2022 AOSSM Annual Meeting Recordings with CME-Psychopathology and Volitional Instability: Who should we be operating on?

Psychopathology and Volitional Instability: Who should we be operating on?

Video Transcription

Video Summary

In this video, the speaker discusses the impact of psychosocial problems and volitional instability on surgical outcomes. They mention that previous studies have often overlooked these factors or even excluded patients with volitional instability. The purpose of this study was to determine the prevalence of psychopathological traits and volitional instability and their effects on two-year outcomes after surgery. The study design was a multicenter prospective cohort study, and psychological traits were measured using a personality assessment screener. The results showed improvements in patient-reported outcomes at two years, with the group having higher psychopathological traits showing less improvement. Volitional instability and psychopathological traits were found to be predictors of lower scores on outcome measures but did not independently predict failure. The speaker suggests further research on using the personality assessment screener to identify patients at higher risk of failure.

Asset Caption

Warren Dunn, MD

Keywords

psychosocial problems

volitional instability

surgical outcomes

psychopathological traits

two-year outcomes