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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 3/2015

01-06-2015 | Original Article

Differential Predictors of Acute Post-Surgical Pain Intensity After Abdominal Hysterectomy and Major Joint Arthroplasty

Authors: Patrícia R. Pinto, PhD, Teresa McIntyre, PhD, Vera Araújo-Soares, PhD, Patrício Costa, PhD, Armando Almeida, PhD

Published in: Annals of Behavioral Medicine | Issue 3/2015

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Abstract

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.
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Metadata
Title
Differential Predictors of Acute Post-Surgical Pain Intensity After Abdominal Hysterectomy and Major Joint Arthroplasty
Authors
Patrícia R. Pinto, PhD
Teresa McIntyre, PhD
Vera Araújo-Soares, PhD
Patrício Costa, PhD
Armando Almeida, PhD
Publication date
01-06-2015
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 3/2015
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-014-9662-3

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