Depression and anxiety after total joint replacement among older adults: a meta-analysis

Scott, Julia S.; Mathias, Jane L.; Kneebone, Anthony C.

doi:10.1080/13607863.2015.1072801

Cited by 18 publications

(12 citation statements)

References 81 publications

(144 reference statements)

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“…13 Some researchers have attempted to address this problem by labelling the percentage of patients above cut-offs for screening questionnaires as the prevalence of "clinically significant" symptoms or "symptoms" of depression rather than depression. 14,15 However, these designations are not based on evidence that these cut-offs reflect a meaningful divide between impairment and nonimpairment. Furthermore, the percentage of patients above cutoff thresholds varies depending on the particular screening questionnaire and cut-off threshold used.…”

Section: How Should Percentage Above Cut-offs On Screening Questionnamentioning

confidence: 99%

Addressing overestimation of the prevalence of depression based on self-report screening questionnaires

Thombs

Kwakkenbos

Levis

et al. 2018

CMAJ

160

174

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ental health disorders, including major depressive disorder, are classified in research using validated diagnostic interviews. 1,2 However, administering diagnostic interviews to large population samples to estimate prevalence is expensive because of the time and trained personnel that are required. This is likely why researchers increasingly use selfreport screening questionnaires, which require fewer resources, to estimate prevalence. We searched PubMed from Jan. 1, 2017, to Mar. 14, 2017, for primary studies with titles that indicated that prevalence of depression or depressive disorders had been assessed. Prevalence was based on screening questionnaires in 17 of 19 studies (89%; Appendix 1, available at www.cmaj.ca/ lookup/suppl/

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Section: How Should Percentage Above Cut-offs On Screening Questionnamentioning

confidence: 99%

Addressing overestimation of the prevalence of depression based on self-report screening questionnaires

Thombs

Kwakkenbos

Levis

et al. 2018

CMAJ

160

174

View full text Add to dashboard Cite

show abstract

“…However, this has not been well studied, and reported findings have varied. A 2016 meta‐analysis concluded that hip and knee TJR patients appear to have higher pre‐and postsurgery rates of depression than the general population and that only a modest improvement in depression severity during the year postsurgery was supported by the limited data.…”

Section: Introductionmentioning

confidence: 99%

Patterns of Depressive Symptoms Before and After Surgery for Osteoarthritis: A Descriptive Study

Power

Kudesia

Nadeem

et al. 2019

ACR Open Rheumatology

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ObjectiveTo examine patterns of depressive symptoms before and over the year following osteoarthritis (OA) surgery, stratified by joint and postsurgical outcome.MethodsParticipants were hip (n = 287), knee (n = 360), and lumbar spine (n = 100) OA patients scheduled for joint replacement or decompression surgery with or without fusion. One pre‐ and 4 postsurgery questionnaires were completed. Depressive symptoms were quantified using the Hospital Anxiety and Depression Scale (HADS). One‐year outcomes were based on Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain scores for hip and knee patients and Oswestry Disability Index (ODI) scores for spine patients and were categorized as “worse” (top score tertile) vs. “better” outcomes (first, second tertiles). Plots over time were generated by joint and outcome: 1) mean pain/disability and depression scores and 2) percentage of patients meeting HADS cut‐off for depression “caseness,” reporting depression diagnosis and treatment.ResultsThere were notable decreases in depression scores for patients with better outcomes. For those with worse outcomes, decreases were smaller for hip patients and were not significant for knee and spine patients. Among those with poorer outcomes, 25% of spine and knee patients were depression “cases” pre‐ and postsurgery; an additional 16% of spine and 10% of knee patients developed new “caseness” postsurgery. The proportion of these patients deemed depression cases by score was much higher than the proportion reporting diagnosis/treatment.ConclusionAlthough depressive symptoms decrease overall in OA patients postsurgery, degrees of change vary by joint and surgical outcome. Greater attention to mental health postsurgery is warranted and may lead to improved surgical outcomes, particularly among knee and spine patients.

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“…Some studies have shown that subjective well-being and mental health symptoms do not tend to improve rapidly after the perioperative period (Mandzuk et al 2015). and moderate recovery can take up to 12 months (Scott et al 2015). The higher levels of stress and coping observed in the potentially maladaptive group before surgery did not impede the improvement of emotional function after total hip replacement, but the level of anxiety was still higher than in the other groups.…”

Section: Discussionmentioning

confidence: 96%

Emotional Distress Associated with Surgical Treatment and its Relationship with Coping Profiles Among Chronically ill Older Patients

et al. 2015

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The study determines the patterns of coping styles among older patients with hip osteoarthritis and assesses the derived profiles in terms of perceived stress and anxiety before and after arthroplasty. Sixty-one hospital patients (mean age 70.3 years) were analysed one day before arthroplasty and three months after. The participants were assessed with the Brief-COPE (coping style), PSS-10 (perceived stress) and STAI (anxiety) psychometric tests. Four coping patterns were yielded using data clustering: rational, enterprising (resourceful), potentially maladaptive and flexible. Repeated measures ANOVA indicated a main effect within subjects but did not indicate that decreases of stress and anxiety varied differently between groups. Cluster 1 (a coping profile characterised by high helplessness, low active coping, high avoidance) reported significantly greater stress and anxiety than all other groups before and after hip replacement, while clusters 2 (flexible), 3 (resourceful) and 4 (rational) were characterised by similar levels of anxiety and stress. Older patients with osteoarthritis might differ in terms of emotional response to surgical treatment. Screening for coping styles at admission to hospital may indicate more vulnerable individuals.

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Depression and anxiety after total joint replacement among older adults: a meta-analysis

Cited by 18 publications

References 81 publications

Addressing overestimation of the prevalence of depression based on self-report screening questionnaires

Addressing overestimation of the prevalence of depression based on self-report screening questionnaires

Patterns of Depressive Symptoms Before and After Surgery for Osteoarthritis: A Descriptive Study

Emotional Distress Associated with Surgical Treatment and its Relationship with Coping Profiles Among Chronically ill Older Patients

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