Anxiety, but not pain catastrophizing, represents a risk factor for severe acute postoperative pain: a prospective, observational, cohort study (original) (raw)
Related papers
The Roles of Pain Catastrophizing and Anxiety in the Prediction of Postoperative Pain Intensity
The Clinical Journal of Pain, 2005
Objectives: This study was a prospective investigation of the extent to which psychologic variables could be predictive of postoperative pain. Study aims were: 1) to evaluate whether an assessment of preoperative distress factors could predict the intensity of postoperative pain; and 2) to characterize the unique pattern in which anxiety and pain catastrophizing scores relate to postoperative pain.
2018
Introduction: Preoperative anxiety frequently encountered in patients before surgery, contributes and/or predisposes to different undesirable effects in the postoperative period of these patients, highlighting postoperative pain although a close relationship has not been established yet. There are a large number of validated scales that help to assess the degree of anxiety and pain that each patient will experience during their surgical procedure Objective: To determine the degree of correlation between preoperative anxiety and the level of postoperative pain in patients under elective surgery. Material and methods: Correlation study carried out in HGR No.1 IMSS Obregón, Sonora from January 2016 to May 2106, in patients electively programmed for orthopedic and orthopedic surgery. Measuring level of anxiety with Amsterdam scale and postoperative pain with visual analogue scale. Results: There is a positive relationship between the perceived pain of patients with respect to the preoperative anxiety suffered Conclusion: Preoperative anxiety is directly linked to the postoperative pain of the patient undergoing elective traumatology surgery.
Minerva Anestesiologica, 2018
Preoperative anxiety can influence the intensity of postoperative pain and anesthesia and analgesia requirement. In certain types of surgery, anxiety may even increase postoperative morbidity and mortality. the goal of this narrative review is to remind anesthesiologists that anxiety measurement using specific tools can be done in clinical practice, to present the implications of preoperative anxiety on postoperative patient recovery, and to acknowledge the importance of a dedicated anesthesia plan in the management of anxious adult patients. Preoperative assessment performed several weeks before surgery in an outpatient clinic is a reasonable option to give information about surgery, anesthesia and postoperative pain. this is the time to assess patient preoperative anxiety by using Vas-a. if high anxiety level is detected early, the patient can be referred to a psychologist for preoperative preparation. this is consistent with the guidelines for enhanced recovery after surgeries, which underline the importance of patient-doctor discussion about hospitalization and perioperative care. Patients with preoperative anxiety could benefit from multimodal analgesia, including non-pharmacological methods, such as cognitive therapy and music therapy and relaxation. the authors' opinion is that greater education about preoperative anxiety consequences in the surgical community is needed. A systemized approach and guidelines about the management of preoperative anxiety should be followed.
The Role of Catastrophizing In the Prediction of Postoperative Pain
Pain …, 2009
OBJECTIVE: Catastrophizing has been broadly conceived as an exaggerated negative "mental set" brought to bear during actual or anticipated pain experience and has risen to the status of one of the most important psychological predictors of pain. The present study aimed at investigating the relationship between catastrophizing and postoperative pain outcomes (pain intensity and analgesia use) in patients undergoing elective instrumented lumbar fusion surgery. DESIGN: On the day before surgery, 61 patients completed the Greek versions of the Pain Catastrophizing Scale and the Hospital Anxiety and Depression Scale. On postoperative days 1 and 2, pain intensity (at rest and during activity) on the Verbal Rating Scale as well as intravenous patient-controlled analgesia fentanyl use were assessed. RESULTS: Catastrophizing and gender predicted postoperative pain intensity at rest, whereas catastrophizing emerged as the unique predictor of postoperative pain intensity during activity. Catastrophizing and anxiety predicted analgesic use. CONCLUSIONS: The present study findings suggest that it is possible to preoperatively identify patients at risk for experiencing more severe pain in the postoperative recovery period. In such cases, consideration might be given to utilizing a variety of resources to ameliorate or prevent pain.
Pain and anxiety management in the postoperative gastro-surgical setting
Journal of Advanced Nursing, 2003
M A N I A S E M AN I A S E . ( 2 0 0 3 ) ( 2 0 0 3 ) Journal of Advanced Nursing 41 , 585-594 Pain and anxiety management in the postoperative gastro-surgical setting Background. Despite increasing knowledge and technological advances, patients continue to experience pain and anxiety in the postoperative setting. Aim of the study. The aim of this study was to examine how nurses managed patients' pain and anxiety within the gastro-surgical hospital setting.
