Comparing Patient-reported Outcomes In Individuals With Chronic Ankle Instability Based On Mental Health Condition Diagnosis

PURPOSE: The purpose of this study was to compare scores on patient-reported outcome measures (PROs) in individuals with chronic ankle instability (CAI) based on history of a diagnosed mental health condition. METHODS: 81 individuals with chronic ankle instability (53 Female, 41 with Mental Health Condition, Age: 32.15 ± 8.67, Episodes of Giving Way: 3.12 ± 2.18) volunteered to participate in this online survey study. Participants were included if they were between the ages of 18-55 and met previously established recommendations from the International Ankle Consortium. All participants completed a demographics questionnaire and a series of PROs, which included the NASA/Johnson Space Center Physical Activity Rating Scale (NASA), the Foot and Ankle Disability Index (FADI), the Fear-Avoidance Beliefs Questionnaire (FABQ), and the Modified Disablement in the Physically Active Scale (mDPA). Separate univariate analyses were used to compare scores were between groups while controlling for sex. Alpha was set a prior at p < 0.05. RESULTS: Means and standard deviations for all variables can be found in Table 1. No significant differences in FADI-Activities of Daily Living, FADI-Pain, FADI-Sport, FABQ-Work, FABQ-Physical Activity, mDPA-Physical Summary Component or NASA was identified between groups. However, when controlling for sex, the group with a diagnosed mental health condition reported greater scores on the mDPA-Mental Summary Component (p = 0.003). CONCLUSIONS: Individuals with CAI who have mental health conditions report more disability with the Mental Summary Component of the mDPA than their counterparts who do not have a mental health condition. This suggests that individuals with CAI who have been diagnosed with a mental health condition may be more greatly impacted by the psychosocial impact of injury compared to those who have never been diagnosed with a mental health condition. - PROs in individuals with CAI based on previously diagnosed mental health (MH) condition PROs Diagnosed MH Condition No Diagnosed MH Condition P-value NASA 3.95 ± 2.60 5.03 ± 2.72 0.09 FADI-ADL 74.39 ± 21.13 72.38 ± 18.49 0.51 FADI-Pain 77.70 ± 21.58 76.39 ± 18.06 0.50 FADI-Sport 63.53 ± 21.36 58.51 ± 20.38 0.96 FABQ-PA 14.33 ± 6.28 14.14 ± 7.44 0.67 FABQ-W 12.21 ± 12.03 14.34 ± 11.66 0.92 mDPA-PSC 22.06 ± 11.36 23.11 ± 11.08 0.67 mDPA-MSC 8.32 ± 3.82 5.69 ± 4.29 <0.01* *Statistically significant