Prospective psychometric characterization of hip and knee arthroplasty patients.
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| Title: | Prospective psychometric characterization of hip and knee arthroplasty patients. |
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| Authors: | Gylvin, Silas Hinsch (AUTHOR), Fink-Jensen, Anders (AUTHOR), Kehlet, Henrik (AUTHOR), Jørgensen, Christoffer Calov (AUTHOR), Laursen, Mogens Berg (AUTHOR), Gromov, Kirill (AUTHOR), Schroder, Henrik Morville (AUTHOR), Høvsgaard, Susanne Jung (AUTHOR), Wede, Heidi Raahauge (AUTHOR), Kyle, Phillip Raphael (AUTHOR), Bech, Per (AUTHOR) |
| Source: | Nordic Journal of Psychiatry. Jan2018, Vol. 72 Issue 1, p39-44. 6p. |
| Subjects: | Total hip replacement, Psychopharmacology, Total knee replacement, Patient readmissions, Psychometrics, Longitudinal method |
| Abstract: | Background:Psychiatric conditions and psychopharmacological treatments have been demonstrated to be important risk-factors for prolonged hospital length of stay, readmission and morbidity, following fast-track total hip (THA) and total knee arthroplasty (TKA). Aims: The aim of the study was to provide a detailed description of the preoperative psychiatric characteristics of a well-defined patient population undergoing THA and TKA, using the 90-item Symptom Checklist (SCL-90-R). Methods:A pre-surgical population of 2183 patients completed the full SCL-90-R prior to THA/TKA from 2015 to 2016. The SCL-90-R scale and total scores of the pre-surgical sample were compared to the scores of an age- and gender stratified Danish sample of healthy controls. A Mokken scalogram analysis was conducted to assess the scalability of the SCL-90-R in both samples. Results:The Mokken analysis yielded acceptable scalability coefficients above 0.30 in all subscales of the SCL-90-R except psycoticism (0.28). There was no clinically significant difference (effect size = <0.50) in the SCL-90-R total score between the pre-surgical and the healthy controls samples, although pre-surgical patients had lower mean scores compared to the healthy controls in all subscales except somatization (effect size = −0.22). Conclusion:The Mokken analysis demonstrated that the SCL-90-R and its subscales express valid measures of psychopathology in our surgical sample. The psychiatric profile of the pre-surgical patient sample indicates that patients undergoing THA/TKA are not more burdened by psychiatric symptoms than a healthy control group with the exception of symptoms relating to somatization. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background:Psychiatric conditions and psychopharmacological treatments have been demonstrated to be important risk-factors for prolonged hospital length of stay, readmission and morbidity, following fast-track total hip (THA) and total knee arthroplasty (TKA). Aims: The aim of the study was to provide a detailed description of the preoperative psychiatric characteristics of a well-defined patient population undergoing THA and TKA, using the 90-item Symptom Checklist (SCL-90-R). Methods:A pre-surgical population of 2183 patients completed the full SCL-90-R prior to THA/TKA from 2015 to 2016. The SCL-90-R scale and total scores of the pre-surgical sample were compared to the scores of an age- and gender stratified Danish sample of healthy controls. A Mokken scalogram analysis was conducted to assess the scalability of the SCL-90-R in both samples. Results:The Mokken analysis yielded acceptable scalability coefficients above 0.30 in all subscales of the SCL-90-R except psycoticism (0.28). There was no clinically significant difference (effect size = <0.50) in the SCL-90-R total score between the pre-surgical and the healthy controls samples, although pre-surgical patients had lower mean scores compared to the healthy controls in all subscales except somatization (effect size = −0.22). Conclusion:The Mokken analysis demonstrated that the SCL-90-R and its subscales express valid measures of psychopathology in our surgical sample. The psychiatric profile of the pre-surgical patient sample indicates that patients undergoing THA/TKA are not more burdened by psychiatric symptoms than a healthy control group with the exception of symptoms relating to somatization. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 08039488 |
| DOI: | 10.1080/08039488.2017.1381149 |
