Cited by 461Anesthesia and Pain ManagementPain Management and TreatmentMusculoskeletal pain and rehabilitation

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Psychosocial predictors and correlates for chronic post-surgical pain (CPSP)—a systematic review.

Hinrichs‐Rocker, Anke, Schulz, Kerstin, Järvinen, Imke, Lefering, Rolf, Simanski, Christian, Neugebauer, Edmund A.M.·2009·European Journal of Pain

DOI 10.1016/j.ejpain.2008.07.015

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Abstract

Chronic post-surgical pain (CPSP) is a serious problem. Incidence as high as 50% has been reported, depending on type of surgery undergone. Because the etiology of chronic pain is grounded in the bio-psychosocial model, physical, psychological, and social factors are implicated in the development of CPSP. Biomedical factors such as pre-operative pain, severe acute post-operative pain, modes of anesthesia, and surgical approaches have been extensively examined, therefore this systematic review focuses on psychosocial elements. A systematic search was performed using the PubMed, PsychINFO, Embase, and Cochrane Databases. Fifty relevant publications were selected from this search, in which psychosocial predictors for and correlates to CPSP were identified. The level of evidence was assessed for each study, and corresponding score points were awarded for ease of comparison. The grade of association with CPSP for each predictor/correlate was then determined. Depression, psychological vulnerability, stress, and late return to work showed likely correlation with CPSP (grade of association=1). Other factors were determined to have either unlikely (grade of association=3) or inconclusive (grade of association=2) correlations. In addition, results were examined in light of the type of surgery undergone. This review is intended as a first step to develop an instrument for identifying patients at high risk for CPSP, to optimize clinical pain management.

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Authors: Hinrichs‐Rocker, A., Schulz, K., Järvinen, I., Lefering, R., Simanski, C., & Neugebauer, E. A. M.
Affiliations: Witten/Herdecke University (DE)
Corresponding author: Neugebauer, Edmund A.M.
ORCID: Lefering, Rolf
Venue: European Journal of Pain
Publisher: Wiley
Published: 2009-08
Volume: 13
Issue: 7
Pages: 719-730
ISSN: 1090-3801 (ISSN-L)
1532-2149
DOI: 10.1016/j.ejpain.2008.07.015
OpenAlex: W2112752919
Cited by: 461
References: 82
Citations by year: 2026: 23 · 2025: 33 · 2024: 17 · 2023: 26 · 2022: 28 · 2021: 37 · 2020: 27 · 2019: 25 · 2018: 48 · 2017: 30 · 2016: 39 · 2015: 23 · 2014: 25 · 2013: 25 · 2012: 21
FWCI: 1.88
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 891 d)
Locations: European Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Keywords: chronic postoperative pain, psychosocial factors, depression, psychological vulnerability, stress, biopsychosocial model, risk prediction, pain management
MeSH terms: Chronic Disease, Depression, Humans, Postoperative Pain, Predictive Value of Tests, Risk Factors, Socioeconomic Factors, Stress, Psychological, Surgical Procedures, Operative, Work, Databases, Factual

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Psychosocial predictors and correlates for chronic post-surgical pain (CPSP)—a systematic review.

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