JSAMS plus最新文献

{"title":"Do preoperative interventions affect patient satisfaction or expectation fulfilment following total hip arthroplasty? A systematic review","authors":"April-Rose Matt ,&nbsp;Joanne L. Kemp ,&nbsp;Andrea B. Mosler ,&nbsp;Lucy Salmon ,&nbsp;Diogo Almeida Gomes ,&nbsp;Alysha De Livera ,&nbsp;Erica Hateley ,&nbsp;Adam L. Semciw","doi":"10.1016/j.jsampl.2025.100089","DOIUrl":"10.1016/j.jsampl.2025.100089","url":null,"abstract":"<div><h3>Background</h3><div>Preoperative interventions are routinely implemented for patients undergoing total hip arthroplasty (THA), but little is known about how they affect patient satisfaction. With THA numbers projected to rapidly increase, the efficacy of perioperative models of care should be explored. This systematic review aimed to investigate the impact of preoperative interventions on patient satisfaction following THA.</div></div><div><h3>Methods</h3><div>MEDLINE, EMBASE, Cochrane Register of Clinical Trials, CINAHL and Sports Discus were searched from inception to May 2023. Randomised and quasi-experimental trials of interventions before THA that reported outcomes on patient satisfaction or expectation fulfilment were included. Secondary outcomes analysed were pain, function, length of stay (LOS), and postoperative complications. Meta-analysis was performed, and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to rate the quality of the body of evidence.</div></div><div><h3>Results</h3><div>Seven studies were included. Participants who received preoperative interventions were more satisfied (SMD -0.54 [-0.87, −0.21] p ​= ​0.001), and had better function postoperatively when compared to controls (SMD -1.86, 95%CI, −3.11, to 0.61, p ​= ​0.004). There was no difference between groups in pain outcomes (SMD -0.37, 95 ​% CI -0.86, 0.12, p ​= ​0.14), LOS (SMD -0.37, 95%CI -1.04, to 0.31, p ​= ​0.29), or odds of postoperative complications (OR 0.91, 95%CI 0.54, 1.55, p ​= ​0.73). All findings were supported by a very low quality body of evidence.</div></div><div><h3>Conclusions</h3><div>Preoperative intervention was associated with better satisfaction and function in patients following THA when compared with no intervention or usual care. Preoperative intervention was found to have no effect on pain, and no effect on LOS or the odds of postoperative complications when compared with no intervention or usual care. All findings were supported by a body of evidence that was very low quality with unvalidated outcome measures and thus the true effect of the interventions is likely to be substantially different from the estimate of effect.</div><div>PROSPERO Registration number: CRD42023429861.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100089"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143349010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time to draw a line: Journal editors must protect scientific independence","authors":"","doi":"10.1016/j.jsampl.2025.100092","DOIUrl":"10.1016/j.jsampl.2025.100092","url":null,"abstract":"","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100092"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143437916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gym entry fees act as a barrier to exercising in community gyms for young adults with disability: A mixed methods study","authors":"Rachel A. Kennedy,&nbsp;Georgia McKenzie,&nbsp;Nora Shields","doi":"10.1016/j.jsampl.2025.100094","DOIUrl":"10.1016/j.jsampl.2025.100094","url":null,"abstract":"<div><h3>Background</h3><div>Cost is a barrier to exercise for young adults with disability aged 18–35 years. Few studies have investigated this barrier in depth. We explored the cost barrier to exercise for young adults with disability in the context of community gyms.</div></div><div><h3>Method</h3><div>A mixed methods study was completed. Data were collected in three consecutive phases. Phase 1 was a survey of entry options reflecting current practice in 59 community gyms. Phase 2 comprised semi-structured interviews with 20 young adults with disability and 25 community gym staff. Phase 3 involved three focus groups with key informants (n ​= ​20 total) from disability, recreation, and policy sectors. Quantitative data were analysed descriptively. Qualitative data were analysed using inductive thematic analysis.</div></div><div><h3>Results</h3><div>Gyms estimated 10 ​% of members had a disability. The overarching theme was a mismatch between the wants and needs of young adults with disability with what community gyms and disability systems offer. Three subthemes illustrated this: young adults need flexibility but current practices limit gym entry options; young adults seek value for money, but current practices advocate value-add; and young adults desire community participation, but current practices inadvertently reinforce a rehabilitation model. A further subtheme —financial viability—related to how recreation centres were often not financially sustainable limiting gym entry practices.</div></div><div><h3>Conclusion</h3><div>Despite broadly supportive recreation and policy sectors, current practices and funding systems are misaligned with the wants and needs of young adults with disability, and often incongruent with societal values of social inclusion and community-based physical activity.