Abstract | BACKGROUND: METHODS: Assessments of anxiety, mood, psychological vulnerability and pre-operative pain were made before surgery using the State-Trait Anxiety Inventory (STAI), the Hospital Anxiety Depression Scale ( HADS), a psychological vulnerability test and the Short-Form McGill Pain Questionnaire (SF-MPQ), respectively. Pre-operative assessments of thermal thresholds and pain response to randomized series of heat stimuli (1 s, 44-48 degrees C) were made with quantitative sensory testing technique. Post-operative pain intensity was evaluated daily by a visual analogue scale during rest and during standardized dynamic conditions for 10 days following surgery. Univariate and multivariate regression analyses were used to construct prediction models. RESULTS: Fifty-nine patients completed the study. Post-operative pain was significantly correlated with pre-operative pain (SF-MPQ), heat pain perception, psychological vulnerability, STAI and HADS. In the multiple regression model pre-operative pain and heat pain perception were significant predictive factors (R=0.537-0.609). CONCLUSION: The study indicates that pre-surgical pain and heat pain sensitivity are important pre-operative indicators of post-operative pain intensity, while psychological factors like vulnerability and anxiety seem to contribute to a lesser degree after laparoscopic tubal ligation. The prediction model accounted for 29-43% of the total variance in post-operative movement-related pain.
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Authors | A Rudin, P Wölner-Hanssen, M Hellbom, M U Werner |
Journal | Acta anaesthesiologica Scandinavica
(Acta Anaesthesiol Scand)
Vol. 52
Issue 7
Pg. 938-45
(Aug 2008)
ISSN: 1399-6576 [Electronic] England |
PMID | 18477083
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Anxiety
(diagnosis, psychology)
- Depression
(diagnosis, psychology)
- Female
- Hot Temperature
(adverse effects)
- Humans
- Laparoscopy
(adverse effects, methods, psychology)
- Pain Measurement
(methods, psychology, statistics & numerical data)
- Pain, Postoperative
(drug therapy, prevention & control, psychology)
- Physical Stimulation
(adverse effects, methods)
- Predictive Value of Tests
- Psychiatric Status Rating Scales
- Psychometrics
(methods, statistics & numerical data)
- Severity of Illness Index
- Sterilization, Tubal
(adverse effects, methods, psychology)
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