Trauma history as a resilience factor for patients recovering from total knee replacement surgery
Objective : The present study investigated whether the experience of prior traumatic stressors would serve as a risk or resilience factor based on physical and emotional outcomes among patients recovering from total knee replacement surgery (TKR).
Design : 110 patients undergoing unilateral, TKR completed surveys before surgery, as well as one and three months following the procedure.
Results : Contrary to hypotheses, patients who reported more prior traumas experienced less severe pain and functional limitations at one- (β = −.259, p = .006) and three-month follow-up assessments (β = −.187, p = .04). A similar pattern emerged when specific types of traumas (e.g. interpersonal) were examined in relation to physical recovery. Further, patients’ trauma history was negatively related to symptoms of post-traumatic stress three-months following surgery (e.g. Avoidance: β = −.200, p = .037).
Conclusion : Trauma history represents a source of resilience, rather than vulnerability, within the context of arthroplastic surgery.
Document Type: Research Article
Affiliations: 1: Department of Psychology, Kent State University at Stark, N Canton, OH, USA 2: Department of Orthopedics, Cleveland Clinic, Cleveland, OH, USA 3: Department of Psychology, Kent State University, Kent, OH, USA
Publication date: September 2, 2015