术前心理韧性、自我效能感与坚毅性与运动医学患者术后功能结局相关：一项系统综述
简介
一项纳入20项研究的系统综述显示，术前心理韧性、自我效能和毅力与运动医学患者（尤其膝关节镜术后）的功能结局显著相关，而疼痛灾难化、控制点和乐观等特质关联性不一致。临床提示：术前评估患者心理特质可能有助于预测术后康复效果。
英文摘要
PURPOSE: To assess the impact of personality traits on postoperative functional outcomes in patients undergoing common orthopaedic sports medicine surgeries. METHODS: A systematic review of PubMed (MEDLINE), Scopus (EMBASE, MEDLINE, COMPENDEX), and Cochrane Central database from inception to October 1, 2024, was conducted. Primary articles that investigated the relationship between preoperative psychosocial characteristics (i.e., resilience, grit, self-efficacy, catastrophizing, locus of control, optimism) and postoperative surgical outcomes after undergoing sports medicine/arthroscopy procedures (shoulder, hip, and knee arthroscopy) were included. RESULTS: A total of 20 studies investigating the association between preoperative personality traits and postoperative functional outcomes were reviewed. Among the personality traits examined, resilience (9 studies), pain catastrophizing (7 studies), self-efficacy (3 studies), grit (2 studies), locus of control (1 study), and optimism (1 study) were analyzed. High preoperative resilience was significantly correlated with improved postoperative outcomes in 5 of 9 studies, particularly in knee arthroscopy cohorts. Pain catastrophizing showed mixed results, with 3 of 7 studies indicating a significant correlation between low pain catastrophizing and better postoperative outcomes. All 3 studies examining self-efficacy showed a positive relationship with postoperative outcomes. Higher preoperative grit exhibited improved postoperative outcomes among all included studies, whereas locus of control and optimism had no significant impact in the 1 study that met the inclusion criteria. Among the 3 studies that explored relationship between baseline personality traits and minimal clinically important difference in postoperative outcomes, no studies found a significant correlation. CONCLUSIONS: Resilience, self-efficacy, and grit emerged as personality traits with potential associations with postoperative functional outcomes in orthopaedic sports medicine patients. The remaining personality traits of pain catastrophizing, locus of control, and optimism showed either mixed results or no correlation with functional outcomes. When assessed, no study found a correlation between preoperative traits and achievement of minimal clinically important difference in outcomes. LEVEL OF EVIDENCE: Level IV, systematic review of Level II to IV studies.