Rishikesan Ramaesh1, Paul Jenkins2, Deborah Macdonald2, Colin Howie2, Judith V Lane3, Sara Knight3. 1. College of Medicine and Veterinary Medicine, University of Edinburgh, Little France, Edinburgh, UK. Electronic address: rishi.ramaesh@gmail.com. 2. Department of Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK. 3. Department of Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK; School of Health Sciences, Queen Margaret University, Edinburgh, UK.
Abstract
BACKGROUND: The aim of this study was to investigate the relationships between personality and joint-specific function, general physical and general mental health in patients undergoing total hip (THA) and knee arthroplasty (TKA). METHODS: One hundred and eighty-four patients undergoing THA and 205 undergoing TKA were assessed using the Eysneck Personality Questionnaire, brief version (EPQ-BV). General physical and mental health was measured using the Short-Form 12 (SF-12) questionnaire and the EuroQol (EQ-5D). Joint-specific function was measured using the Oxford hip or knee score. RESULTS: The "unstable introvert" personality type was associated with poorer pre-operative function and health in patients with hip arthrosis. In patients with knee arthrosis, there was poorer general health in those with "stable extrovert" and "unstable introvert" types. Personality was not an independent predictor of outcome following TKA or THA. The main predictor was pre-operative function and health. Comorbidity was an important covariate of both pre-operative and postoperative function. CONCLUSIONS: Personality may play a role in the interaction of these disease processes with function and health perception. It may also affect the response and interpretation of psychometric and patient-reported outcome measures. It may be important to characterise and identify these traits in potential arthroplasty patients as it may help deliver targeted education and management to improve outcomes in certain groups.
BACKGROUND: The aim of this study was to investigate the relationships between personality and joint-specific function, general physical and general mental health in patients undergoing total hip (THA) and knee arthroplasty (TKA). METHODS: One hundred and eighty-four patients undergoing THA and 205 undergoing TKA were assessed using the Eysneck Personality Questionnaire, brief version (EPQ-BV). General physical and mental health was measured using the Short-Form 12 (SF-12) questionnaire and the EuroQol (EQ-5D). Joint-specific function was measured using the Oxford hip or knee score. RESULTS: The "unstable introvert" personality type was associated with poorer pre-operative function and health in patients with hip arthrosis. In patients with knee arthrosis, there was poorer general health in those with "stable extrovert" and "unstable introvert" types. Personality was not an independent predictor of outcome following TKA or THA. The main predictor was pre-operative function and health. Comorbidity was an important covariate of both pre-operative and postoperative function. CONCLUSIONS: Personality may play a role in the interaction of these disease processes with function and health perception. It may also affect the response and interpretation of psychometric and patient-reported outcome measures. It may be important to characterise and identify these traits in potential arthroplasty patients as it may help deliver targeted education and management to improve outcomes in certain groups.
Authors: James W Connelly; Vincent P Galea; Pakdee Rojanasopondist; Christian Skovgaard Nielsen; Charles R Bragdon; Andreas Kappel; James I Huddleston; Henrik Malchau; Anders Troelsen Journal: Clin Orthop Relat Res Date: 2020-05 Impact factor: 4.755
Authors: Mehdi Moghtadaei; Ali Yeganeh; Nima Hosseinzadeh; Amir Khazanchin; Mehdi Moaiedfar; Atefeh Ghanbari Jolfaei; Shirin Nasiri Journal: Clin Orthop Surg Date: 2020-11-18