Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Psychiatry. Oct 19, 2026; 16(10): 119507
Published online Oct 19, 2026. doi: 10.5498/wjp.119507
Published online Oct 19, 2026. doi: 10.5498/wjp.119507
Trajectories of anxiety and depression levels in older adult patients undergoing total hip arthroplasty
Xiao-Yu Wang, Wei-Hua Zheng, Yan-Yun Niu, Can Chen, Department of Orthopedics, Henan Provincial People’s Hospital, Henan Provincial Intelligent Nursing and Transformation Engineering Research Center, Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou University People’s Hospital, Zhengzhou 450003, Henan Province, China
Yong-Min Wang, Rui Li, Department of Psychological Medicine, Henan Provincial People’s Hospital, Henan Provincial Intelligent Nursing and Transformation Engineering Research Center, Henan Provincial Key Medicine Laboratory of Nursing, Zhengzhou University People’s Hospital, Zhengzhou 450003, Henan Province, China
Yong-Hui Dong, Department of Orthopedics, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, Zhengzhou 450003, Henan Province, China
Author contributions: Wang XY conceived the study concept, developed the methodology, conducted the investigation, performed data curation, and drafted the original manuscript; Dong YH, Wang YM, and Li R designed the overall research framework and supervised the study; Zheng WH, Niu YY, and Chen C collected the clinical data, participated in manuscript revision and proofreading, and verified the methodological feasibility.
AI contribution statement: No AI tool used for language polishing, translation, data analysis, or writing assistance of the main text and the response to reviewers.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of Henan Provincial People’s Hospital.
Informed consent statement: All study participants, or their legal guardian, provided written informed consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Data supporting the findings of this study are available from the corresponding author upon reasonable request.
Corresponding author: Yong-Hui Dong, Department of Orthopedics, Henan Provincial People’s Hospital, Zhengzhou University People’s Hospital, No. 7 Weiwu Road, Zhengzhou 450003, Henan Province, China. yonghuidong50343@163.com
Received: March 27, 2026
Revised: May 6, 2026
Accepted: June 3, 2026
Published online: October 19, 2026
Processing time: 197 Days and 0.2 Hours
Revised: May 6, 2026
Accepted: June 3, 2026
Published online: October 19, 2026
Processing time: 197 Days and 0.2 Hours
Core Tip
Core Tip: This study explored the anxiety/depression trajectories in older adult patients who have undergone total hip arthroplasty via a latent category growth model and identified two subgroups. Postoperative 1-week to 1-month is the key intervention window. Old age, low education level, and postoperative pain are risk factors, while social support and self-efficacy are protective factors. These results provide a basis for precise stratified nursing.