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Jonathan Q. Trinh Christopher N. Carender Qiang An Nicolas O. Noiseux Jesse E. Otero Timothy S. Brown 《The Journal of arthroplasty》2021,36(5):1520-1526
BackgroundResilience and depression may impact clinical outcomes following primary total joint arthroplasty (TJA). This study aimed to quantify baseline resilience and depression prevalence in patients undergoing primary TJA and evaluate their influence on patient-reported clinical outcomes.MethodsWe prospectively enrolled 98 patients undergoing primary TJA. Exclusion criteria included patients under 18 years of age, undergoing surgery for fracture, or who underwent additional surgery during the study period. Patients completed the Brief Resilience Scale to measure resilience, Patient Health Questionnaire-9 to measure depression, and Patient-Reported Outcomes Measurement Information System-10 to measure global physical and mental health preoperatively and 1 year postoperatively.ResultsPreoperatively, 22% and 15% of patients demonstrated major and mild depression, respectively. High resilience was identified in 34% of patients, normal resilience in 55%, and low resilience in 11%. Preoperative depression correlated with lower resilience, global physical health, and global mental health scores preoperatively as well as at 1 year after surgery (P < .001). Higher levels of preoperative resilience correlated with higher global physical and mental health scores preoperatively and at 1 year postoperatively (P < .001).ConclusionDepression symptoms are common among patients undergoing primary TJA and are associated with worse patient-reported outcomes. Patients with higher levels of resilience have higher global physical and mental health scores before and after TJA. Psychological traits and depression impact clinical outcomes following TJA. 相似文献
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Stephen Murphy James Smadbeck Bruce Eckloff Yean Lee Sarah Johnson Giannoula Karagouga Vishnu Serla Anurag Sharma Robert Sikkink Jesse Voss Faye Harris Janet Schaefer Kline Farhad Kosari Andrew Feldman Eric Wieben Marie Christine Aubry Benjamin Kipp Jin Jen George Vasmatzis 《The Journal of molecular diagnostics : JMD》2021,23(4):375-388
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Linda L. Toche-Manley PhD Laura Dietzen MS Jesse Nankin MA Astrid Beigel PhD 《The journal of behavioral health services & research》2013,40(3):317-329
Outcomes management technology holds great promise for improving the quality of services provided to youth in the child welfare system. Advantages include better detection of behavioral health and trauma-related issues, early indicators of case progress or risk of failure, and program- and system-level learning. Yet organizational barriers to implementation persist. Attention is spent in this paper on addressing these barriers so the use of outcomes management technology becomes a common practice. A model for predicting resiliency is presented, along with case examples demonstrating its potential use for treatment planning and monitoring progress. 相似文献
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