Reductions in Perceived Injustice are Associated with Reductions in Disability and Depressive Symptoms after Total Knee Arthroplasty

Esther Yakobov; Whitney Scott; William D. Stanish; Michael Tanzer; Michael Dunbar; Glen Richardson; Michael J.L. Sullivan

doi:10.1097/AJP.0000000000000551

Reductions in Perceived Injustice are Associated with Reductions in Disability and Depressive Symptoms after Total Knee Arthroplasty

Esther Yakobov, Whitney Scott, William D. Stanish, Michael Tanzer, Michael Dunbar, Glen Richardson, Michael J.L. Sullivan^*

^*Corresponding author for this work

Psychology

Research output: Contribution to journal › Article › peer-review

20 Citations (Scopus)

309 Downloads (Pure)

Abstract

Introduction: Perceptions of injustice have been associated with problematic recovery outcomes in individuals with a wide range of debilitating pain conditions. It has been suggested that, in patients with chronic pain, perceptions of injustice might arise in response to experiences characterized by illness-related pain severity, depressive symptoms, and disability. If symptoms severity and disability are important contributors to perceived injustice (PI), it follows that interventions that yield reductions in symptom severity and disability should also contribute to reductions in perceptions of injustice. The present study examined the relative contributions of postsurgical reductions in pain severity, depressive symptoms, and disability to the prediction of reductions in perceptions of injustice. Methods: The study sample consisted of 110 individuals (69 women and 41 men) with osteoarthritis of the knee scheduled for total knee arthroplasty (TKA). Patients completed measures of perceived injustice, depressive symptoms, pain, and disability at their presurgical evaluation, and at 1-year follow-up. Results: The results revealed that reductions in depressive symptoms and disability, but not pain severity, were correlated with reductions in perceived injustice. Regression analyses revealed that reductions in disability and reductions in depressive symptoms contributed modest but significant unique variance to the prediction of postsurgical reductions in perceived injustice. Discussion: The present findings are consistent with current conceptualizations of injustice appraisals that propose a central role for symptom severity and disability as determinants of perceptions of injustice in patients with persistent pain. The results suggest that the inclusion of psychosocial interventions that target depressive symptoms and perceived injustice might augment the impact of rehabilitation programs made available for individuals recovering from TKA.

Original language	English
Pages (from-to)	415-420
Number of pages	6
Journal	Clinical Journal of Pain
Volume	34
Issue number	5
DOIs	https://doi.org/10.1097/AJP.0000000000000551
Publication status	Published - May 2018

Keywords

depressive symptoms
disability
pain
perceived injustice

Access to Document

10.1097/AJP.0000000000000551

Reductions in perceived injustice_YAKOBOV_Published1May2018_GREEN AAMAccepted author manuscript, 234 KB

Cite this

@article{1c6088188130429db76cb9753c6e8b25,

title = "Reductions in Perceived Injustice are Associated with Reductions in Disability and Depressive Symptoms after Total Knee Arthroplasty",

abstract = "Introduction: Perceptions of injustice have been associated with problematic recovery outcomes in individuals with a wide range of debilitating pain conditions. It has been suggested that, in patients with chronic pain, perceptions of injustice might arise in response to experiences characterized by illness-related pain severity, depressive symptoms, and disability. If symptoms severity and disability are important contributors to perceived injustice (PI), it follows that interventions that yield reductions in symptom severity and disability should also contribute to reductions in perceptions of injustice. The present study examined the relative contributions of postsurgical reductions in pain severity, depressive symptoms, and disability to the prediction of reductions in perceptions of injustice. Methods: The study sample consisted of 110 individuals (69 women and 41 men) with osteoarthritis of the knee scheduled for total knee arthroplasty (TKA). Patients completed measures of perceived injustice, depressive symptoms, pain, and disability at their presurgical evaluation, and at 1-year follow-up. Results: The results revealed that reductions in depressive symptoms and disability, but not pain severity, were correlated with reductions in perceived injustice. Regression analyses revealed that reductions in disability and reductions in depressive symptoms contributed modest but significant unique variance to the prediction of postsurgical reductions in perceived injustice. Discussion: The present findings are consistent with current conceptualizations of injustice appraisals that propose a central role for symptom severity and disability as determinants of perceptions of injustice in patients with persistent pain. The results suggest that the inclusion of psychosocial interventions that target depressive symptoms and perceived injustice might augment the impact of rehabilitation programs made available for individuals recovering from TKA.",

keywords = "depressive symptoms, disability, pain, perceived injustice",

author = "Esther Yakobov and Whitney Scott and Stanish, {William D.} and Michael Tanzer and Michael Dunbar and Glen Richardson and Sullivan, {Michael J.L.}",

year = "2018",

month = may,

doi = "10.1097/AJP.0000000000000551",

language = "English",

volume = "34",

pages = "415--420",

journal = "Clinical Journal of Pain",

issn = "0749-8047",

publisher = "Lippincott Williams and Wilkins",

number = "5",

}

TY - JOUR

T1 - Reductions in Perceived Injustice are Associated with Reductions in Disability and Depressive Symptoms after Total Knee Arthroplasty

