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Context :  Femoroacetabular impingement syndrome (FAIS) is a painfully debilitating hip condition disproportionately affecting active individuals. Mental health disorders are an important determinant of treatment outcomes for individuals with FAIS. Self-efficacy, kinesiophobia, and pain catastrophizing are psychosocial factors that have been linked to inferior outcomes for a variety of orthopedic conditions. However, these psychosocial factors and their relationships with mental health disorders, pain, and function have not been examined in individuals with FAIS.   Objective :  (1) To examine relationships between self-efficacy, kinesiophobia, pain catastrophizing, pain, and function in patients with FAIS and (2) to determine if these variables differ between patients with and without a self-reported depression and/or anxiety.   Design :  Cross-sectional.   Setting :  University health center.   Participants :  Fifty-one individuals with FAIS (42 females/9 males; age 35.7 [11.6] y; body mass index 27.1 [4.9] kg/m 2 ).   Main Outcome Measures :  Participants completed the Pain Self-Efficacy Questionnaire, Tampa Scale for Kinesiophobia, Pain Catastrophizing Scale, visual analog scale for hip pain at rest and during activity, and the 12-item International Hip Outcome Tool. Self-reported depression and/or anxiety were recorded. The relationships between psychosocial factors, pain, and function were examined using Spearman rank-order correlations. Independent  t  tests and Mann–Whitney  U  tests were used to evaluate the effect of self-reported depression and/or anxiety on psychosocial factors, pain and function.   Results :  The 12-item International Hip Outcome Tool was correlated with pain during activity ( ρ  = −.57,  P  ≤ .001), Tampa Scale for Kinesiophobia ( ρ  = −.52,  P  ≤ .001), and Pain Self-Efficacy Questionnaire ( ρ  = .71,  P  ≤ .001). The Pain Self-Efficacy Questionnaire was also correlated with pain at rest ( ρ  = −.43,  P  = .002) and pain during activity ( ρ  = −.46,  P  = .001). Individuals with self-reported depression and/or anxiety (18/51; 35.3%) had worse self-efficacy and pain catastrophizing ( P  ≤ .01).   Conclusion :  Self-reported depression and/or anxiety, low self-efficacy, and high kinesiophobia were associated with more hip pain and worse function for patients with FAIS. These findings warrant further examination including psychosocial treatment strategies to improve the likelihood of a successful clinical outcome for this at-risk population.

Low Self-Efficacy and High Kinesiophobia Are Associated With Worse Function in Patients With Femoroacetabular Impingement Syndrome