Analysis of preoperative and postoperative depression and anxiety in patients with calcaneal fractures

Abstract Purpose The aim of this study is to investigate the preoperative and postoperative psychological health status of patients with calcaneal fractures, and to explore the impact of preoperative psychological health status on the prognosis of surgical treatment for calcaneal fracture patients....

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Main Authors: JunKui Xu, ShiHang Cao, Dong Hu, Jun Lu, Yi Li, HongXing Zhang, Zhao Tian
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-025-07184-6
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author JunKui Xu
ShiHang Cao
Dong Hu
Jun Lu
Yi Li
HongXing Zhang
Zhao Tian
author_facet JunKui Xu
ShiHang Cao
Dong Hu
Jun Lu
Yi Li
HongXing Zhang
Zhao Tian
author_sort JunKui Xu
collection DOAJ
description Abstract Purpose The aim of this study is to investigate the preoperative and postoperative psychological health status of patients with calcaneal fractures, and to explore the impact of preoperative psychological health status on the prognosis of surgical treatment for calcaneal fracture patients. Methods This study included 67 patients with calcaneal fractures who underwent surgical treatment in the Foot and Ankle Surgery Department of Honghui Hospital in Xi’an from November 2019 to September 2022. Patients were divided into two groups based on the presence of preoperative anxiety/depression symptoms, with patients exhibiting preoperative anxiety/depression symptoms assigned to Group A and those without such symptoms assigned to Group B. Preoperative and final follow-up assessments were conducted using the Hospital Anxiety and Depression Scale (HADS), Visual Analogue Scale (VAS), and the American Orthopaedic Foot and Ankle Society (AOFAS) Score to evaluate patients. Results Among the 67 patients with complete follow-up for calcaneal fractures, 33 patients exhibited preoperative anxiety/depression symptoms (49.25%). Both Group A and Group B patients showed significant improvements in various evaluation indicators after calcaneal fracture surgery compared to preoperative assessments, but the overall prognosis of Group A was worse than that of Group B. Conclusions The preoperative psychological health status of patients is related to postoperative clinical outcomes, and patients with poorer psychological health have a worse prognosis.
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spelling doaj-art-1e4523e697ea47d2ba5572e1e7f81eee2025-08-20T03:05:16ZengBMCBMC Psychiatry1471-244X2025-07-012511910.1186/s12888-025-07184-6Analysis of preoperative and postoperative depression and anxiety in patients with calcaneal fracturesJunKui Xu0ShiHang Cao1Dong Hu2Jun Lu3Yi Li4HongXing Zhang5Zhao Tian6Honghui Hospital, Xi’an Jiaotong UniversityHonghui Hospital, Xi’an Jiaotong UniversityHonghui Hospital, Xi’an Jiaotong UniversityHonghui Hospital, Xi’an Jiaotong UniversityHonghui Hospital, Xi’an Jiaotong UniversityHonghui Hospital, Xi’an Jiaotong UniversityHonghui Hospital, Xi’an Jiaotong UniversityAbstract Purpose The aim of this study is to investigate the preoperative and postoperative psychological health status of patients with calcaneal fractures, and to explore the impact of preoperative psychological health status on the prognosis of surgical treatment for calcaneal fracture patients. Methods This study included 67 patients with calcaneal fractures who underwent surgical treatment in the Foot and Ankle Surgery Department of Honghui Hospital in Xi’an from November 2019 to September 2022. Patients were divided into two groups based on the presence of preoperative anxiety/depression symptoms, with patients exhibiting preoperative anxiety/depression symptoms assigned to Group A and those without such symptoms assigned to Group B. Preoperative and final follow-up assessments were conducted using the Hospital Anxiety and Depression Scale (HADS), Visual Analogue Scale (VAS), and the American Orthopaedic Foot and Ankle Society (AOFAS) Score to evaluate patients. Results Among the 67 patients with complete follow-up for calcaneal fractures, 33 patients exhibited preoperative anxiety/depression symptoms (49.25%). Both Group A and Group B patients showed significant improvements in various evaluation indicators after calcaneal fracture surgery compared to preoperative assessments, but the overall prognosis of Group A was worse than that of Group B. Conclusions The preoperative psychological health status of patients is related to postoperative clinical outcomes, and patients with poorer psychological health have a worse prognosis.https://doi.org/10.1186/s12888-025-07184-6Calcaneal fractureSurgical treatmentPsychological factorsPrognosisAnxietyDepression
spellingShingle JunKui Xu
ShiHang Cao
Dong Hu
Jun Lu
Yi Li
HongXing Zhang
Zhao Tian
Analysis of preoperative and postoperative depression and anxiety in patients with calcaneal fractures
BMC Psychiatry
Calcaneal fracture
Surgical treatment
Psychological factors
Prognosis
Anxiety
Depression
title Analysis of preoperative and postoperative depression and anxiety in patients with calcaneal fractures
title_full Analysis of preoperative and postoperative depression and anxiety in patients with calcaneal fractures
title_fullStr Analysis of preoperative and postoperative depression and anxiety in patients with calcaneal fractures
title_full_unstemmed Analysis of preoperative and postoperative depression and anxiety in patients with calcaneal fractures
title_short Analysis of preoperative and postoperative depression and anxiety in patients with calcaneal fractures
title_sort analysis of preoperative and postoperative depression and anxiety in patients with calcaneal fractures
topic Calcaneal fracture
Surgical treatment
Psychological factors
Prognosis
Anxiety
Depression
url https://doi.org/10.1186/s12888-025-07184-6
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