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Glenohumeral Osteoarthritis and Mental Health

J Shoulder Elbow Surg; ePub 2018 Dec 12; Kohan, et al

In patients with glenohumeral osteoarthritis, Patient-Reported Outcomes Measurement Information System (PROMIS)-reported anxiety and depression scores, particularly in those with moderate-to-severe scores, correlate with lower functional and higher pain scores. This according to a recent study that aimed to explore the influence of mental health on patients' self-reported pain and function using PROMIS in patients with symptomatic glenohumeral osteoarthritis. This cross-sectional study included 284 shoulders in 276 patients presenting with isolated glenohumeral osteoarthritis. All patients completed the American Shoulder and Elbow Surgeons (ASES) score, Simple Shoulder Test (SST), Visual Analog Pain Scale (VAS), and PROMIS CATs at the time of presentation. Researchers found:

  • Patients with scores corresponding to a diagnosis of anxiety or depression reported lower functional and higher pain scores compared to those with scores in the normal range.
  • Analysis of variance showed progressively lower functional and higher pain scores as anxiety severity increased.
  • Similar results were seen with ASES, upper extremity CAT, and pain scores as depression severity increased.
Citation:

Kohan EM, Hill JR, Schwabe M, Aleem AW, Keener JD, Chamberlain AM. The influence of mental health on Patient-Reported Outcomes Measurement Information System (PROMIS) and traditional outcome instruments in patients with symptomatic glenohumeral arthritis. [Published online ahead of print December 12, 2018]. J Shoulder Elbow Surg. doi:10.1016/j.jse.2018.07.033.