Personality, function and satisfaction in patients undergoing total hip or knee replacement.
Rishikesan Ramaesh1, Paul Jenkins2, Deborah Macdonald2
1College of Medicine and Veterinary Medicine, University of Edinburgh, Little France, Edinburgh, UK.
Summary
Personality traits influenced pre-operative health and function in hip and knee arthroplasty patients. However, personality was not an independent predictor of outcomes after surgery.
Area of Science:
- Orthopedics
- Psychology
- Health Outcomes Research
Background:
- Investigating the link between personality and patient-reported outcomes in total hip (THA) and knee arthroplasty (TKA).
- Understanding how personality influences perceived function and health before and after joint replacement surgery.
Purpose of the Study:
- To examine the association between personality types and joint-specific function, general physical health, and mental health in THA and TKA patients.
- To determine if personality traits are independent predictors of surgical outcomes.
Main Methods:
- Utilized the Eysneck Personality Questionnaire (EPQ-BV) for personality assessment.
- Employed the Short-Form 12 (SF-12) and EuroQol (EQ-5D) for general health measures.
- Assessed joint-specific function using the Oxford hip or knee score.
Main Results:
- An "unstable introvert" personality was linked to poorer pre-operative function and health in hip arthroplasty patients.
- Poorer general health was observed in knee arthroplasty patients with "stable extrovert" and "unstable introvert" types.
- Pre-operative function and health, not personality, were the primary predictors of surgical outcomes; comorbidity was a significant covariate.
Conclusions:
- Personality may influence how patients perceive and interact with their health and function post-arthroplasty.
- Identifying specific personality traits could aid in tailoring patient education and management strategies.
- Characterizing personality traits may improve the interpretation of patient-reported outcome measures in arthroplasty research.


