Differential predictors of acute post-surgical pain intensity after abdominal hysterectomy and major joint arthroplasty
Open accessAbstract
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.
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The most frequent psychological risk factors for CPSP and fatigue include anxiety, such as hypervigilance and pain catastrophizing.
“The most frequent tap into anxiety, such as hypervigilance and pain catastrophizing [24–28].”
Other significant predictors of CPSP and fatigue involve depression, stress, and optimism.
“Other significant predictors involve depression, stress, and optimism [12,20,27].”
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- Authors
- Pinto, P. R., McIntyre, T., Araújo-Soares, V., Costa, P., & Almeida, A.
- Affiliations
- University of Minho (PT)
- University of Houston (US)
- Corresponding author
- Pinto, Patrícia R.
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-10-07
- Volume
- 49
- Issue
- 3
- Pages
- 384-397
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W2028547600
- Cited by
- 38
- References
- 60
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 8 · 2017: 5 · 2016: 4 · 2015: 2
- FWCI
- 3.63
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Licence
- other-oa
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion)
- RepositóriUM (Universidade do Minho) (submittedVersion, other-oa)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by-nc-nd)
- Newcastle University ePrints (Newcastle Univesity) (cc-by-nc)
- Topics
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- postoperative pain, abdominal hysterectomy, pain catastrophizing, pain management
- MeSH terms
- Adult, Arthroplasty, Female, Humans, Hysterectomy, Male, Middle Aged, Pain Measurement, Postoperative Pain, Catastrophization, Acute Pain
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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