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Published in: Annals of Behavioral Medicine 1/2009

01-02-2009 | Original Article

Mood and Attitude Predict Pain Outcomes Following Arthroscopic Knee Surgery

Authors: Patricia H. Rosenberger, Ph.D., Robert Kerns, Ph.D., Peter Jokl, M.D., Jeannette R. Ickovics, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 1/2009

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Abstract

Background

Decreased pain represents a clinically important outcome following arthroscopic knee surgery. However, little is known about preoperative mood and attitudinal factors and their potential relationship with pain outcomes.

Purpose

This prospective, longitudinal study investigated the influence of preoperative depression, stress, and optimism on pain severity and interference with functioning, controlling for relevant demographic and clinical factors 1 year postoperatively.

Methods

Participants (N = 180, mean age = 48.2 years) completed scales assessing pain severity and interference both preoperatively and postoperatively. Demographics, depression, stress, optimism, and body mass index were assessed preoperatively. Physicians assessed extent of knee osteoarthritis during surgery.

Results

Hierarchical regression analyses controlling for relevant demographic and clinical variables revealed that optimism and stress were significant predictors of pain severity at 1 year but not pain interference. Extent of osteoarthritis predicted pain interference.

Conclusions

These findings support that optimism and stress are important predictors of patient-rated pain severity. They do not, however, predict the extent to which pain interferes with daily functioning.
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Metadata
Title
Mood and Attitude Predict Pain Outcomes Following Arthroscopic Knee Surgery
Authors
Patricia H. Rosenberger, Ph.D.
Robert Kerns, Ph.D.
Peter Jokl, M.D.
Jeannette R. Ickovics, Ph.D.
Publication date
01-02-2009
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 1/2009
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-008-9078-z

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