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TitleDifferential predictors of acute post-surgical pain intensity after abdominal hysterectomy and major joint arthroplasty
Author(s)Pinto, Patrícia
McIntyre, Teresa
Araújo-Soares, Vera
Costa, Patrício Soares
Almeida, Armando
KeywordsAcute post-surgical pain
Abdominal hysterectomy
Major joint arthroplasty
Pre-surgical pain catastrophizing
Pre-surgical optimism
Pre-surgical psychological pain interventions
Issue dateJun-2015
JournalAnnals of Behavioral Medicine
CitationPinto, P. R., McIntyre, T., Araújo-Soares, V., Costa, P., & Almeida, A. (2014). Differential Predictors of Acute Post-Surgical Pain Intensity After Abdominal Hysterectomy and Major Joint Arthroplasty. Annals of Behavioral Medicine, 49(3), 384–397
Abstract(s)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.
DescriptionAuthor's personal copy
Publisher version
AccessOpen access
Appears in Collections:ICVS - Artigos em Revistas Internacionais com Referee

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