Preoperative coping strategies and distress predict postoperative pain and morphine consumption in women undergoing abdominal gynecologic surgery
Open accessAbstract
Objectives The aim of the present study was to predict postoperative pain and morphine consumption based on preoperative psychosocial factors.Methods One hundred and twenty-two women completed measures of distress and coping 1 week before major abdominal gynecological surgery by laparotomy. Forty-eight hours after surgery, measures of pain and negative affect (NA) were completed, and morphine consumption was recorded from a patient-controlled analgesia pump. Four weeks after surgery, measures of pain and NA were completed.Results Multivariate analyses revealed that preoperative self-distraction coping (P=.039) positively predicted postoperative pain levels in the hospital, after accounting for the effects of age, concurrent NA, and morphine consumption. Emotional support (P=.031) and religious-based coping (P=.036) positively predicted morphine consumption in the hospital, after accounting for the effects of age, concurrent NA, and pain levels. Preoperative distress (P<.04 to .008) and behavioral disengagement (P=.034), emotional support (P=.049), and religious-based coping (P=.001) positively predicted pain levels 4 weeks after surgery, after accounting for the effects of age and concurrent NA.Conclusion The results suggest that preoperative psychosocial factors are associated with postoperative pain and morphine consumption.
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Of the 18 best studies, nine (50%) reported inverse relationships (less pain among the more R/S or reduced pain in response to an R/S intervention).
“Of the 18 best studies, nine (50%) reported inverse relationships (less pain among the more R/S [534] or reduced pain in response to a R/S intervention [535–542]), while three (20%) reported positive relationships (worse pain in the more R/S) [543–545].”
From Religion, Spirituality, and Health: The Research and Clinical Implications (2012) · cites this paper as [535]
The Descriptive analyses report a positive correlation between religious-based coping and pain four weeks after surgery (r = .46), not less pain among those using more religious coping. The Multivariate analyses likewise report that religious-based coping was positively associated with pain at four weeks. The supplied passages do not give page numbers. (LLM, conf=0.91)
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- Authors
- Cohen, L., Fouladi, R. T., & Katz, J.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Simon Fraser University (CA)
- Mount Sinai Hospital (CA)
- Corresponding author
- Cohen, Lorenzo
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 2005-02
- Volume
- 58
- Issue
- 2
- Pages
- 201-209
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W1991594742
- Cited by
- 53
- References
- 42
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 4 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 1 · 2013: 3 · 2012: 4
- FWCI
- 2.54
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- YorkSpace (York University) (submittedVersion)
- Funders
- National Institutes of Health (1r01ns035480-01a1)
- National Institute of Neurological Disorders and Stroke (NS 35480)
- Topics
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- postoperative pain, morphine consumption, laparotomy, emotional support, behavioral disengagement, negative affect, psychosocial factors, women
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Analgesics, Opioid, Female, Humans, Male, Middle Aged, Morphine, Pain Measurement, Postoperative Pain, Preoperative Care, Surveys and Questionnaires, Gynecologic Surgical Procedures, Analgesia, Patient-Controlled
About these checks
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.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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