Abstract:
OBJECTIVE:Limb length discrepancy (LLD) is common in patients with developmental dysplasia of the hip (DDH) and may influence the psychological status of these patients. The present study aims to investigate depression and anxiety in DDH patients with different extents of LLD and to assess the effect of LLD correction on these two psychological factors. METHODS:161 patients with DDH were recruited and divided into two groups based on whether they could perceive LLD preoperatively. The patients who could not perceive LLD were assigned to group N, and those who could perceive LLD were assigned to group P. Depression/anxiety, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores and LLD were assessed one week before, six months and two years after total hip arthroplasty (THA). RESULTS:Depression and anxiety were significantly higher in group P patients compared to group N patients. The patients in group N presented significant improvement in depression and anxiety six months after arthroplasty, while DDH patients in group P did two years after arthroplasty. Correlation analyses revealed their improvement was associated with pain relief and improved hip function in both groups of patients and was also related to changes in the perception of LLD in group P patients. CONCLUSIONS:Depression and anxiety levels were higher in DDH patients with perceived LLD. Their improvement was related to pain relief and improved hip function following THA. In DDH patients with perceived LLD, a change in the perception of LLD also played a part in their improvement.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Liu R,Li Y,Fan L,Mu M,Wang K,Song Wdoi
10.1016/j.jpsychores.2015.08.002subject
Has Abstractpub_date
2015-12-01 00:00:00pages
574-9issue
6eissn
0022-3999issn
1879-1360pii
S0022-3999(15)00515-2journal_volume
79pub_type
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