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100094"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143628209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sudden cardiac death in young First Nations Australians in the Northern Territory, Australia: Potential implications for pre-participation screening","authors":"Sonali Pande ,&nbsp;Viran DeSilva ,&nbsp;Elizabeth Paratz ,&nbsp;Marianne Tiemensma ,&nbsp;Nadarajah Kangaharan","doi":"10.1016/j.jsampl.2025.100100","DOIUrl":"10.1016/j.jsampl.2025.100100","url":null,"abstract":"<div><h3>Objective</h3><div>To present data from coronial records on sudden cardiac death (SCD) cases seen in young, First Nations Australians in the Northern Territory of Australia, estimate its incidence, and propose potential pre-participation screening strategies.</div></div><div><h3>Design</h3><div>Retrospective observational study.</div></div><div><h3>Methods</h3><div>Coronial records of sudden cardiac death cases in First Nations Australians in the Northern Territory under 40 years of age occurring between 2019 and 2023 were reviewed to study the incidence, demographics, medical history, circumstances of death and causes of death with autopsy and toxicology analysis.</div></div><div><h3>Results</h3><div>A total of 59 SCD cases in First Nations Australians under 40 years of age were recorded in the Northern Territory with an annual incidence of 19.8 cases per 100,000 persons. The mean ​± ​SD of age was 32.8 ​± ​6.14 years. There were 61 ​% male and 2/3 of SCD cases occurred in remote location. Coronary heart disease (n ​= ​36; 61 ​%) was the most common cause of death. In 3 cases, SCD was related to sports or exercise activity. Most common medical co-morbidities were cardiac (38.9 ​%), Diabetes mellitus (35.6 ​%), and rheumatic heart disease (20.3 ​%). Smoking (37.3 ​%) and alcohol abuse (32.2 ​%) were the most common risk factors.</div></div><div><h3>Conclusions</h3><div>SCD is more common and coronary heart disease and rheumatic heart disease are the most common causes in First Nations Australians in the Northern Territory under the age of 40 years. Medical co-morbidities and risk factors are prevalent in this population. There is a need for First Nation Australians specific local guidelines for a comprehensive pre-participation Heart-Health assessment.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100100"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rock, paper, scissors: Resolving the conflicting results of randomized trials involving corticosteroid, platelet rich plasma (PRP) and placebo injections","authors":"John W. Orchard","doi":"10.1016/j.jsampl.2024.100081","DOIUrl":"10.1016/j.jsampl.2024.100081","url":null,"abstract":"<div><h3>Objective</h3><div>To explore whether there is evidence of a rock-paper-scissors phenomenon in injections for various musculoskeletal conditions whereby platelet rich plasma (PRP) injections outperform corticosteroid injections (CSI) in randomized trials, corticosteroid outperforms placebo whereas PRP does not outperform placebo.</div></div><div><h3>Methods</h3><div>Narrative review searching for examples of musculoskeletal conditions which have high level evidence of this proposed rock-paper-scissors phenomenon.</div></div><div><h3>Results</h3><div>High quality studies or reviews could be found for lateral epicondylitis (tennis elbow), knee osteoarthritis, rotator cuff tendinopathy and plantar fasciitis suggestive of a rock-paper-scissors phenomenon. This was consistently in the direction of PRP injections having superior results to corticosteroid injections, corticosteroid injections having superior results to placebo, but then evidence that PRP injections were not superior to placebo. The most consistent result of the triumvirate was that PRP injections consistently outperformed corticosteroid injections in the medium-term (4 to 12 months).</div></div><div><h3>Discussion</h3><div>There appears to be somewhat of a rock-paper-scissors phenomenon for four common musculoskeletal conditions, with the significant limitation that this was a finding of a narrative review, limited by a non-systematic search protocol. The underlying explanation is that PRP is superior to corticosteroid in the medium-term (but not the short-term), corticosteroid is superior to placebo in the short-term (only) with PRP not being superior to placebo in either short- or medium-term in well-blinded trials. The most likely explanation for this phenomenon is that corticosteroid injections are helpful for musculoskeletal conditions in the short term (≤8 weeks) but are actually harmful in the medium-term (3 months and beyond). Systematic reviews which further explore this phenomenon are justified to help provide practical evidence-based advice on when to, if ever, use PRP and corticosteroid injections for musculoskeletal conditions.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100081"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring different interventions for Relative Energy Deficiency in Sport (REDs): A systematic review","authors":"Rosie Rudin ,&nbsp;Louisa Harris ,&nbsp;Hollie White,&nbsp;Lucy Hammond","doi":"10.1016/j.jsampl.2024.100085","DOIUrl":"10.1016/j.jsampl.2024.100085","url":null,"abstract":"<div><h3>Objectives and design</h3><div>Relative Energy Deficiency in Sport (REDs) is caused by an imbalance in energy intake and expenditure through exercise, which leads to low energy availability. Although awareness of REDs is improving, a synthesis into the available literature to determine the efficacy of different interventions in athletes with REDs is needed. Subsequently, this may inform clinicians and athletes of the most appropriate interventions.