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FP7.7 Depression and Psychological Distress Improves after Surgical Treatment of Hip Conditions in Young Adults
Abstract   Open access   Peer reviewed

FP7.7 Depression and Psychological Distress Improves after Surgical Treatment of Hip Conditions in Young Adults

Michael Willey, Courtney Seffker, Josh Hockman, Taylor Murray, Nicholas Bender, Jenna Jensen and Robert Westermann
Journal of hip preservation surgery, Vol.12(Supplement_2), pp.ii13-ii13
12/01/2025
DOI: 10.1093/jhps/hnaf069.039
PMCID: PMC12720577
url
https://doi.org/10.1093/jhps/hnaf069.039View
Published (Version of record) Open Access

Abstract

Objective Psychological distress and depression is common in young adults and even more prevalent in patients with musculoskeletal dysfunction. The goals of this study were to: 1) Report the incidence of psychological distress before and after surgical treatment of hip conditions in young adults and 2) Determine how pre-operative depression and psychological distress impacted change in patient-reported dysfunction. Methods Young adults (aged 12-40 years old) that presented to our hip preservation clinic prospectively completed the Patient Health Questionnaire–9 (PHQ-9), Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF), and International Hip Outcomes Tool-12 (iHOT) surveys pre-operatively and at minimum 6 months post-operatively. A PHQ-9 score ≥10 indicated moderate or greater depression. Number of OSPRO yellow flags were reported to document severity of psychological distress. The change in incidence of depression and psychological distress was compared before and after surgery. Change in iHOT score was compared between patients with and without moderate or great depression prior to surgery. Differences between groups were evaluated using t-tests or ANOVA, for continuous variables, and chi-square tests for categorical variables. Results 56 young adults underwent open or arthroscopic hip preservation surgery (28 hip arthroscopy, 25 PAO, 3 femoral osteotomy) and completed pre-operative and 6-month post-operative OSPRO-YF, PHQ-9, and iHOT. The average age was 22.5 years and 84% were female. Prior to surgery 12% reported moderate or greater depression which decreased to 2% at minimum 6 months after surgery (p=0.038). The average number of OSPRO yellow flags was 5.9±3.3 pre-operatively which decreased to 2.7±3.2 at minimum 6 months after surgery (p<0.001). Average pre-operative iHOT scores increased from 34.7±17.5 prior to surgery to 75.2±23.1 after surgery (p<0.001). Patients with moderate or greater depression prior to surgery had an average increase in iHOT of 25.2±30.2 and patients with less than moderate depression had an average increase in iHOT of 42.7±22.6 (p=0.007). Conclusions The incidence of depression symptoms and psychological distress decreased early after hip preservation surgery in young adults. Patients with moderate or greater depression before surgery had less improvement in patient-reported hip dysfunction.
 Surgery Patients Young adults

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