Postoperative psychological predictors for chronic postsurgical pain after a knee arthroplasty: a prospective observational study

Objective: Persistent postsurgical pain is a significant adverse effect shown in around 20% of the subjects who had undergone a knee arthroplasty. Psychological risk factors emerged as a significant and potentially modifiable risk factors for its development. Nevertheless, there is still little evid...

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Detalhes bibliográficos
Autores: Terradas Monllor, Marc, Ruiz Díaz, Miguel Ángel, Ochandorena Acha, Mirari
Formato: artículo
Fecha de publicación:2023
País:España
Recursos:Universidad Autónoma de Madrid
Repositorio:Biblos-e Archivo. Repositorio Institucional de la UAM
Idioma:inglés
OAI Identifier:oai:repositorio.uam.es:10486/716950
Acesso em linha:http://hdl.handle.net/10486/716950
https://dx.doi.org/10.1093/ptj/pzad141
Access Level:acceso abierto
Palavra-chave:knee arthroplasty
orthopedic procedures
rehabilitation
persistent postsurgical pain
psychological factors
pain catastrophizing
Psicología
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spelling Postoperative psychological predictors for chronic postsurgical pain after a knee arthroplasty: a prospective observational studyTerradas Monllor, MarcRuiz Díaz, Miguel ÁngelOchandorena Acha, Mirariknee arthroplastyorthopedic proceduresrehabilitationpersistent postsurgical painpsychological factorspain catastrophizingPsicologíaObjective: Persistent postsurgical pain is a significant adverse effect shown in around 20% of the subjects who had undergone a knee arthroplasty. Psychological risk factors emerged as a significant and potentially modifiable risk factors for its development. Nevertheless, there is still little evidence when assessing them during the acute postoperative period. The present study aimed to assess the predictive value of postoperative pain catastrophizing, pain-related fear of movement, anxiety, depression, and pain attitudes developing persistent postsurgical pain after knee arthroplasty. Methods: A six-month follow-up prospective observational study design was used. The study sample comprised 115 subjects who underwent a knee arthroplasty due to painful primary osteoarthritis. Measures of pain catastrophizing, pain-related fear of movement, anxiety, depression, and pain attitudes were obtained one week after surgery. Persistent postsurgical pain was set at an intensity of ≥30 using a 100mm visual analogue scale three and six months after surgery. Results: Analysis revealed that pain catastrophizing, pain-related fear of movement, anxiety, depression, and maladaptive pain attitudes are significant predictors of persistent pain at 3 and 6 months after surgery in a univariate analysis. However, at three months after surgery, only pain catastrophizing would be needed as a predictor in the final multivariate model forecasting disturbing pain. Moreover, six months after surgery, pain catastrophizing and distrust in medical procedures remained independent predictors. Conclusion: The results suggest that postoperative pain catastrophizing and pain attitudes are independent predictors for persistent postsurgical pain after knee arthroplasty. Impact: Postoperative cognitive and emotional factors should be considered during postoperative rehabilitation after knee arthroplasty since they could influence the development of persistent postsurgical pain after knee arthroplastyThis study was partially funded by a grant from The Catalan Board of Physical Therapists (R05/19)Oxford University PressDepartamento de Psicología Social y MetodologíaFacultad de Psicología20232023-10-13research articlehttp://purl.org/coar/resource_type/c_2df8fbb1AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10486/716950https://dx.doi.org/10.1093/ptj/pzad141reponame:Biblos-e Archivo. Repositorio Institucional de la UAMinstname:Universidad Autónoma de MadridInglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:repositorio.uam.es:10486/7169502026-06-23T12:46:27Z
dc.title.none.fl_str_mv Postoperative psychological predictors for chronic postsurgical pain after a knee arthroplasty: a prospective observational study
title Postoperative psychological predictors for chronic postsurgical pain after a knee arthroplasty: a prospective observational study
spellingShingle Postoperative psychological predictors for chronic postsurgical pain after a knee arthroplasty: a prospective observational study
