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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
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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

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