Predicting, preventing and managing persistent pain after breast cancer surgery: the importance of psychosocial factors
Abstract
Persistent pain after breast cancer surgery (PPBCS) is increasingly recognized as a potential problem facing a sizeable subset of the millions of women who undergo surgery as part of their treatment of breast cancer. Importantly, an increasing number of studies suggest that individual variation in psychosocial factors such as catastrophizing, anxiety, depression, somatization and sleep quality play an important role in shaping an individual's risk of developing PPBCS. This review presents evidence for the importance of these factors and puts them within the context of other surgical, medical, psychophysical and demographic factors, which may also influence PPBCS risk, as well as discusses potential perioperative therapies to prevent PPBCS.
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ACT, which does not directly target catastrophizing, is also effective in reducing catastrophizing.
“Likewise, Acceptance and Commitment Therapy (ACT), which does not directly target catastrophizing, has shown to also be effective in reducing catastrophizing 324–327.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [327]
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Self-citationAAAPT Diagnostic Criteria for Acute Pain Following Breast Surgery
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Self-citationPain in an era of armed conflicts: prevention and treatment for warfighters and civilian casualties
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- Authors
- Schreiber, K. L., Kehlet, H., Belfer, I., & Edwards, R. R.
- Affiliations
- Brigham and Women's Hospital (US)
- University of Copenhagen (DK)
- University of Pittsburgh (US)
- Venue
- Pain Management
- Publisher
- Informa UK Limited
- Published
- 2014-11
- Volume
- 4
- Issue
- 6
- Pages
- 445-459
- ISSN
- 1758-1869 (ISSN-L)
- 1758-1877
- OpenAlex
- W2170956110
- Cited by
- 106
- References
- 135
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 11 · 2023: 6 · 2022: 10 · 2021: 13 · 2020: 6 · 2019: 8 · 2018: 20 · 2017: 7 · 2016: 15 · 2015: 3 · 2012: 1
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain Management (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Funders
- National Institute of General Medical Sciences (K23GM110540)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- postoperative pain, psychosocial factors, pain catastrophizing, anxiety, depression, somatization, sleep quality, risk factors, perioperative interventions, breast cancer surgery
- MeSH terms
- Breast Neoplasms, Female, Humans, Postoperative Pain, Psychology, Risk Factors, Pain Management
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