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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Sep 19, 2025; 15(9): 108010
Published online Sep 19, 2025. doi: 10.5498/wjp.v15.i9.108010
Published online Sep 19, 2025. doi: 10.5498/wjp.v15.i9.108010
Anxiety and depression status in geriatric patients undergoing total hip arthroplasty: Correlation with postoperative pain and risk factors
Zheng Li, Jing Liu, Li-Bo Wang, Zhi-Wei Yang, Department of Orthopedics, Changde Hospital, Xiangya School of Medicine, Central South University, The First People’s Hospital of Changde City, Changde 415000, Hunan Province, China
Wen Lei, Operating Room, Changde Hospital, Xiangya School of Medicine, Central South University, The First People’s Hospital of Changde City, Changde 415000, Hunan Province, China
Author contributions: Li Z participated in study design and provided guidance, designed the study, collected and analyzed data, and wrote the manuscript; Li Z, Liu J, Lei W, Wang LB and Yang ZW participated in the study’s conception and data collection; all authors read and approved the final version.
Institutional review board statement: This study was approved by the Ethic Committee of The First People’s Hospital of Changde City.
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: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
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: Zhi-Wei Yang, Associate Chief Physician, Department of Orthopedics, Changde Hospital, Xiangya School of Medicine, Central South University, The First People’s Hospital of Changde City, No. 818 Renmin Road, Yuanjiagang, Wuling District, Changde 415000, Hunan Province, China. yzw529529@126.com
Received: May 30, 2025
Revised: July 4, 2025
Accepted: July 21, 2025
Published online: September 19, 2025
Processing time: 88 Days and 5.2 Hours
Revised: July 4, 2025
Accepted: July 21, 2025
Published online: September 19, 2025
Processing time: 88 Days and 5.2 Hours
Core Tip
Core Tip: Poor functional and recovery outcomes in patients with hip disorders are often linked to anxiety, depression, and postoperative pain. However, research identifying how anxiety and depression influence pain after total hip arthroplasty (THA) in older patients or their potential determinants is limited. Our findings indicate that a subset of older patients with THA experience anxiety and depression, which correlate with elevated levels of postoperative pain. Clinicians should closely monitor female patients, individuals with long-standing hip disease, alcohol consumers, and patients with high pain scores (assessed using the Numeric Rating Scale), as these groups are at a greater risk of psychological distress.