Publication Name	World Journal of Psychiatry
Manuscript ID	116745
Country	China

Category	Psychology
Manuscript Type	Retrospective Study
Article Title	Preoperative anxiety and depression predict two-year outcomes after total hip or knee arthroplasty
Manuscript Source	Unsolicited Manuscript
All Author List	Yi-Jun Lian, Jia-Ning Lu, Qing-Chao Ru, Yong-Kang Zhu, Zhen-Yang Yu and Xin Guo
Funding Agency and Grant Number
Corresponding Author	Yi-Jun Lian, Department of Orthopedics, The First Affiliated Hospital of Henan Medical University, No. 88 Jiankang Road, Weihui, Xinxiang 453100, Henan Province, China. lyj16373@126.com
Key Words	Anxiety; Depression; Arthroplasty, Replacement, Hip; Arthroplasty; Treatment outcome; Complications; Propensity score
Core Tip	Preoperative anxiety and depression, assessed using the Hospital Anxiety and Depression Scale, have a sustained negative influence on outcomes after total hip arthroplasty and total knee arthroplasty. Using propensity score matching and two-year follow-up, this study demonstrates that psychological distress independently predicts poorer joint function, less pain improvement, reduced quality of life, and higher complication risk. These findings emphasize the need to incorporate routine psychological screening and perioperative mental-health interventions into arthroplasty care pathways.
Citation	Lian YJ, Lu JN, Ru QC, Zhu YK, Yu ZY, Guo X. Preoperative anxiety and depression predict two-year outcomes after total hip or knee arthroplasty. World J Psychiatry 2026; In press

Received	2025-11-21 09:21
Peer-Review Started	2025-11-21 09:21
First Decision by Editorial Office Director	2025-12-12 07:38
Return for Revision	2025-12-12 07:38
Revised	2025-12-27 12:39
Publication Fee Transferred
Second Decision by Editor	2026-02-25 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-02-25 06:18
Articles in Press	2026-02-25 06:18
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
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