Terradas Monllor, Marc
knee arthroplasty
orthopedic procedures
rehabilitation
persistent postsurgical pain
psychological factors
pain catastrophizing
Psicología
title_short Postoperative psychological predictors for chronic postsurgical pain after a knee arthroplasty: a prospective observational study
title_full Postoperative psychological predictors for chronic postsurgical pain after a knee arthroplasty: a prospective observational study
title_fullStr Postoperative psychological predictors for chronic postsurgical pain after a knee arthroplasty: a prospective observational study
title_full_unstemmed Postoperative psychological predictors for chronic postsurgical pain after a knee arthroplasty: a prospective observational study
title_sort Postoperative psychological predictors for chronic postsurgical pain after a knee arthroplasty: a prospective observational study
dc.creator.none.fl_str_mv Terradas Monllor, Marc
Ruiz Díaz, Miguel Ángel
Ochandorena Acha, Mirari
author Terradas Monllor, Marc
author_facet Terradas Monllor, Marc
Ruiz Díaz, Miguel Ángel
Ochandorena Acha, Mirari
author_role author
author2 Ruiz Díaz, Miguel Ángel
Ochandorena Acha, Mirari
author2_role author
author
dc.contributor.none.fl_str_mv Departamento de Psicología Social y Metodología
Facultad de Psicología
dc.subject.none.fl_str_mv knee arthroplasty
orthopedic procedures
rehabilitation
persistent postsurgical pain
psychological factors
pain catastrophizing
Psicología
topic knee arthroplasty
orthopedic procedures
rehabilitation
persistent postsurgical pain
psychological factors
pain catastrophizing
Psicología
description Objective: Persistent postsurgical pain is a significant adverse effect shown in around 20% of the subjects who had undergone a knee arthroplasty. Psychological risk factors emerged as a significant and potentially modifiable risk factors for its development. Nevertheless, there is still little evidence when assessing them during the acute postoperative period. The present study aimed to assess the predictive value of postoperative pain catastrophizing, pain-related fear of movement, anxiety, depression, and pain attitudes developing persistent postsurgical pain after knee arthroplasty. Methods: A six-month follow-up prospective observational study design was used. The study sample comprised 115 subjects who underwent a knee arthroplasty due to painful primary osteoarthritis. Measures of pain catastrophizing, pain-related fear of movement, anxiety, depression, and pain attitudes were obtained one week after surgery. Persistent postsurgical pain was set at an intensity of ≥30 using a 100mm visual analogue scale three and six months after surgery. Results: Analysis revealed that pain catastrophizing, pain-related fear of movement, anxiety, depression, and maladaptive pain attitudes are significant predictors of persistent pain at 3 and 6 months after surgery in a univariate analysis. However, at three months after surgery, only pain catastrophizing would be needed as a predictor in the final multivariate model forecasting disturbing pain. Moreover, six months after surgery, pain catastrophizing and distrust in medical procedures remained independent predictors. Conclusion: The results suggest that postoperative pain catastrophizing and pain attitudes are independent predictors for persistent postsurgical pain after knee arthroplasty. Impact: Postoperative cognitive and emotional factors should be considered during postoperative rehabilitation after knee arthroplasty since they could influence the development of persistent postsurgical pain after knee arthroplasty
publishDate 2023
dc.date.none.fl_str_mv 2023
2023-10-13
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10486/716950
https://dx.doi.org/10.1093/ptj/pzad141
url http://hdl.handle.net/10486/716950
https://dx.doi.org/10.1093/ptj/pzad141
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Oxford University Press
publisher.none.fl_str_mv Oxford University Press
dc.source.none.fl_str_mv reponame:Biblos-e Archivo. Repositorio Institucional de la UAM
instname:Universidad Autónoma de Madrid
instname_str Universidad Autónoma de Madrid
reponame_str Biblos-e Archivo. Repositorio Institucional de la UAM
collection Biblos-e Archivo. Repositorio Institucional de la UAM
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repository.mail.fl_str_mv
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