</div></div><div><h3>Methods</h3><div>Medline, Embase and Web of Science databases were searched using keywords and their combinations. Two independent reviewers screened the retrieved studies by title, abstract and full text. The Joanna Briggs Institute critical appraisal tool was used to assess risk of bias. Data were extracted into an excel spreadsheet and a narrative synthesis performed.</div></div><div><h3>Results</h3><div>The search retrieved 982 papers, and after screening, 11 were eligible for inclusion, including increase in energy intake (n ​= ​3), increase in energy intake and decrease in energy expenditure (n ​= ​1), dietary approaches (n ​= ​1), education and counselling (n ​= ​5) and hormonal intervention (n ​= ​1). Increasing energy intake enabled return of menses, yet did not significantly increase bone mineral density. Dietary approaches significantly improved body image, tension, vigour and depression. Nutrition education improved bone health, energy availability, and eating behaviours in athletes, while hormonal interventions had limited effects on bone mineral density.</div></div><div><h3>Conclusion</h3><div>Increasing energy intake is essential in the management of REDs and may be more effective when used alongside education and hormonal treatment. Future research is needed to allow better analysis of the efficacy of interventions due to the limited research available.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100085"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inclusion in and through disability sport? A scoping review using the examples of goalball and wheelchair basketball","authors":"Felix Oldörp ,&nbsp;Christopher Mihajlovic ,&nbsp;Martin Giese","doi":"10.1016/j.jsampl.2025.100096","DOIUrl":"10.1016/j.jsampl.2025.100096","url":null,"abstract":"<div><h3>Background</h3><div>Inclusion in sport has been empirically investigated and demonstrated the potential for promoting inclusion. Nevertheless, a comprehensive overview of how inclusion is understood and theoretically conceptualized within the context of disability sports research is still lacking. Therefore, a scoping review has been conducted to map the existing literature concerning the conceptions of inclusion in disability sports using goalball and wheelchair basketball as examples.</div></div><div><h3>Methods</h3><div>For the scoping review a comprehensive search of five databases was conducted, resulting in the identification of nine articles that were deemed eligible for review. Coding of the data was performed to categorize specific elements, aiming to identify key features and concepts related to inclusion.</div></div><div><h3>Results</h3><div>All reviewed articles recognize sport as an environment in which people of all (dis)abilities can participate. Abilities acquired in and through sport were presented as an important element for inclusion. Inclusion concepts in the articles were based on different concepts. But the concepts were not always clearly defined. In the qualitative studies analyzed, the concepts of inclusion were expanded to include subjective feelings such as equality and belonging based on the statements of the participants.</div></div><div><h3>Conclusions</h3><div>The findings highlight the need for further research using qualitative methodologies that extend beyond the spatial dimension of inclusion, encompassing other dimensions to provide a more comprehensive understanding of inclusion in (disability) sport. Since discussions about inclusion concepts have been primarily driven by physical education research, future research should also focus on recreational and popular sports to strengthen inclusive sports programs.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100096"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143696673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of sample representativeness and homogeneity in exercise trials using group designs for people with cerebral palsy","authors":"S.M. Tweedy ,&nbsp;I.M. Dutia ,&nbsp;L. Caughey ,&nbsp;B. Demetriou ,&nbsp;E.M. Beckman ,&nbsp;J. Cairney","doi":"10.1016/j.jsampl.2025.100103","DOIUrl":"10.1016/j.jsampl.2025.100103","url":null,"abstract":"<div><h3>Background</h3><div>Evidence quality from exercise trials which use group designs is partly dependent on whether study samples represent the population and acceptable sample homogeneity is achieved. This study aimed to review studies evaluating exercise training for people with cerebral palsy (CP) and appraise to what extent i) participants were representative of people with CP; and ii) internal validity was threatened by sample heterogeneity.</div></div><div><h3>Methods</h3><div>A search of 5 major databases was conducted to identify exercise trials which use group designs for people with CP. Participant characteristics were extracted and used to divide participants into sub-populations. Indicative Participant Prevalence Ratio (iPPR) was calculated to assess representativeness. Sample homogeneity was appraised for each study.</div></div><div><h3>Results</h3><div>Fifty-one studies evaluating 836 participants were appraised. Adults comprise 60 ​% of the CP population but were grossly underrepresented (iPPR&lt;0.4). Older adults, people with dyskinetic and ataxic CP and wheelchair users were also grossly underrepresented. The number of studies that accounted for key prognostic variables was: age - 26 studies (51 ​%); sex - 0 studies (0 ​%); neurological subtype - 21 studies (41 ​%); functional effects - 14 studies (27 ​%) and comorbidities - 1 study (2 ​%).