Psychological Predictors of Perioperative Pain in Patients Undergoing Orthopaedic Surgery

Enrico Molinari, Emanuele Maria Giusti, Manzoni Gian Mauro

Risultato della ricerca: Contributo in rivistaContributo a convegno

Abstract

Acute postoperative pain is the most frequent and unpleasant symptom reported by patients undergoing orthopaedic surgery. Pain in general is a complex and multidimensional experience involving sensory, affective and cognitive components and several studies addressed the role of the biopsychosocial predictors of its intensity both before and after surgery. The aim of the present longitudinal study was to explore the impact of these predictors on the whole pain experience. One hundred sixty-eight patients listed for orthopaedic interventions at the hospital “Casa di Cura San Pio X” were recruited after the preoperative visit and filled a Numeric Rating Scale (NRS) to assess pain intensity, the Questionario Italiano del Dolore (QUID) to assess the sensory, affective, evaluative and mixed components of their pain experience, the Cognitive – Behavioral Assessment – Hospital form to assess anxiety and mood, the Trail Making Test to assess executive functions, the Pain Catastrophizing Scale (PCS) and the Tampa Scale for Kinesiophobia to assess pain coping strategies. On the third day after surgery, the participants were asked to provide information about their pain using the NRS and QUID. Multiple regression analyses were performed using both preoperative and postoperative pain intensity and QUID subscales as dependent variables. Among the significant results, it was found that the rumination scale of the PCS was a predictor of preoperative pain intensity and of the sensorial, affective, evaluative and mixed components of preoperative pain, as well as of the affective, evaluative and mixed components of postoperative pain. Depressed mood was a significant predictor of NRS intensity and of the components of preoperative pain. Postoperative pain intensity was predicted by fears related to hospitalization. Overall, the results of this study highlight the importance of psychological factors in shaping the pain experience of orthopaedic patients.
Lingua originaleEnglish
pagine (da-a)25-26
Numero di pagine2
RivistaMediterranean Journal of Clinical Psychology
VolumeVol. 5
DOI
Stato di pubblicazionePubblicato - 2017
EventoXIX National Congress - Italian Psychological Association - Clinical and Dynamic Section - Torino, Italy
Durata: 29 set 20171 ott 2017

Keywords

  • Pain

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