Randomised Study Evaluating the Interest of Psychological Support of Patients Waiting for Hallux Valgus Surgery
- Conditions
- Hallux Valgus Surgery
- Interventions
- Other: Psychological support
- Registration Number
- NCT06460909
- Lead Sponsor
- Assistance Publique - Hôpitaux de Paris
- Brief Summary
Catastrophizing is a negative evaluation of events. What surgery concerns, pain catastrophizing is one of the main risks of postoperative pain and / or poor functional recovery. The best survey to evaluate pain catastrophizing is the PCS (Pain Catastrophizing Scale). According to the authors, catastrophizers report more negative pain related thoughts, more emotional distress and more pain than non-catastrophizers. The PCS is a significant predictor of pain intensity and so of poor functional recovery.
It is already well known that anxiety and catastrophizing predict postoperative pain.
The actual studies focus mainly on functional recovery of knee and hip arthroplasties, but less on pain and functional recovery of hallux valgus surgery.
According to several authors, adapted psychological support of preoperative catastrophizing could allow a better postoperative evolution.
Our hypothesis is that a preoperative psychological consultation of catastrophizing patients is efficient to lower pain catastrophizing in adult patients undergoing a surgical operation for hallux valgus.
The first objective is to evaluate the impact of a psychological support of preoperative pain catastrophizing during a hallux valgus surgery.The principal evaluation scale is the pain catastrophizing score before and after surgery.
The second objective is to evaluate the pain and functional recovery of pain catastrophizing patients. The criteria of this survey are: anxiety score (usual and actual), pain and function according to the FAOS (Foot and Ankle Outcome Score) pain (Analogic Visual Scale).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 180
- Adult over 18
- Independent, living in its own home
- Affiliated at a social security
- Consent signed
- Waiting for a Hallux Valgus surgery.
- Not Able to understand french language
- Patient refusal
- Under guardianship
- Under french AME system
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Psychological support arm Psychological support Patients randomized with psychological intervention.
- Primary Outcome Measures
Name Time Method Impact of preoperative psychological support on pain catastrophizing at baseline By State portion of the Spielberger State-Trait Anxiety Inventory STAI.
- Secondary Outcome Measures
Name Time Method Pain evaluate of catastrophizing patients at baseline By American Orthopaedic Foot and Ankle Society (AOFAS).
Trial Locations
- Locations (1)
Orthopedia and traumatological department
🇫🇷Boulogne-Billancourt, France