Cao JJ, Yin CL, Li XM, Sha XJ, Li L, Sun CY, Zhang LL. Effects of preoperative psychological stress on selected parameters in older patients undergoing total hip arthroplasty. World J Psychiatry 2025; 15(8): 103302 [DOI: 10.5498/wjp.v15.i8.103302]
Corresponding Author of This Article
Li-Li Zhang, Regulation Section, Dongying City People's Hospital, No. 317 South 1st Road, Dongying 257400, Shandong Province, China. 13864776789@163.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Jing-Jing Cao, Department of Trauma Orthopedics, Dongying People's Hospital, Dongying 257091, Shandong Province, China
Chuan-Lei Yin, Department of Orthopedics, Dongying District People's Hospital, Dongying 257400, Shandong Province, China
Xiao-Mei Li, Xiao-Juan Sha, Department of Medical Records, Dongying People's Hospital, Dongying 257091, Shandong Province, China
Liang Li, Department of Orthopaedics and Traumatology, Dongying People’s Hospital, Dongying 257091, Shandong Province, China
Cheng-Yong Sun, Fourth Department of Psychiatry, Dongying Mental Health Center, Dongying 257091, Shandong Province, China
Li-Li Zhang, Regulation Section, Dongying City People's Hospital, Dongying 257400, Shandong Province, China
Co-first authors: Jing-Jing Cao and Chuan-Lei Yin.
Author contributions: Cao JJ, Yin CL, Li XM, Sha XJ, Li L, Sun CY, and Zhang LL contributed equally to this work; Cao JJ and Yin CL designed the research study; Li XM, Sha XJ, and Sun CY performed the primary literature and data extraction; Cao JJ and Yin CL analyzed the data and wrote the manuscript; Li L and Zhang LL were responsible for revising the manuscript for important intellectual content; all authors read and approved the final version. Cao JJ and Yin CL contributed equally to this work as co-first authors.
Institutional review board statement: The study was reviewed and approved for publication by our Institutional Reviewer.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the Authors have no conflict of interest related to the manuscript.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: The original anonymous dataset is available on request from the corresponding author at eraldo.occhetta@maggioreosp.novara.it.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: February 18, 2025 Revised: March 21, 2025 Accepted: June 12, 2025 Published online: August 19, 2025 Processing time: 171 Days and 2.4 Hours
Abstract
BACKGROUND
Total hip arthroplasty (THA) is an increasingly common treatment for older patients with hip osteoarthritis. Psychological stress is common before THA, although its clinical effects on selected parameters such as joint function, quality of life, and postoperative complications remain unclear.
AIM
To investigate the effects of preoperative psychological stress on selected parameters in older patients who underwent THA.
METHODS
Ninety older patients who underwent THA between January 2023 and August 2024 were divided into two groups by their preoperative self-rated anxiety scale and self-rated depression scale scores, including high-stress (n = 42) and low-stress (n = 48). The postoperative joint function, short form-36 health survey (SF-36) score, incidence of postoperative complications, and other indicators were compared between the two groups. Pearson’s correlation coefficient analysis of the relationship among preoperative psychological stress, quality of life, and postoperative complications was performed.
RESULTS
Postoperative joint function and quality of life were lower in the high-stress group than they were in the low-stress group (P < 0.05). The incidence of postoperative complications was higher in the high-stress group (29.27%) than it was in the low-stress group (9.30%) (P < 0.05). Correlation analysis revealed that psychological stress was correlated with the Harris hip and SF-36 scores. Total scores on the scale, including physical function, physical pain, general health, mental health, social function, vitality, and emotional function, were negatively correlated (P < 0.05).
CONCLUSION
Preoperative psychological stress results in adverse effects on quality of life and complications in older patients undergoing THA. Therefore, pre-operative psychological interventions should be strengthened to improve post-operative outcomes.
Core Tip: We aimed to investigate the effects of preoperative psychological stress on selected parameters in older patients undergoing total hip arthroplasty (THA). After the study, we concluded that preoperative psychological stress resulted in adverse effects on the quality of life and complications in older patients undergoing THA. Therefore, pre-operative psychological interventions should be strengthened to improve post-operative outcomes.
