{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T05:00:39Z","timestamp":1775624439005,"version":"3.50.1"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to determine the risk factors for the development of postoperative pain following total hip arthroplasty, particularly those connected with psychological distress and personality traits.\n\nMethods: The study included 90 patients with complaints of postoperative pain following cemented total hip replacement divided into two groups based on the intensity of postoperative pain as measured using the numerical rating scale (NRS). Patients with NRS scores of 5 or higher were included in the study group and those with NRS of less than 5 were included in the control group. The Hamilton scales for anxiety and depression and the DS14 test for the identification of Type D personality were used for psychological evaluation.\n\nResults: In the study group, more patients were female (29 vs. 13) and had more anxiety (13 vs. 3), depression symptoms (11 vs. 2), and Type D personality (18 vs. 9) than the control group. Mean preoperative NRS was 7.2\u00b11.7 in the study and 6.0\u00b11.2 in the control group (p&lt;0.001). Factors associated with development of strong postoperative pain was female gender (OR=4.91, 95% CI=2.01 to 12.01, p&lt;0.001), Type D personality (OR=2.81, CI=1.17 to 7.32, p=0.030), severe anxiety (OR=6.01, CI=1.58 to 22.90, p=0.009), depressive symptoms (OR=7.33, CI=1.52 to 35.34, p=0.013) and subjects with marked preoperative painful condition (OR=2.64, CI=1.17 to 5.44, p&lt;0.001).\n\nConclusion: Patients with severe anxiety, depression and Type D personality appear to be at risk of developing severe postoperative pain. In addition, female gender and the intensity of pain immediately after procedure were found to be important risk factors.\n\n \n\n\u00d6zet\n\n \n\nAma\u00e7: Bu \u00e7al\u0131\u015fmada, total kal\u00e7a artroplastisi sonras\u0131, \u00f6zellikle psikolojik s\u0131k\u0131nt\u0131 ve ki\u015filik \u00f6zellikleri ile ba\u011flant\u0131l\u0131 geli\u015febilecek postoperatif a\u011fr\u0131ya dair risk fakt\u00f6rlerinin belirlenmesi ama\u00e7land\u0131.\n\n\u00c7al\u0131\u015fma plan\u0131: \u00c7imentolu total kal\u00e7a replasman\u0131 sonras\u0131 postoperatif a\u011fr\u0131 \u015fikayeti ile ba\u015fvuran 90 hasta, say\u0131sal de\u011ferleme \u00f6l\u00e7e\u011fi (SD\u00d6) ile \u00f6l\u00e7\u00fclen a\u011fr\u0131n\u0131n \u015fiddetine g\u00f6re iki gruba ayr\u0131ld\u0131. SD\u00d6 puan\u0131 5 veya daha y\u00fcksek olan hastalar \u00e7al\u0131\u015fma grubuna, 5 puan\u0131n alt\u0131nda kalan hastalar ise kontrol grubuna dahil edildi. Psikolojik de\u011ferlendirmede, anksiyete ve depresyon i\u00e7in Hamilton \u00f6l\u00e7ekleri, Tip D ki\u015fili\u011fin saptanmas\u0131 i\u00e7in ise DS14 testinden yararlan\u0131ld\u0131.\n\nBulgular: \u00c7al\u0131\u015fma grubundaki bireylerin \u00e7o\u011funlu\u011fu kad\u0131nd\u0131 ve anksiyete, depresyon semptomlar\u0131 ve Tip D ki\u015filik \u00f6zellikleri saptanan olgular\u0131n kontrol grubuna k\u0131yasla daha y\u00fcksek say\u0131da oldu\u011fu belirlendi (s\u0131ras\u0131yla, 13\u2019e kar\u015f\u0131 3, 11\u2019e kar\u015f\u0131 2 ve 18\u2019e kar\u015f\u0131 9 olgu). Cerrahi \u00f6ncesi ortalama SD\u00d6 puan\u0131 \u00e7al\u0131\u015fma grubunda kontrol grubunda ise olarak bulundu (p&lt;0.001). Postoperatif a\u011fr\u0131 geli\u015fimiyle ili\u015fkilendirilen fakt\u00f6rler kad\u0131n cinsiyet (OO=4.91, %95 GA=2.01-12.01, p&lt;0.001), Tip D ki\u015filik (OO=2.81, GA=1.17-7.32, p=0.030), \u015fiddetli anksiyete (OO=6.01, GA=1.58-22.90, p=0.009), depresif semptomlar (OO=7.33, GA=1.52-35.34, p=0.013) ve cerrahi \u00f6ncesi dikkat \u00e7ekici derecede a\u011fr\u0131s\u0131 bulunan olgular (OO=2.64, GA=1.17-5.44, p&lt;0.001) oldu.\n\n\u00c7\u0131kar\u0131mlar: \u015eiddetli anksiyete, depresyon ve Tip D ki\u015filik \u00f6zelliklerine sahip olgularda \u015fiddetli postoperatif a\u011fr\u0131 g\u00f6r\u00fclme riski bulunmaktad\u0131r. Bunlar d\u0131\u015f\u0131nda, kad\u0131n cinsiyet ve cerrahiden hemen sonraki a\u011fr\u0131 \u015fiddetinin de \u00f6nemli risk fakt\u00f6rleri oldu\u011fu belirlenmi\u015ftir.<\/jats:p>","DOI":"10.3944\/aott.2014.14.0177","type":"journal-article","created":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T07:24:43Z","timestamp":1422775483000},"page":"615-622","source":"Crossref","is-referenced-by-count":39,"title":["Factors associated with severe postoperative pain in patients with total hip arthroplasty"],"prefix":"10.5152","volume":"48","author":[{"given":"Nadezda","family":"M. Petrovic","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dragan","family":"R. Milovanovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dragana","family":"Ignjatovic Ristic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikola","family":"Riznic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Branko","family":"Ristic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeljko","family":"Stepanovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2896\/2849","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:14:05Z","timestamp":1763464445000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2896"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2014,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2014.14.0177","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}