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April 10, 2026JSES International0 citationsOpen Access

Transient increase in anxiety and depression following Rotator Cuff Repair

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ANAyyappan V. NairKVKiran VeerendraARAravind Rajan

Key Points

  • The aim is to evaluate anxiety and depression in patients post-rotator cuff repair.
  • Enrolled 42 consecutive patients undergoing arthroscopic rotator cuff repair.
  • Used HADS and MADRS scales for assessing anxiety and depression.
  • Clinical outcomes measured at multiple time points: 2 weeks, 4 weeks, 6 weeks, 8 weeks, 3 months, 6 months, and 12 months post-surgery.
  • Significant increase in anxiety and depression observed at 3 months post-surgery.
  • Symptoms returned to preoperative levels by 9 months, with reductions below baseline at 12 months.
  • Correlations between psychological measures and functional outcomes noted at 3 and 6 months, especially with QuickDASH scores.

Abstract

Background Patients undergoing Rotator cuff repair take long periods to recover and are restricted against using their arm initially which could affect the mental status of these patients. Hence, we sought to assess the anxiety and depression in patients undergoing rotator cuff repair. Methods A total of 42 consecutive patients who underwent arthroscopic rotator cuff repair and followed up for 12 months after surgery were enrolled. Hospital Anxiety and Depression Scale(HADS) and Montgomery Asberg depression rating scale (MADRS) were used to assess anxiety and depression, The clinical outcomes were assessed using the visual analogue scale, American Shoulder and Elbow Surgeons score (ASES) and Quick disabilities of the arm, shoulder and hand (Quick DASH) score at 2 weeks,4 weeks, 6 weeks, 8 weeks, 3 months,6 months and 12 months. Results Patients undergoing rotator cuff repair had a significant increase in anxiety and depression at 3 months following surgery which returned to preoperative levels 9 months following surgery. It reduced to less than preoperative levels at 12 months. Significant correlations between psychological measures and functional outcomes were observed predominantly at 3 and 6 months postoperatively, with stronger associations noted for QuickDASH scores. All the patients had a significant improvement in the QuickDASH score and the ASES score at final follow-up (p Discussion/Conclusion Following Rotator cuff repair, there is a transient increase in anxiety and depressive symptoms. However, these symptoms reduce significantly at 12 months after surgery. Recognition of patients experiencing anxiety and depression and early psychological counseling in them may improve functional outcomes and facilitate complete recovery.

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Cite This Study

Nair et al. (2026) studied this question.

synapsesocial.com/papers/69d895796c1944d70ce06810https://doi.org/10.1016/j.jseint.2026.101704
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