{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T18:39:49Z","timestamp":1792435189809,"version":"4.5.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n There is growing interest in identifying psychological factors associated with outcomes following total hip arthroplasty (THA) or total knee arthroplasty (TKA). However, the available evidence is heterogeneous, and uncertainty remains regarding which psychological factors are most consistently associated with postoperative outcomes following arthroplasty. The aim of this study was to provide an overview of available evidence of association between psychological factors and function or health-related quality of life (HRQoL) after arthroplasty.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n An umbrella review was conducted, and 3 electronic databases were searched, and systematic reviews were included. We reported the risk of bias assessments of primary studies as reported in systematic reviews. Only high quality studies were included in qualitative synthesize.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n A total of 25 systematic reviews, including data from 40,024 patients, were included. Two psychological vulnerability factors, including depression, and anxiety negatively affect postoperative function\/HRQoL after THA or TKA. Our findings also indicated that distress, kinesiophobia, pain catastrophizing, and pessimism negatively impact postoperative function\/HRQoL outcomes following TKA, though no reviews have addressed these factors for THA. Conversely, the psychological protective factors of patient expectations and mental well-being were found to positively influence function\/HRQoL outcomes following both TKA.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n These findings may help clinicians target specific elements to enhance the management of patients and could potentially improve outcomes by addressing these factors through tailored interventions.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence:<\/jats:title>\n \n Prognostic\n Level III<\/jats:underline>\n . See Instructions for Authors for a complete description of levels of evidence.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.rvw.26.00093","type":"journal-article","created":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T18:00:33Z","timestamp":1792432833000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Psychological Factors Associated with Function and Health-Related Quality of Life Outcomes following Total Hip or Knee Arthroplasty"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3252-864X","authenticated-orcid":false,"given":"Motahareh","family":"Karimijashni","sequence":"first","affiliation":[{"name":"Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada"},{"name":"School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-0887-1401","authenticated-orcid":false,"given":"Victoria","family":"Drouin","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"B\u00e9land","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9907-6188","authenticated-orcid":false,"given":"Jeremy","family":"Jaillet","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c9milie","family":"Pinard","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Ramsay","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada"},{"name":"School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1133-8707","authenticated-orcid":false,"given":"Yannick","family":"Tousignant-laflamme","sequence":"additional","affiliation":[{"name":"School of Rehabilitation, Universit\u00e9 de Sherbrooke, Sherbrooke, Quebec, Canada"},{"name":"Research Center of the Centre Hospitalier Universitaire de Sherbrooke (CRCHUS), Sherbrooke, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5109-7436","authenticated-orcid":false,"given":"Alexe","family":"H\u00e9bert","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7667-9994","authenticated-orcid":false,"given":"Paul E.","family":"Beaul\u00e9","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery, The Ottawa Hospital, Ottawa, Ontario, Canada"},{"name":"Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8049-958X","authenticated-orcid":false,"given":"St\u00e9phane","family":"Poitras","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10]]},"reference":[{"issue":"5","key":"r1-20261019","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.joca.2008.11.007","article-title":"A 5 year prospective study of patient-relevant outcomes after total knee replacement","volume":"17","author":"Nilsdotter","year":"2009","journal-title":"Osteoarthr Cartil"},{"issue":"7","key":"r2-20261019","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/S0883-5403(96)80183-5","article-title":"Functional outcome and patient satisfaction in total knee patients over the age of 75","volume":"11","author":"Anderson","year":"1996","journal-title":"J Arthroplasty"},{"issue":"1","key":"r3-20261019","doi-asserted-by":"crossref","first-page":"e000435","DOI":"10.1136\/bmjopen-2011-000435","article-title":"What proportion of patients report long-term pain after total hip or knee replacement for osteoarthritis? 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