</div></div><div><h3>Conclusion</h3><div>Adults with CP and people with high support needs are underrepresented, and future research should prioritise this subpopulation. Trials using group designs require researchers to reconcile two competing interests – adequate sample size and sample homogeneity and to date, sample homogeneity has received insufficient priority. This threatens internal validity and, consequently, the overall quality of evidence underpinning clinical exercise prescription is likely to be lower than previously thought.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100103"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The player salary costs of match-loss injury and illness at an Australian Football League Club: A six-season retrospective cohort study","authors":"Matthew R. Turnbull ,&nbsp;Tania F. Gallo ,&nbsp;Hannah E. Carter ,&nbsp;Michael Drew ,&nbsp;Liam A. Toohey ,&nbsp;Jocelyn Mara ,&nbsp;Gordon Waddington","doi":"10.1016/j.jsampl.2025.100104","DOIUrl":"10.1016/j.jsampl.2025.100104","url":null,"abstract":"<div><h3>Background</h3><div>The objective of this study was to quantify the salary costs of match-loss injuries and illnesses at a single professional AFL club.</div></div><div><h3>Methods</h3><div>A retrospective cohort study involving male professional AFL players across a six-season period (2016–2021). Analysis of player injury and illness data, and corresponding salary data, was performed with costs calculated using the human capital method.</div></div><div><h3>Results</h3><div>There were 95 individual players across the six-seasons, with 79 unique diagnoses, 267 match-loss injuries or illnesses and 1130 matches missed. The total salary cost of match-loss injury and illness was AU$13.0 million across the period. Hamstring biceps femoris grade 1–2 strains had the highest proportion of these costs according to diagnosis (AU$1.3 million, 30 incidences, 10.0 ​% of total salary costs), followed by soleus strains (AU$1.1 million, 20 incidences, 8.7 ​%) and concussions (AU$1.1 million, 25 incidences, 8.4 ​%). Of the most frequent injuries, hamstring semimembranosus strains had the highest mean (SD) cost per injury occurrence at AU$139,988 (126,023), followed by knee anterior cruciate ligament injuries at AU$99,264 (105,086). Injury or illness costs as a proportion of the total salary spend across six seasons was 17 ​% (range 10 ​%–22 ​%).</div></div><div><h3>Conclusion</h3><div>Match-loss injuries and illnesses incur a considerable financial cost relative to the player salary expenditure. This study may provide a costing model for sports businesses to utilise as an approach to inform resource allocation decisions, particularly in relation to injury management and prevention.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100104"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological distress is associated with pain and symptom severity in patients with longstanding hip and groin pain: A cross-sectional study","authors":"Anders Pålsson ,&nbsp;Carl Bjerkelund ,&nbsp;Andreas Ivarsson ,&nbsp;Ioannis Kostogiannis ,&nbsp;Eva Ageberg","doi":"10.1016/j.jsampl.2025.100090","DOIUrl":"10.1016/j.jsampl.2025.100090","url":null,"abstract":"<div><h3>Background</h3><div>The primary aim was to assess psychological distress in patients with longstanding hip and groin pain (LHGP) and compare them with healthy controls. The secondary aim was to explore the association between psychological distress and symptom duration, self-reported pain and symptoms in patients with LHGP.</div></div><div><h3>Methods</h3><div>Seventy-two patients with LHGP and sixty-three controls were included. The Kessler Psychological Distress Scale (K10) was used to assess psychological distress and the Copenhagen Hip and Groin Outcome Score (HAGOS) subscale for pain and symptoms to assess hip and groin pain and symptoms. The Mann–Whitney <em>U</em> test was used for between-group comparisons, and the Spearman's rank-order correlation to examine the association between the K10 and HAGOS.</div></div><div><h3>Results</h3><div>There was no difference in psychological distress between patients with LHGP and controls (p ​= ​0.060) on the K10 total score. More individuals were categorized as having “high or very high” psychological distress in the LHGP group (45 ​%) compared to the control group (26 ​%) (p ​= ​0.035). There was no difference between patients with 3–12 months and &gt;12 months symptom duration for the K10 (p ​= ​0.232). There was a moderate association between more psychological distress and worse self-reported pain (p ​= ​0.003) and symptoms (p ​&lt; ​0.001).</div></div><div><h3>Conclusions</h3><div>In this exploratory study, no difference was observed between patients and controls on the K10 total score; however, more patients with LHGP were categorized as having high or very high levels of psychological distress compared to controls. Among patients, symptom duration did not influence psychological distress, but a moderate association was found between more distress, greater pain, and more severe symptoms.</div></div>","PeriodicalId":74029,"journal":{"name":"JSAMS plus","volume":"5 ","pages":"Article 100090"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}