title: Psychiatric and functional evaluation of professional athletes following anterior cruciate ligament reconstruction.
abstract: OBJECTIVE
  The aim of this study is to evaluate early phase depression and anxiety in the proffessional athletes who underwent anterior cruciate ligament (ACL) reconstruction and compare them with the functional improvement of knee.
  
  
  METHODS
  Thirty-eight patients (35 males, 3 females; mean age±SD: 26.84±8.03) were included in this study. Measurements were obtained immediately following the operation and at Week 6 of postoperative rehabilitation. Depression and anxiety symptoms were evaluated by the Hospital Anxiety and Depression Scale (HADS), and knee function was evaluated by Lysholm Knee Scoring Scale (LKSS).
  
  
  RESULTS
  Change in total LKSS scores from the time of admission (56.4±20.2) to the end of the sixth week (78.7±13.8) was significant (t=-8.21, p<0.001). Neither the HADS depression nor the HADS anxiety scores were above the cutoff values in the 2 assessments. Significant difference was noted in HADS anxiety scores between the time of admission (6.21±3.50) and at the sixth week (5.33±3.33) (t=2.02, p=0.05). However, HADS depression scores were not statistically different between the 2 evaluations (5.95±3.68 and 5.35±3.50 at admission and Week 6 week, respectively) (t=1.07, p=0.29). Changes between the 2 LKSS and HADS anxiety assessments were negatively correlated (r=-0.49, p=0.002), but there no correlation was detected between the total LKSS and HADS score changes.
  
  
  CONCLUSIONS
  The decline of the signs of anxiety and depression at the sixth week of rehabilitation indicate that proper rehabilitation positively affects the emotional status of ACL reconstruction patients.
authors.affiliation: Ankara University Faculty of Medicine, Department of Sports Medicine, Ankara, Turkey.
authors.forename: Mehmet Mesut
authors.initials: MM
authors.lastname: Çelebi
authors.affiliation: Ankara University Faculty of Medicine, Department of Psychiatry, Ankara, Turkey.
authors.forename: Bora
authors.initials: B
authors.lastname: Başkak
authors.affiliation: Bezmialem Vakıf University Faculty of Medicine, Department of Sports Medicine, İstanbul, Turkey.
authors.forename: Tolga
authors.initials: T
authors.lastname: Saka
authors.affiliation: Ankara University Faculty of Medicine, Department of Psychiatry, Ankara, Turkey.
authors.forename: Halise
authors.initials: H
authors.lastname: Devrimci Özgüven
authors.affiliation: Ankara University Faculty of Medicine, Department of Sports Medicine, Ankara, Turkey.
authors.forename: Bülent
authors.initials: B
authors.lastname: Ülkar
authors.affiliation: Ankara Atatürk Chest Diseases and Chest Surgery Training and Research Hospital, Department of Physical Therapy and Rehabilitation, Ankara, Turkey.
authors.forename: Ebru
authors.initials: E
authors.lastname: Atalar
mesh_terms: D000293:Adolescent; D000328:Adult; D059549:Anterior Cruciate Ligament Reconstruction / Q000534:rehabilitation*; D001007:Anxiety / Q000175:diagnosis*; D056352:Athletes / Q000523:psychology*; D003863:Depression / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000503:physiopathology*; D008297:Male; D026741:Physical Therapy Modalities; D011183:Postoperative Complications; D011569:Psychiatric Status Rating Scales; D016059:Range of Motion, Articular; D011795:Surveys and Questionnaires; D055815:Young Adult