Yu MY, Wu DL, Yue L, Ma GH, Meng K, Pan XZ, Wan L. Psychological status in femoral neck fractures: Effects on pain, comfort, and postoperative recovery. World J Psychiatry 2026; 16(7): 112984 [DOI: 10.5498/wjp.112984]
Corresponding Author of This Article
Lei Wan, MD, Doctor, Department of Intelligent Minimally Invasive Orthopedics, The Second Affiliated Hospital of Luohe Medical College, West Section of Haihe Road, Yancheng District, Luohe 462300, Henan Province, China. 13939588378@163.com
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Psychology
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research-article
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Yu MY, Wu DL, Yue L, Ma GH, Meng K, Pan XZ, Wan L. Psychological status in femoral neck fractures: Effects on pain, comfort, and postoperative recovery. World J Psychiatry 2026; 16(7): 112984 [DOI: 10.5498/wjp.112984]
World J Psychiatry. Jul 19, 2026; 16(7): 112984 Published online Jul 19, 2026. doi: 10.5498/wjp.112984
Psychological status in femoral neck fractures: Effects on pain, comfort, and postoperative recovery
Meng-Yang Yu, Da-Long Wu, Long Yue, Guang-Hui Ma, Ke Meng, Xue-Zhen Pan, Lei Wan
Meng-Yang Yu, Da-Long Wu, Long Yue, Guang-Hui Ma, Ke Meng, Xue-Zhen Pan, Lei Wan, Department of Intelligent Minimally Invasive Orthopedics, The Second Affiliated Hospital of Luohe Medical College, Luohe 462300, Henan Province, China
Author contributions: Yu MY designed the research and wrote the first manuscript; Yu MY, Wu DL, Yue L, Ma GH, Meng K and Pan XZ conceived the research and analyzed the data; Wan L conducted the analysis and provided guidance for the research; and all authors reviewed and approved the final manuscript.
AI contribution statement: We pledge that we have not used any AI tools.
Institutional review board statement: This study was reviewed and approved by The Second Affiliated Hospital of Luohe Medical College.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Data sharing statement: No additional data are available.
Corresponding author: Lei Wan, MD, Doctor, Department of Intelligent Minimally Invasive Orthopedics, The Second Affiliated Hospital of Luohe Medical College, West Section of Haihe Road, Yancheng District, Luohe 462300, Henan Province, China. 13939588378@163.com
Received: October 28, 2025 Revised: December 10, 2025 Accepted: January 28, 2026 Published online: July 19, 2026 Processing time: 243 Days and 16 Hours
Abstract
BACKGROUND
The correlation between psychological status and pain, comfort, and postoperative recovery in patients with femoral neck fracture (FNF) has rarely been examined, yet its potential influence on recovery cannot be overlooked.
AIM
To examined how psychological status affects pain, overall comfort, and postoperative recovery in patients with FNF.
METHODS
A total of 125 patients with FNF (treated from May 2022 to February 2025) were stratified by anxiety [Self-Rating Anxiety Scale (SAS) > 50] and depression [Self-Rating Depression Scale (SDS) > 53]. Comparisons were made between anxiety (n = 56) vs non-anxiety (n = 69) and depression (n = 50) vs non-depression (n = 75) groups regarding pain [Visual Analog Scale (VAS)], overall comfort [General Comfort Questionnaire (GCQ)], and recovery [Harris Hip Score and Activities of Daily Living Scale (ADL)]. Correlations between psychological distress and pain, overall comfort, and postoperative recovery were also analyzed.
RESULTS
FNF patients with anxiety or depression experienced significantly worse pain (higher VAS scores), greater discomfort (lower GCQ scores), and slower recovery (reduced Harris and ADL scores). According to correlation analysis, SAS/SDS scores showed weak positive correlations with VAS and weak negative correlations with GCQ, Harris, and ADL scores.
CONCLUSION
Psychological status show a weak but meaningful correlation with pain, overall comfort, and postoperative recovery in patients with FNF, highlighting the potential value of targeted psychological distress interventions to improve analgesia, overall comfort, and postoperative rehabilitation.
Core Tip: This study included 125 patients with femoral neck fracture (FNF) to analyze the correlation between psychological status and pain, overall comfort, and postoperative recovery. Our analyses revealed that patients with FNF commonly exhibited mild anxiety or depression; such symptoms were closely related to severer pain, worse overall comfort, and poorer postoperative functional recovery. Psychological distress showed weak associations with pain, overall comfort, and postoperative recovery. Routine psychological screening and targeted psychological interventions may help reduce pain, improve overall comfort, and enhance functional prognosis in patients with FNF.
