Coxarthrosis is a degenerative disease of the hip joint, and by affecting 1.3 million people, it is one of the most common forms of arthrosis in Germany. Due to the associated pain, the resulting in disabilities, and the resulting costs, coxarthrosis may be considered as a disease of above-average significance from a socio-medical perspective. Total hip replacement (THR) represents a well-established therapy of degenerative diseases of the musculoskeletal system, with a low complication rate and high acceptance by patients . Only a few studies have examined the psychological factors of recovery after endoprothetic surgery. The research addressed the patient expectations, mental health, pain, anxiety, depression, and sense of coherence as predictors. The results were inconsistent, and no clear evidence was found for the influence of these psychological factors on recovery up to one year or more extended after THR.

One model describing the influence of cognitive and emotional factors on coping with illness is the Common Sense Model (CSM) of illness representation. This self-regulatory model describes that people form cognitive and emotional representations of health threats that influence the selection and use of strategies to cope with that illness. The “cognitive representations” are identity, causes, timeline, consequences, and illness control. “Identity” refers to the symptoms of the illness and “label” refers to the diagnostic term associated with the disease. “Causes” refers to the patient's presumed causes of the illness, and “timeline” refers to the presumed duration of their illness. “Consequences” refers to physical, social, and psychological effects. “Control” describes the degree to which the patients believe they can influence their illness. “Emotional representations” are the feelings that arise from the disease, such as anxiety and depression. The CSM implies that the relationship is causal, i.e., that illness representation affects coping behavior relative to the perceived severity of the disease, based on the representations derived from the disease. Studies on illness representation on a range of illnesses provide empirical support that, in addition to the mediating relationship of coping, there is also a strong relationship between illness representations and illness progression. The majority of this research has been cross-sectional, making it difficult to predict patient behavior after treatment.

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Mishita
Jornal co-ordinator
Journal of Bone Research and Reports