AU - Yakobov, Esther

AU - Scott, Whitney

AU - Stanish, William D.

AU - Tanzer, Michael

AU - Dunbar, Michael

AU - Richardson, Glen

AU - Sullivan, Michael J.L.

PY - 2018/5

Y1 - 2018/5

N2 - Introduction: Perceptions of injustice have been associated with problematic recovery outcomes in individuals with a wide range of debilitating pain conditions. It has been suggested that, in patients with chronic pain, perceptions of injustice might arise in response to experiences characterized by illness-related pain severity, depressive symptoms, and disability. If symptoms severity and disability are important contributors to perceived injustice (PI), it follows that interventions that yield reductions in symptom severity and disability should also contribute to reductions in perceptions of injustice. The present study examined the relative contributions of postsurgical reductions in pain severity, depressive symptoms, and disability to the prediction of reductions in perceptions of injustice. Methods: The study sample consisted of 110 individuals (69 women and 41 men) with osteoarthritis of the knee scheduled for total knee arthroplasty (TKA). Patients completed measures of perceived injustice, depressive symptoms, pain, and disability at their presurgical evaluation, and at 1-year follow-up. Results: The results revealed that reductions in depressive symptoms and disability, but not pain severity, were correlated with reductions in perceived injustice. Regression analyses revealed that reductions in disability and reductions in depressive symptoms contributed modest but significant unique variance to the prediction of postsurgical reductions in perceived injustice. Discussion: The present findings are consistent with current conceptualizations of injustice appraisals that propose a central role for symptom severity and disability as determinants of perceptions of injustice in patients with persistent pain. The results suggest that the inclusion of psychosocial interventions that target depressive symptoms and perceived injustice might augment the impact of rehabilitation programs made available for individuals recovering from TKA.

AB - Introduction: Perceptions of injustice have been associated with problematic recovery outcomes in individuals with a wide range of debilitating pain conditions. It has been suggested that, in patients with chronic pain, perceptions of injustice might arise in response to experiences characterized by illness-related pain severity, depressive symptoms, and disability. If symptoms severity and disability are important contributors to perceived injustice (PI), it follows that interventions that yield reductions in symptom severity and disability should also contribute to reductions in perceptions of injustice. The present study examined the relative contributions of postsurgical reductions in pain severity, depressive symptoms, and disability to the prediction of reductions in perceptions of injustice. Methods: The study sample consisted of 110 individuals (69 women and 41 men) with osteoarthritis of the knee scheduled for total knee arthroplasty (TKA). Patients completed measures of perceived injustice, depressive symptoms, pain, and disability at their presurgical evaluation, and at 1-year follow-up. Results: The results revealed that reductions in depressive symptoms and disability, but not pain severity, were correlated with reductions in perceived injustice. Regression analyses revealed that reductions in disability and reductions in depressive symptoms contributed modest but significant unique variance to the prediction of postsurgical reductions in perceived injustice. Discussion: The present findings are consistent with current conceptualizations of injustice appraisals that propose a central role for symptom severity and disability as determinants of perceptions of injustice in patients with persistent pain. The results suggest that the inclusion of psychosocial interventions that target depressive symptoms and perceived injustice might augment the impact of rehabilitation programs made available for individuals recovering from TKA.

KW - depressive symptoms

KW - disability

KW - pain

KW - perceived injustice

UR - http://www.scopus.com/inward/record.url?scp=85045554119&partnerID=8YFLogxK

U2 - 10.1097/AJP.0000000000000551

DO - 10.1097/AJP.0000000000000551

M3 - Article

AN - SCOPUS:85045554119

SN - 0749-8047

VL - 34

SP - 415

EP - 420

JO - Clinical Journal of Pain

JF - Clinical Journal of Pain

IS - 5

ER -

Reductions in Perceived Injustice are Associated with Reductions in Disability and Depressive Symptoms after Total Knee Arthroplasty

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this