Differential predictors of acute post-surgical pain intensity after abdominal hysterectomy and major joint arthroplasty.
Ann Behav Med
; 49(3): 384-97, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-25288368
ABSTRACT
BACKGROUND:
Psychological factors have a significant role in post-surgical pain, and their study can inform pain management.PURPOSE:
The aims of this study are to identify psychological predictors of post-surgical pain following abdominal hysterectomy (AH) and major joint arthroplasty (MJA) and to investigate differential predictors by type of surgery.METHOD:
One hundred forty-two women undergoing AH and 110 patients undergoing MJA were assessed 24 h before (T1) and 48 h after (T2) surgery.RESULTS:
A predictive post-surgical pain model was found for AH and MJA yielding pre-surgical pain experience and pain catastrophizing as significant predictors and a significant interaction of pre-surgical optimism and surgery type. Separate regression models by surgery type showed that pre-surgical optimism was the best predictor of post-surgical pain after MJA, but not after AH.CONCLUSIONS:
Findings highlight the relevance of psychological predictors for both surgeries and the value of targeting specific psychological factors by surgery type in order to effectively manage acute post-surgical pain.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
/
Artroplastia
/
Catastrofização
/
Dor Aguda
/
Histerectomia
Tipo de estudo:
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article