Psychological correlates of acute postsurgical pain: A systematic review and meta‐analysis

M. Sobol‐Kwapinska; P. Bąbel; W. Plotek; B. Stelcer

doi:10.1002/ejp.886

journal article Open Access May 02, 2016

Psychological correlates of acute postsurgical pain: A systematic review and meta‐analysis

M. Sobol‐Kwapinska P. Bąbel W. Plotek B. Stelcer

European Journal of Pain Vol. 20 No. 10 pp. 1573-1586 · Wiley

View at Publisher Save 10.1002/ejp.886

Abstract

AbstractDue to the frequency of surgeries, acute postsurgical pain (APSP) is a common problem. However, the role of psychological factors in the experience of this kind of pain has not been well established. In this review, we focused on presurgical psychological factors associated with the experience of APSP. A systematic search of articles was performed using PsycARTICLES, PsycINFO, PubMed, MEDLINE, Scopus, Cochrane and DARE. For each study, we assessed the risk of bias, the level of evidence, the corresponding score points and the degree of association with APSP. Separate meta‐analyses were performed for the selected variables. Fifty‐three relevant publications were selected. Pain catastrophizing, optimism, expectation of pain, neuroticism, anxiety (state and trait), negative affect and depression were classified as likely associated with APSP. Only one of the analysed psychological variables – locus of control – was recognized as shown unlikely association with APSP. Results of meta‐analyses suggested that pain catastrophizing was most strongly linked with APSP. Results of the studies reviewed suggest that patients who do not exaggerate the negative aspects of the situation and who have positive expectation of the future before undergoing surgery report lower levels of APSP than patients who catastrophize pain and expect negative events in the future. An increasing interest in preoperative positive psychological variables has been observed over the last few years in studies of surgical patients.What does this review add?

Pain catastrophizing, optimism, expectation of pain, neuroticism, anxiety (state and trait), negative affect and depression were classified as likely associated with acute postsurgical pain, and locus of control was classified as unlikely associated with acute postsurgical pain.

Anxiety was the psychological variable most frequently measured before surgery.

Pain catastrophizing was most strongly linked with acute postsurgical pain.

Topics

No keywords indexed for this article. Browse by subject →

References

78

[1]

10.1213/01.ane.0000068822.10113.9e

[2]

10.1213/ane.0b013e318168b2ce

[3]

Bachiocco V. "Intensity, latency and duration of post‐thoracotomy pain: relationship to personality traits" Funct Neurol (1990)

[4]

Beecher H.K. (1972)

[5]

10.1016/s0304-3959(00)00406-1

[6]

10.1016/0304-3959(91)90053-z

[7]

10.1038/bjc.2012.341

[8]

10.1034/j.1399-6576.2002.461015.x

[9]

10.1016/j.jpsychores.2004.07.007

[10]

Comprehensive Meta‐Analysis (Version 2) [Computer software]. (2014).Englewood NJ: Biostat. Available fromhttp://www.comprehensive.com

[11]

10.1097/ajp.0b013e3181671a08

[12]

10.1002/9780470712184.ch9

[13]

10.1016/j.jse.2011.09.021

[14]

10.1186/1472-6955-7-14

[15]

Eysenck H.J. (1967)

[16]

Farooq A. "Preoperative pain catastrophisation predicts higher Pain and analgesia use during primary hip arthroplasty" Int J Surg (2014) 10.1016/j.ijsu.2014.08.062

[17]

10.1016/0304-3959(89)90006-7

[18]

10.1016/j.ejpain.2008.10.001

[19]

10.2466/pms.101.3.803-807

[20]

10.1097/ajp.0b013e31819a6e34

[21]

10.1097/01.ajp.0000135236.12705.2d

[22]

10.1016/s1366-0071(02)00005-0

[23]

10.1371/journal.pone.0090185

[24]

10.7326/0003-4819-158-4-201302190-00009

[25]

10.1016/j.ejpain.2008.07.015

[26]

10.1155/2014/471529

[27]

10.1097/00000542-200509000-00026

[28]

10.1097/aln.0b013e3181aae87a

[29]

10.1016/s0022-3999(00)00189-6

[30]

10.1097/00000542-200103000-00009

[31]

10.1016/s0304-3959(03)00252-5

[32]

10.1016/j.pain.2005.09.008

[33]

10.1007/bf03016320

[34]

10.1097/aln.0000000000000012

[35]

10.1111/j.1526-4637.2012.01386.x

[36]

10.1093/bja/aer305

[37]

Kim R.S. (2011)

[38]

10.1007/s00540-011-1249-6

[39]

10.1111/j.1526-4637.2011.01076.x

[40]

Liberati A. "The PRISMA statement for reporting systematic reviews and meta‐analyses of studies that evaluate health care interventions: explanation and elaboration" BMJ Online (2009)

[41]

10.1016/j.pain.2013.06.008

[42]

10.1111/j.1751-9004.2011.00375.x

[43]

10.1111/j.0001-5172.2004.00298.x

[44]

10.1126/science.150.3699.971

[45]

10.1371/journal.pmed.1000097

[46]

10.1016/j.jpainsymman.2009.11.318

[47]

10.1348/135910703770238293

[48]

10.1016/j.cacc.2007.07.005

[49]

10.1034/j.1399-6576.2003.470105.x

[50]

10.1097/00000542-200603000-00007

Showing 50 of 78 references

Cited By

132

Clinical Outcome Improvement in Open-Wedge High Tibial Osteotomy Using the Smartphone Application mymobility®: A Case Report

Toshiki Azuma, Kenichi Goshima · 2025

Cureus

Clinical practice guidelines for postoperative pain management in adults (2024 edition)

Xiangdong Chen, Qinjun Chu · 2025

Journal of Anesthesia and Translati...

Effects of mindfulness-based preoperative intervention for patients undergoing elective surgery: A meta-analysis

Kuang-Mou Tung, Yunjhen Su · 2024

Journal of Psychosomatic Research

The effect of psychological factors on pain outcomes: lessons learned for the next generation of research

Geert Crombez, Elke Veirman · 2023

PAIN Reports

Metrics

132

Citations

78

References

Details

Published: May 02, 2016
Vol/Issue: 20(10)
Pages: 1573-1586
License: View

Authors

M

M. Sobol‐Kwapinska

Department of Personality Psychology The Catholic University of Lublin Lublin Poland

P

P. Bąbel

Department of Psychology The Jagiellonian University Krakow Poland

W

W. Plotek

Department of Anesthesiology The Poznan University of Medical Sciences Poznan Poland

B

B. Stelcer

Department of Anesthesiology The Poznan University of Medical Sciences Poznan Poland

Funding

Narodowe Centrum Nauki Award: 2013/09/B/HS6/02785

Cite This Article

M. Sobol‐Kwapinska, P. Bąbel, W. Plotek, et al. (2016). Psychological correlates of acute postsurgical pain: A systematic review and meta‐analysis. European Journal of Pain, 20(10), 1573-1586. https://doi.org/10.1002/ejp.886

Psychological correlates of acute postsurgical pain: A systematic review and meta‐analysis

You May Also Like