Postoperative pain is an acute pain triggered by nociceptive stimuli. It is more often of short duration and does not endure beyond 3 or 4 days in most cases. Though of less complex and polymorphic expression than chronic pain, postoperative pain is a multidimensional phenomenon which is the result of numerous biochemical, physiological and psychological mechanisms. Surgical procedure and anaesthesia evidently are determining prime factors of postoperative pain's intensity and evolution. However, patients' postoperative pain experience and analgesic requirements vary following identical surgery and anaesthetic technic (between 5 and 20% of patients do not express any pain; 30% endure moderate pain when the prevalence of postoperative pain of important to severe intensity seems to be around 50%). As research has demonstrated, it appears that various aspects of anxiety and fear, neuroticism, extroversion and extroverted hostility, perceived self-control of pain, the strategies patients preferently adopt in such a threatening situation, etc. tend to modify postoperative pain responses.
Pain research & management: the journal of the Canadian Pain Society = journal de la societe canadienne pour le traitement de la douleur
The present article addresses two related developments in the psychology of pain, and integrates them into a coherent framework to better understand the relationship between pain and trauma. The first is an emerging conceptualization regarding the nature of the hierarchical organization of major pain-related anxiety constructs. The second is the theoretical rationale and empirical evidence linking pain and symptoms of post-traumatic stress disorder. To explore the underlying hierarchical factor structure of commonly used pain-related anxiety measures including the Pain Anxiety Symptoms Scale (PASS-20), the Pain Catastrophizing Scale (PCS), and the Anxiety Sensitivity Index (ASI); and to relate this structure to post-traumatic stress disorder in patients scheduled for major surgery. Measures were completed by 444 patients scheduled to undergo major surgery. Exploratory factor analysis and subsequent higherorder analysis using the Schmid-Leiman transformation were conducted to investi...
Archives of Anesthesia and Critical Care
Background: Despite the growing advancements of surgical and anesthetic techniques resulting in decreased morbidity and mortality, the period before surgery remains stressful for most patients. Considering the adverse effect of preoperative anxiety on anesthesia and surgery outcomes, we conducted this study to evaluate the level of anxiety in the anesthesia clinic among Iranian patients undergoing surgery and also to determine its associated factors. Methods: This was a cross-sectional study performed on 231 patients admitted to the anesthesia clinic of Imam Khomeini hospital, Tehran, Iran. Data were collected by using a three-part questionnaire consisting of demographic data, clinical findings and the translated version of Spielberger state-trait anxiety inventory (STAI). Chi-square test and binary logistic regression model were performed for univariate and multivariate analysis, respectively. A p-value< 0.05 was considered statistically significant. Results: The mean (SD) score...
Measuring preoperative anxiety in patients undergoing elective surgery in Czech Republic
Central European Journal of Nursing and Midwifery, 2015
Aim: The main aim of the study was to measure preoperative anxiety in patients in the Czech Republic before elective surgery, using the Visual Analogue Scale for Anxiety (VAS-A). Design: A cross-sectional descriptive study. Methods: The sample consisted of 344 patients undergoing elective surgery. The day before surgery patients completed a questionnaire consisting of demographic data, the Amsterdam Preoperative Anxiety and Information Scale (APAIS) and the VAS-A. Spearman correlation was used to test correlation between the VAS-A and the subscales of the APAIS. Analysis of Variance (ANOVA) and the Kruskal-Walis test were used for group comparison. A p-value < 0.05 was considered to be significant. Results: Female patients and patients without previous experience of surgery had a significantly higher VAS-A score. The anxiety score measured by the VAS-A positively correlated with APAIS-Anxiety (r = 0.71) and its subscales. The results also showed that the most common anxieties resulted from postoperative pain, anaesthesiological complications, postoperative nausea and vomiting, concerns about regaining consciousness after anaesthesia, surgical errors, and postponement of surgery. Conclusion: The findings of this study support the utility of the VAS-A as a measure of preoperative anxiety. The VAS-A quickly and simply assesses anxiety and may be useful for research as well as clinical purposes when researchers or clinicians have very limited time.