{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T02:09:56Z","timestamp":1780538996701,"version":"3.54.1"},"reference-count":15,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T00:00:00Z","timestamp":1623283200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The sudden and debilitating nature of lower extremity injuries can trigger mood disturbances, including major depressive disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This prospective study enrolled patients undergoing operative repair of ankle fractures and Achilles ruptures and followed them for 1 year postoperatively. The validated Patient Health Questionnaire (PHQ-9) for depressive symptoms was administered at the preoperative visit and at postoperative weeks 1, 2, 4, 8, 16, 24, 32, 40, and 52. PHQ-9 is scored 0 to 27, with higher values indicating greater depression symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifty-eight patients completed 1 year of follow-up. The mean PHQ-9 score was 2.7 (range, 0-20) at the preoperative visit, peaked at postoperative week 1 (4.9; range, 0-16), and reached its low at postoperative week 52 (0.8; range, 0-7). Cumulative incidences of depressive symptoms during the first year following surgery were 51.7% for at least mild depression, 22.4% for at least moderate depression, and 6.9% for severe depression. A history of mental health disorder and the inability to work during the period of postoperative immobilization were independently associated with greater depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The majority of patients undergoing operative treatment of Achilles ruptures and ankle fractures develop postoperative symptoms of mild to moderate depression that normalize after several months. Patients with a history of mental health disorder or who cannot work while immobilized postoperatively are at greatest risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>Level II, prospective cohort study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007211020346","type":"journal-article","created":{"date-parts":[[2021,6,10]],"date-time":"2021-06-10T06:45:24Z","timestamp":1623307524000},"page":"1579-1583","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Depression Following Operative Treatments for Achilles Ruptures and Ankle Fractures"],"prefix":"10.1177","volume":"42","author":[{"given":"Reid","family":"Davison","sequence":"first","affiliation":[{"name":"Rush Medical College, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Philippe A.","family":"Daniel","sequence":"additional","affiliation":[{"name":"Rush Medical College, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander J.","family":"Idarraga","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn M.","family":"Perticone","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johnny","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George B.","family":"Holmes","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamran S.","family":"Hamid","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7599-4244","authenticated-orcid":false,"given":"Daniel D.","family":"Bohl","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,6,10]]},"reference":[{"key":"bibr1-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1139"},{"key":"bibr2-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.04.019"},{"key":"bibr3-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000138125.59122.23"},{"key":"bibr4-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1177\/1558944718777814"},{"key":"bibr5-10711007211020346","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.00395"},{"key":"bibr6-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-018-2326-x"},{"key":"bibr7-10711007211020346","volume-title":"CBHSQ Data Review","author":"Karg RS","year":"2014"},{"key":"bibr8-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520370068039"},{"key":"bibr9-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60372-X"},{"key":"bibr10-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0327(97)00056-6"},{"key":"bibr11-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"bibr12-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2005.07.004"},{"key":"bibr13-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1177\/107110070502601106"},{"key":"bibr14-10711007211020346","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-015-9607-0"},{"key":"bibr15-10711007211020346","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.16.00541"}],"container-title":["Foot &amp; Ankle International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007211020346","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10711007211020346","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10711007211020346","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:24:38Z","timestamp":1777411478000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10711007211020346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,10]]},"references-count":15,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1177\/10711007211020346"],"URL":"https:\/\/doi.org\/10.1177\/10711007211020346","relation":{},"ISSN":["1071-1007","1944-7876"],"issn-type":[{"value":"1071-1007","type":"print"},{"value":"1944-7876","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,10]]}}}