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Cited by 38Total Knee Arthroplasty OutcomesAnesthesia and Pain ManagementMusculoskeletal pain and rehabilitation

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Personality traits predict residual pain after total hip and knee arthroplasty

Mercurio, Michele, Gasparini, Giorgio, Carbone, Elvira Anna, Galasso, Olimpio, Segura-Garcia, Cristina·2020·International Orthopaedics
DOI 10.1007/s00264-020-04553-6
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Abstract

Aim of the study We assessed the role of personality traits, anxiety, and depression in residual pain among patients who underwent total hip (THA) and knee (TKA) arthroplasty. Method Eighty-three patients (40 THA and 43 TKA) were interviewed pre-operatively (t 0 ); five days (t 1 ) after surgery; and one (t 2 ), three (t 3 ), six (t 4 ), and 12 months (t 5 ) after surgery. Personality (TCI-R), pain (VAS), anxiety and depression (HADS), quality of life (SF-12), functionality (HHS/KSS), and disability (WOMAC) were evaluated. Results Pain reduction and functional improvement were reported at t 5 (both p 30 mm) was noted in 15% of the THA patients and 25% of the TKA patients, and it correlated with the SF-12 PCS (r 2 = - 0.412; p 2 = - 0.473; p 2 = 0.619; p = 2 = 0.559; p 2 = - 0.482; p 2 = 0.536; p 5 . High pre-operative harm avoidance, persistence, and anxiety scores were predictive of residual pain after both THA and TKA (p Discussion The proportion of patients complaining of residual pain in this study was similar to that in previous findings. Multiple predictors of residual pain after THA and TKA have been previously described, and several studies evaluated the influence of psychological factors on the outcome of joint arthroplasty; however, only four studies investigated the role of personality traits in the outcome of THA and TKA patients, and a unique study out of these investigations demonstrated the effect of personality on persisting pain. Conclusion The current study…

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  • The most consistent finding in this body of work is that neuroticism is associated with MSK health complaints, non-adherence to exercise programing, and other markers of poor psychosocial function in a rehab setting.

    “The most consistent finding in this body of work is that neuroticism is associated with MSK health complaints, non-adherence to exercise programing, and other markers of poor psychosocial function in a rehab setting (Ibrahim et al., 2020;Mercurio et al., 2020;Talaei-Khoei et al., 2018;Vogel et al., 2019;Wright et al., 2014).”

    From Beyond yellow flags: The Big‐Five personality traits and psychologically informed musculoskeletal rehabilitation. (2023) · cites this paper as Mercurio et al., 2020

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Metadata

Authors
Mercurio, M., Gasparini, G., Carbone, E. A., Galasso, O., & Segura-Garcia, C.
Affiliations
Magna Graecia University (IT)
Corresponding author
Gasparini, Giorgio
ORCID
Venue
International Orthopaedics
Publisher
Springer Science and Business Media LLC
Published
2020-04-03
Volume
44
Issue
7
Pages
1263-1270
ISSN
  • 0341-2695 (ISSN-L)
  • 1432-5195
DOI
10.1007/s00264-020-04553-6
OpenAlex
W3015165344
Cited by
38
References
0
Citations by year
2026: 3 · 2025: 7 · 2024: 3 · 2023: 8 · 2022: 9 · 2021: 8
FWCI
5.71
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • International Orthopaedics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Keywords
residual pain, total hip arthroplasty, total knee arthroplasty, personality traits, harm avoidance, persistence, anxiety, depression, postoperative pain, quality of life, functional outcome, Temperament and Character Inventory-Revised, Hospital Anxiety and Depression Scale, WOMAC, SF-12, Harris hip score, Knee Society Score, psychological factors
MeSH terms
Humans, Pain, Personality, Quality of Life, Treatment Outcome, Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee

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