Psychological Predictors of Acute Postoperative Pain after Hysterectomy for Benign Causes

Journal article


Publication Details

Author(s): Scheel J, Sittl R, Grießinger N, Strupf M, Parthum A, Dimova V, Horn-Hofmann C, Thiel F, Beckmann M, Lautenbacher S
Journal: Clinical Journal of Pain
Publication year: 2016
ISSN: 0749-8047


Abstract


Psychological parameters have been shown to contribute significantly to the development of acute postoperative pain (APOP). For the prediction of APOP in chest malformation patients and cancer patients, we found pain-specific psychological predictors to be of higher relevance than general psychological predictors. The current study aims to further substantiate these findings.In a sample of 73 middle-aged hysterectomy patients, three predictor sets were assessed 1 day before surgery: attentional biases (towards pain-related, social threat, and positive words in a dot-probe task), pain-related emotions and cognitions (pain anxiety, pain catastrophizing, and pain hypervigilance), and affective state variables (depression and somatization). APOP intensity rated 2-3 days after surgery and analgesic consumption during the first 48 postoperative hours were used as outcome measures.APOP intensity ratings were significantly explained by their best single predictors in a multiple regression analysis: social threat words of the dot-probe task, pain anxiety, and somatization (14.7% of explained variance). When comparing standardized beta coefficients, pain-specific psychological predictors appeared to be of higher explanatory relevance than general psychological predictors. In contrast, analgesic consumption could not be significantly predicted by the psychological variables.Hysterectomy patients at risk for high APOP intensity could be characterized by the psychological variables used, whereas their predictive value for analgesic consumption was limited. The high predictive potency of pain-specific psychological variables should be considered for further improvement of pain management and prevention, because pain-specific variables like pain anxiety can be the target of focal psychological interventions when preparing for surgery.



FAU Authors / FAU Editors

Beckmann, Matthias Prof. Dr.
Lehrstuhl für Geburtshilfe und Frauenheilkunde
Grießinger, Norbert Dr. med.
Anästhesiologische Klinik
Thiel, Falk PD Dr.
Medizinische Fakultät


External institutions with authors

Otto-Friedrich-Universität Bamberg


How to cite

APA:
Scheel, J., Sittl, R., Grießinger, N., Strupf, M., Parthum, A., Dimova, V.,... Lautenbacher, S. (2016). Psychological Predictors of Acute Postoperative Pain after Hysterectomy for Benign Causes. Clinical Journal of Pain. https://dx.doi.org/10.1097/AJP.0000000000000442

MLA:
Scheel, Jennifer, et al. "Psychological Predictors of Acute Postoperative Pain after Hysterectomy for Benign Causes." Clinical Journal of Pain (2016).

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Last updated on 2018-05-10 at 07:24