Baseline Resilience Correlates With Baseline Mental Health but Not Baseline Pain or Functional Status in Patients Undergoing Surgery for Femoroacetabular Impingement Syndrome.

PURPOSE: To evaluate whether baseline resilience correlates with baseline pain and function, assess the relation between baseline resilience and mental health, and identify additional predictors of baseline pain and function in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome.

METHODS: Patients undergoing hip arthroscopy for femoroacetabular impingement syndrome were identified within a prospectively collected registry database. Baseline outcome measures included the 10-item Connor-Davidson Resilience Scale, Veterans RAND 12-Item Mental Component Score and Physical Component Score, Hip Disability and Osteoarthritis Outcome Score-Pain Subscale (HOOS-Pain), Hip Disability and Osteoarthritis Outcome Score-Physical Function Short Form (HOOS-PS), and University of California, Los Angeles Activity Score. Multivariable linear regressions were used to model baseline HOOS-Pain and HOOS-PS while assessing the relative contribution of baseline resilience score.

RESULTS: A total of 300 patients were included with a median age of 32 years (interquartile range 20-43) and 71.7% were women. Baseline 10-item Connor-Davidson Resilience Scale was not significantly associated with baseline HOOS-Pain or HOOS-PS. Baseline resilience had a moderately strong correlation with baseline mental health as measured via the Veterans RAND 12-Item Mental Component Score (Pearson correlation 0.55 [0.47, 0.62]). Sex (P < .001), body mass index (P = .049), education level (P = .022), and baseline Veterans RAND 12-Item Physical Component Score (P < .001) were significantly associated with baseline HOOS-Pain scores. Sex (P = .016), education level (P = .007), history of prior surgery (P = .043), and Veterans RAND 12-Item Physical Component Score (P < .001) were significantly associated with baseline HOOS-PS scores.

CONCLUSIONS: Baseline resilience (10-item Connor-Davidson Resilience Scale) was not found to be associated with baseline pain or hip-related physical function. Baseline resilience scores had a moderately strong correlation with mental health. Physical health status and function, sex, years of education, and body mass index were the strongest predictors of baseline pain, whereas physical health status and function, years of education, sex, and prior surgery were the strongest predictors of baseline hip-related physical function.

LEVEL OF EVIDENCE: Level III, retrospective cohort study.