Lorenzo Cohen1, Rachel T Fouladi, Joel Katz. 1. Department of Behavioral Science, The University of Texas, M.D. Anderson Cancer Center, Box 243, 1515 Holcombe Boulevard, Houston, TX 77030, USA. lcohen@mdanderson.org
Abstract
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.
RCT Entities:
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.
Authors: Kelly Biegler; Lorenzo Cohen; Shellie Scott; Katherine Hitzhusen; Patricia Parker; Chelsea D Gilts; Andrea Canada; Louis Pisters Journal: Integr Cancer Ther Date: 2011-09-30 Impact factor: 3.279
Authors: Joel Katz; Aliza Weinrib; Samantha R Fashler; Rita Katznelzon; Bansi R Shah; Salima Sj Ladak; Jiao Jiang; Qing Li; Kayla McMillan; Daniel Santa Mina; Kirsten Wentlandt; Karen McRae; Diana Tamir; Sheldon Lyn; Marc de Perrot; Vivek Rao; David Grant; Graham Roche-Nagle; Sean P Cleary; Stefan Op Hofer; Ralph Gilbert; Duminda Wijeysundera; Paul Ritvo; Tahir Janmohamed; Gerald O'Leary; Hance Clarke Journal: J Pain Res Date: 2015-10-12 Impact factor: 3.133