Depression, Anxiety, Pain
Conditions
Keywords
Depression, Anxiety, Rational Emotive Behavior Therapy, Arthroplasty, Osteoarthritis, Comorbidities
Brief summary
The objective of this study was evaluation of the effectiveness of REBT on the emotional state of orthopedic patients with comorbidities before and after arthroplasty.
Detailed description
The studies assessed depression or anxiety in orthopedic patients by using Spielberger State-Trait Anxiety Inventory (STAI) and Hospital Anxiety and Depression Scale (HADS) before and after athroplasty. The comorbid background studied. The orthopedic patients with comorbidities were divided into several groups: arterial hypertension, chronic pyelonephritis , varicose veins, cardiovascular disease and atherosclerosis, diabetes mellitus, infection diseases, gastrointestinal diseases, obesity, neurological disorder, cerebrovascular accident, iron deficiency anemia, chronic bronchitis, hyperthyroidism, cardiac arrhythmia, other diseases. Patients with high levels of anxiety and depression underwent Rational Emotive Behavior Therapy before surgery. Patients without comorbidities and patients with comorbidities but without exposure considered as a control.
Interventions
BEHAVIORALREBT
During REBT in patients with osteoarthritis and concomitant diseases with diagnosed depression or anxiety before arthroplasty the patients learn how to manage their irrational or unhealthy emotions, thoughts, and behaviors.
Sponsors
Chuvash State University named after I.N. Ulyanov
Federal State Budgetary Organization, Federal Center for Traumatology, Orthopedics and Arthroplasty
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomized clinical trial in patients with depression or anxiety identified at prior psychological counseling prior to joint replacement surgery with or without comorbidities
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients enrolled for the primary knee or hip arthroplasty (M15.0, M16, M17) before operation.
Exclusion criteria
* Other types of psychiatric pathology * Reluctance to undergo psychological correction * Failure to pass pre-test * Ongoing follow-up with a psychologist or psychiatrist
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| STAI | 2 days after surgery | Each subscale uses a 4-point Likert scale with a range from 1 (not at all for S- or almost never for T-Anxiety) to 4 (very much so for S- and almost always for T-Anxiety). Reverse scoring is used for anxiety-absent items (e.g., I feel calm or I am happy), and therefore, a higher score indicates more severe anxiety with a potential range from 20 to 80 for each subscale. According to the developer scores of 20-39, 40-59, and 60-80 indicate low, moderate, and high anxiety, respectively. Normative values are available in the manual. |
| HADS | 2 days after surgery | The HADS is a self-report rating scale of 14 items on a 4-point Likert scale (range 0-3). with a range from 0 (not at all) to 3 (most of the time). Reverse scoring is used for items with positive wording (e.g., I still enjoy the things I used to enjoy). The total score is the sum of the 14 items, and for each subscale the score is the sum of the respective seven items (ranging from 0-21). A score of 8-10 should be classified as a mild disorder, 11-15 as a moderate disorder, and 16 or more as a severe disorder. |
Countries
Russia
Outcome results
None listed