BPG is committed to discovery and dissemination of knowledge
Retrospective Cohort Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Nov 19, 2025; 15(11): 108185
Published online Nov 19, 2025. doi: 10.5498/wjp.v15.i11.108185
Correlation between chronic pain, disability, and psychological factors (depression and anxiety) after surgery for acute orthopedic trauma
Guang Yang, Dian Li, Yi Cao
Guang Yang, Department of Spine Surgery, Xi'an Traditional Chinese Medicine Hospital, Xi’an 710000, Shaanxi Province, China
Dian Li, Department of Psychiatry, Xi'an Red Society Hospital, Xi’an 710000, Shaanxi Province, China
Yi Cao, Department of Pain Ward of Rehabilitation, Honghui Hospital, Xi'an Jiaotong University, Xi’an 710000, Shaanxi Province, China
Author contributions: Yang G was responsible for conceptualization, data curation, methodology, software, writing - original draft; Li D was responsible for formal analysis, project administration, visualization; Cao Y was responsible for investigation, supervision, validation, writing - review & editing.
Institutional review board statement: The study was reviewed and approved for publication by Xi'an Traditional Chinese Medicine Hospital Institutional Reviewer.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the Authors have no conflict of interest related to the manuscript.
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: The original anonymous dataset is available on request from the corresponding author at 18609204567@163.com.it.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yi Cao, Department of Pain Ward of Rehabilitation, Honghui Hospital, Xi'an Jiaotong University, No. 555 Youyi East Road, Beilin District, Xi’an 710000, Shaanxi Province, China. 18609204567@163.com
Received: May 28, 2025
Revised: July 2, 2025
Accepted: August 26, 2025
Published online: November 19, 2025
Processing time: 159 Days and 18.4 Hours
Core Tip

Core Tip: After treatment for acute orthopedic trauma, the occurrence of chronic pain and disability is significantly correlated with psychological factors, particularly depression and anxiety. As such, psychological assessment is crucial for rehabilitation. This study investigated the correlation among chronic pain, disability, and psychological factors (depression and anxiety) in patients who underwent surgery for acute orthopedic trauma. Postoperative visual analog scale scores were significantly associated with Hamilton depression rating scale and anxiety scale scores, with correlation coefficients of 0.625 (P = 0.027) and 0.568 (P < 0.001), respectively, as were postoperative Disability Rating Index scores, with correlation coefficients of 0.683 and 0.557, respectively (both P < 0.001).