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Implications for practice and research
■ Psychosocial variables can help to explain patient outcomes following total knee replacement.
■ In particular, lower levels of depressive symptomatology and dysfunctional coping, and higher levels of education, problem-focused coping, internal health locus of control and perceived adequacy of assistance from others were predictive of enhanced outcomes at 6 months postsurgery.
■ Rehabilitation providers should consider the merit of incorporating and evaluating psychosocial screening tools to identify individuals at risk of poor outcomes.
■ Research is needed on the effectiveness of interventions targeting these psychosocial variables.
■ Rehabilitation providers should consider the merit of incorporating interventions such as coping skills training into existing programmes to improve postsurgery outcomes.
Approximately a quarter of individuals who undergo knee replacement …
Competing interests None.