Anxiety in the orthopedic patient: using PROMIS to assess mental health.
Purpose: This study explored the performance of the Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety assessment relative to the Depression assessment in orthopedic patients, the relationship between Anxiety with self-reported Physical Function and Pain Interference, and to d...
| Publicado en: | Quality of Life Research Vol. 27; no. 9; pp. 2275 - 2283 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Sep2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=131455358&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 131455358 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09629343 GPQ jtl: Quality of Life Research issn: 09629343 maglogo: N pubinfo: dt: Sep2018 vid: 27 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 131455358 131455358 NLM29740783 10.1007/s11136-018-1867-7 NLM29740783 131455358 ppf: 2275 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Anxiety in the orthopedic patient: using PROMIS to assess mental health. aug: au: Beleckas, Casey M. Prather, Heidi Guattery, Jason Wright, Melissa Kelly, Michael Calfee, Ryan P. affil: Washington University School of Medicine, St. Louis, MO, USA sug: subj: Depression Diagnosis Anxiety Disorders Diagnosis Pain Measurement Methods Anxiety Diagnosis Musculoskeletal Diseases Physiopathology Mental Health Adult Quality of Life Psychosocial Factors Upper Extremity Physiopathology Male Self Report Computers and Computerization Middle Age Female Cross Sectional Studies Pain Physiopathology Musculoskeletal Diseases Therapy Scales Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: This study explored the performance of the Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety assessment relative to the Depression assessment in orthopedic patients, the relationship between Anxiety with self-reported Physical Function and Pain Interference, and to determine if Anxiety levels varied according to the location of orthopedic conditions.Methods: This cross-sectional evaluation analyzed 14,962 consecutive adult new-patient visits to a tertiary orthopedic practice between 4/1/2016 and 12/31/2016. All patients completed PROMIS Anxiety, Depression, Physical Function, and Pain Interference computer adaptive tests (CATs) as routine clinical intake. Patients were grouped by the orthopedic service providing care and categorized as either affected with Anxiety if scoring > 62 based on linkage to the Generalized Anxiety Disorder-7 survey. Spearman correlations between the PROMIS scores were calculated. Bivariate statistics assessed differences in Anxiety and Depression scores between patients of different orthopedic services.Results: 20% of patients scored above the threshold to be considered affected by Anxiety. PROMIS Anxiety scores demonstrated a stronger correlation than Depression scores with Physical Function and Pain Interference scores. Patients with spine conditions reported the highest median Anxiety scores and were more likely to exceed the Anxiety threshold than patients presenting to sports or upper extremity surgeons.Conclusions: One in five new orthopedic patients reports Anxiety levels that may warrant intervention. This rate is heightened in patients needing spine care. Patient-reported Physical Function more strongly correlates with PROMIS Anxiety than Depression suggesting that the Anxiety CAT is a valuable addition to assess mental health among orthopedic patients.Level Of Evidence: Diagnostic level III. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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