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- W1977877003 abstract "Chronic hip pain is associated with psychological symptoms and maladaptive behaviors. These findings have been confirmed pre-operatively in adolescents undergoing hip preservation surgery (HPS). The current study investigated subsequent changes in pain, function, mood and maladaptive behaviors following adolescent HPS. 51 patients (32 females, 19 males; average age 17.6, range 12-21) undergoing HPS for various orthopaedic diagnoses were assessed pre- and post-operatively using three psychological measures: Behavioral Assessment System for Children, 2nd Edition (BASC-2), Beck Youth Inventory, 2nd Edition (BYI-II), and Resiliency Scales for Children and Adolescents; and two functional measures: modified Harris Hip Score (mHHS) and UCLA activity score. Patients were also educated about surgery, rehabilitation and pain management by staff psychologists peri-operatively. At 12-month follow-up, patient sample reported reduced pain (mHHS: 23.50 to 32.70, p<.001) and improved function (UCLA: 7.11 to 8.82, p<.01; mHHS: 65.74 to 82.33, p<0001). Patient sample also reported reduced anxiety post-operatively (BASC-2: 49.20 to 45.51, p<.01; BYI-II: 47.47 to 44.80, p<.05). Resiliency Scales demonstrated reduced emotional reactivity (46.59 to 43.55, p<.05), increased mastery (50.51 to 53.31, p<.01) and increased resourcefulness (49.79 to 52.67, p<.01). Percentage of patient sample reporting depressive symptoms also decreased from 13% to 6%. Post-operative pain was positively correlated with anxiety, depression and emotional reactivity for patients who pre-operatively reported psychological symptoms. Conversely, post-operative function negatively correlated with psychological symptoms. However, these correlations are not evident when analyzing the entire patient sample. Findings suggest that it is important to identify psychologically at-risk patients prior to HPS to maximize perioperative intervention and post-operative outcomes. Research has demonstrated that pre-operative depression and anxiety scores were predictive of post-operative pain and patient satisfaction. Consequently, pre-operative psychological evaluation should be considered prior to surgery selection as mental health conditions may be undiagnosed and will likely influence pain and functional outcomes. Chronic hip pain is associated with psychological symptoms and maladaptive behaviors. These findings have been confirmed pre-operatively in adolescents undergoing hip preservation surgery (HPS). The current study investigated subsequent changes in pain, function, mood and maladaptive behaviors following adolescent HPS. 51 patients (32 females, 19 males; average age 17.6, range 12-21) undergoing HPS for various orthopaedic diagnoses were assessed pre- and post-operatively using three psychological measures: Behavioral Assessment System for Children, 2nd Edition (BASC-2), Beck Youth Inventory, 2nd Edition (BYI-II), and Resiliency Scales for Children and Adolescents; and two functional measures: modified Harris Hip Score (mHHS) and UCLA activity score. Patients were also educated about surgery, rehabilitation and pain management by staff psychologists peri-operatively. At 12-month follow-up, patient sample reported reduced pain (mHHS: 23.50 to 32.70, p<.001) and improved function (UCLA: 7.11 to 8.82, p<.01; mHHS: 65.74 to 82.33, p<0001). Patient sample also reported reduced anxiety post-operatively (BASC-2: 49.20 to 45.51, p<.01; BYI-II: 47.47 to 44.80, p<.05). Resiliency Scales demonstrated reduced emotional reactivity (46.59 to 43.55, p<.05), increased mastery (50.51 to 53.31, p<.01) and increased resourcefulness (49.79 to 52.67, p<.01). Percentage of patient sample reporting depressive symptoms also decreased from 13% to 6%. Post-operative pain was positively correlated with anxiety, depression and emotional reactivity for patients who pre-operatively reported psychological symptoms. Conversely, post-operative function negatively correlated with psychological symptoms. However, these correlations are not evident when analyzing the entire patient sample. Findings suggest that it is important to identify psychologically at-risk patients prior to HPS to maximize perioperative intervention and post-operative outcomes. Research has demonstrated that pre-operative depression and anxiety scores were predictive of post-operative pain and patient satisfaction. Consequently, pre-operative psychological evaluation should be considered prior to surgery selection as mental health conditions may be undiagnosed and will likely influence pain and functional outcomes." @default.
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- W1977877003 date "2014-04-01" @default.
- W1977877003 modified "2023-09-26" @default.
- W1977877003 title "(537) Reduced pain, improved functioning and psychological symptoms following adolescent hip preservation surgery" @default.
- W1977877003 doi "https://doi.org/10.1016/j.jpain.2014.01.449" @default.
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