Mood and attitude predict pain outcomes following arthroscopic knee surgery.
BACKGROUND
Decreased pain represents a clinically important outcome following arthroscopic knee surgery. However, little is known about preoperative mood and attitudinal factors and their potential relationship with pain outcomes.


OBJECTIVE
This prospective, longitudinal study investigated the influence of preoperative depression, stress, and optimism on pain severity and interference with functioning, controlling for relevant demographic and clinical factors 1 year postoperatively.


METHODS
Participants (N = 180, mean age = 48.2 years) completed scales assessing pain severity and interference both preoperatively and postoperatively. Demographics, depression, stress, optimism, and body mass index were assessed preoperatively. Physicians assessed extent of knee osteoarthritis during surgery.


RESULTS
Hierarchical regression analyses controlling for relevant demographic and clinical variables revealed that optimism and stress were significant predictors of pain severity at 1 year but not pain interference. Extent of osteoarthritis predicted pain interference.


CONCLUSIONS
These findings support that optimism and stress are important predictors of patient-rated pain severity. They do not, however, predict the extent to which pain interferes with daily functioning.
Rosenberger
Patricia H
PH
VA Connecticut Healthcare System, 950 Campbell Avenue, Psychology 116B, West Haven, CT 06516, USA. patricia.rosenberger@va.gov
Kerns
Robert
R
Jokl
Peter
P
Ickovics
Jeannette R
JR
D000293:Adolescent; D000328:Adult; D000339:Affect; D000368:Aged; D001182:Arthroscopy / Q000009:adverse effects* / Q000523:psychology*; D001290:Attitude; D005260:Female; D006801:Humans; D007717:Knee / Q000601:surgery*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000150:complications / Q000523:psychology*; D011184:Postoperative Period; D011446:Prospective Studies; D013315:Stress, Psychological; D016896:Treatment Outcome