801–808CrossRefGoogle Scholar
Pacault-Legendre, V., Courpied, J.P., Ferrand, I.Role des elements cliniques subjectifs pour l’evaluation de la satisfaction des patients apres arthroplastie totale de la hanche. [Role of subjective clinical aspects through the evaluation of patients’ satisfaction with total arthroplasty of the hip]. Encephale 1999;25(3):202–212Google Scholar
Parnowski, T., Jernajczyk, W.Inwentarz depresji Beck’a w ocenie nastroju osób zdrowych i chorych na choroby afektywne. Psychiat Pol 1977;11(4):383–393Google Scholar
Ritter, M.A., WmG, McAdooA method determining success following total hip replacement surgery. Clin Orthop 1979;141:44–49Google Scholar
Sanocki, W. Kwestionariusze osobowości w psychologii. PWN: Warszawa 1981;Google Scholar
Schapiro, I., Ross-Petersen, L., Saelan, H., Garde, K., Olsen, J., Johansen, C.Extroversion and neuroticism and the associated risk of cancer: a Danish cohort study. Am J Epidemiol 2001;153(8):757–763CrossRefGoogle ScholarPubMed
Sosnowski, T., Wrześniewski, K. Inwentarz Stanu i Cechy Lęku. Pracownia Testów Psychologicznych. Warszawa 1987;Google Scholar
Spielberger, C.D.State-Trait Anxiety Inventory for Adults. Sample set, manual, test, scoring key Redwood City, CaliforniaMind Garden Inc. 1983Google Scholar
Stavrev, V., Ilieva, E.The holistic approach to rehabilitation of patients after total hip joint replacement. Folia Med (Plovdiv) 2003;45(4):16–21Google ScholarPubMed
Were, J., Kosiński, M., Keller, S. Sf-36 Physical and Mental Health Summary Scales: v User’s Manual. The Health Institute Boston, MA 1994;Google Scholar
Yamaoka, K., Shigehisa, T., Ogoshi, K.Health-related quality of life with personality types: a comparison among cancer patients, non-cancer patients and healthy individuals in a Japanese population. Qual Life Res 1998;7:535–544CrossRefGoogle Scholar
Ziemer, M.Effects of information on postsurgical coping. Nurs Res 1983;32(5):282–287CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.