[Psychological and health psychology perspectives on periprosthetic joint infections]

Periprosthetic joint infection is one of the most severe complications of joint arthroplasty and is often associated with considerable psychological distress.

This study aims to explore the psychological consequences of periprosthetic joint infection from a health psychology perspective.

A narrative review of 23 studies published between 2003 and 2025 was conducted, focusing on the psychosocial effects of periprosthetic joint infection, including both quantitative and qualitative research.

Among patients who have experienced periprosthetic joint infection, the prevalence of depression and depressive symptoms is markedly high, with approximately one-third of those undergoing revision surgery having a diagnosed depressive disorder prior to surgery. The infection and prolonged treatments impose significant psychological burden, with anxiety, fear, and uncertainty related to potential complications being common. Periprosthetic joint infection negatively affects the quality of life and functional status: most patients experience physical limitations, impaired mobility, and social isolation. Depressive and anxiety symptoms may persist for years even after successful treatment. Patients often perceive the infection as a traumatic experience, causing substantial emotional suffering and reduced quality of life, while their need for social support is heightened.

Mental health is closely linked to physical recovery. A lack of psychological support may hinder rehabilitation, whereas targeted interventions can improve outcomes.

Periprosthetic joint infection constitutes a complex biopsychosocial crisis. Integrating psychological care and adopting an interdisciplinary approach are essential for complete recovery and effective patient support. Orv Hetil. 2026; 167(6): 225-231.