Psychological factors associated with short‐term recovery from total knee replacement
Open accessAbstract
Objective To identify the psychological factors that predict short-term recovery following total knee replacement. Method A group of 42 patients undergoing total knee replacement received a pre-operative psychological assessment. Four self-report questionnaires were completed: the Pain Coping Strategies Questionnaire; the Short Form Social Support Questionnaire; the Recovery Locus of Control Scale; and the Brief Symptom Inventory. Post-operative outcome was assessed in terms of the number of days taken to achieve key physiotherapy milestones (straight leg raise; 90 degrees bend of the knee) and discharge. Results The three response variables were analysed separately using an ordinal regression. Internal locus of control was associated with a shorter time to achieve a straight leg raise. Larger values of catastrophizing were associated with longer times to achieve a 90 degrees bend. There was a trend towards larger values of satisfaction with social support to be associated with an earlier achievement of the 90 degrees bend. No psychological variables were found to be associated with the length of hospital stay. Conclusions As suggested by previous studies, coping style and locus of control appear to be important in the rehabilitation process. The current data suggest that psychological variables could be usefully included in a pre-operative assessment for total knee replacement.
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Patients who catastrophize take longer to reach rehabilitation milestones during surgical recovery.
“and they take longer to reach rehabilitation milestones during surgical recovery.53”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [53]
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- Authors
- Kendell, K., Saxby, B., Farrow, M., & Naisby, C.
- Affiliations
- University of Sunderland (GB)
- City Hospitals Sunderland NHS Foundation Trust (GB)
- Venue
- British Journal of Health Psychology
- Publisher
- Wiley
- Published
- 2001-02
- Volume
- 6
- Issue
- 1
- Pages
- 41-52
- ISSN
- 1359-107X (ISSN-L)
- 2044-8287
- OpenAlex
- W2035867020
- Cited by
- 61
- References
- 0
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 5 · 2015: 1 · 2014: 3 · 2013: 6 · 2012: 6
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- British Journal of Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Topics
- Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- total knee arthroplasty, short-term recovery, psychological factors, pain coping, catastrophizing, locus of control, internal locus of control, social support, patient satisfaction, length of hospital stay
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