Back to Search
Start Over
The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study
- Source :
- Brain Sciences, Volume 10, Issue 10, Brain Sciences, Vol 10, Iss 685, p 685 (2020)
- Publication Year :
- 2020
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2020.
-
Abstract
- Prevention and treatment of chronic post-surgical pain should be based on the early identification of patients at risk. The presence of a deficit in executive functions, along with the presence of psychological risk factors, could impair the use of appropriate pain coping strategies and might facilitate the transition to chronic post-surgical pain. A longitudinal cohort study was implemented. Patients listed for orthopaedic surgery were enrolled. Variables measured before surgery were pain intensity, the sensory, affective, cognitive and mixed components of pain, state and trait variables associated with the psychological status of the patient, fear of movement, pain catastrophizing, visual attention and cognitive flexibility. Pain intensity and the components of pain were re-evaluated after surgery and after three months. A linear mixed model was used to assess the predictors of pain intensity, and a multivariate linear mixed model was used to assess the predictors of the pain components. 167 patients were enrolled. Controlling for sex, age, pain duration and surgical procedure, catastrophizing and visual attention were predictors of pain intensity at follow-up. The sensory component of pain was predicted by state anxiety, healthcare-related fears, pain catastrophizing and visual attention. Anxiety and catastrophizing were predictors of the affective and evaluative components of pain. The mixed component of pain was predicted by state anxiety, healthcare-related fears and pain catastrophizing. Executive functions, along with psychological risk factors, shape the course of post-surgical pain. The efficacy of preventive and rehabilitation treatment could be possibly enhanced if these factors are treated.
- Subjects :
- medicine.medical_specialty
chronic post-surgical pain
medicine.medical_treatment
Settore M-PSI/08 - PSICOLOGIA CLINICA
psychology
Article
lcsh:RC321-571
rehabilitation
03 medical and health sciences
0302 clinical medicine
030202 anesthesiology
medicine
lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry
Depression (differential diagnoses)
Rehabilitation
business.industry
General Neuroscience
Chronic pain
Cognitive flexibility
Cognition
medicine.disease
Executive functions
anxiety
executive functions
predictors
catastrophizing
depression
Physical therapy
Anxiety
Pain catastrophizing
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 20763425
- Database :
- OpenAIRE
- Journal :
- Brain Sciences
- Accession number :
- edsair.doi.dedup.....b62d354450d08395d69c69e390867bf1
- Full Text :
- https://doi.org/10.3390/brainsci10100685