TY - JOUR
T1 - Preoperative coping strategies and distress predict postoperative pain and morphine consumption in women undergoing abdominal gynecologic surgery
AU - Cohen, Lorenzo
AU - Fouladi, Rachel T.
AU - Katz, Joel
N1 - Funding Information:
Supported by Grants MT-12052 and MOP-37845 from the Canadian Institutes of Health Research (CIHR), Ontario, Canada; Grant NS35480 from the National Institute of Neurolgical Disorders and Stroke, Bethesda, MD; and a CIHR Investigator Award to Dr. Katz. We thank Beth Notzon, from the Department of Scientific Publications, The University of Texas M.D. Anderson Cancer Center, for her helpful editorial comments on this article.
PY - 2005/2
Y1 - 2005/2
N2 - Objectives: The aim of the present study was to predict postoperative pain and morphine consumption based on preoperative psychosocial factors. Methods: One hundred and twenty-two women completed measures of distress and coping 1 week before major abdominal gynecological surgery by laparotomy. Forty-eight hours after surgery, measures of pain and negative affect (NA) were completed, and morphine consumption was recorded from a patient-controlled analgesia pump. Four weeks after surgery, measures of pain and NA were completed. Results: Multivariate analyses revealed that preoperative self-distraction coping (P=.039) positively predicted postoperative pain levels in the hospital, after accounting for the effects of age, concurrent NA, and morphine consumption. Emotional support (P=.031) and religious-based coping (P=.036) positively predicted morphine consumption in the hospital, after accounting for the effects of age, concurrent NA, and pain levels. Preoperative distress (P<.04 to .008) and behavioral disengagement (P=.034), emotional support (P=.049), and religious-based coping (P=.001) positively predicted pain levels 4 weeks after surgery, after accounting for the effects of age and concurrent NA. Conclusion: The results suggest that preoperative psychosocial factors are associated with postoperative pain and morphine consumption.
AB - Objectives: The aim of the present study was to predict postoperative pain and morphine consumption based on preoperative psychosocial factors. Methods: One hundred and twenty-two women completed measures of distress and coping 1 week before major abdominal gynecological surgery by laparotomy. Forty-eight hours after surgery, measures of pain and negative affect (NA) were completed, and morphine consumption was recorded from a patient-controlled analgesia pump. Four weeks after surgery, measures of pain and NA were completed. Results: Multivariate analyses revealed that preoperative self-distraction coping (P=.039) positively predicted postoperative pain levels in the hospital, after accounting for the effects of age, concurrent NA, and morphine consumption. Emotional support (P=.031) and religious-based coping (P=.036) positively predicted morphine consumption in the hospital, after accounting for the effects of age, concurrent NA, and pain levels. Preoperative distress (P<.04 to .008) and behavioral disengagement (P=.034), emotional support (P=.049), and religious-based coping (P=.001) positively predicted pain levels 4 weeks after surgery, after accounting for the effects of age and concurrent NA. Conclusion: The results suggest that preoperative psychosocial factors are associated with postoperative pain and morphine consumption.
KW - Coping
KW - Distress
KW - Morphine consumption
KW - Recovery
KW - Surgical pain
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U2 - 10.1016/j.jpsychores.2004.07.007
DO - 10.1016/j.jpsychores.2004.07.007
M3 - Article
C2 - 15820849
AN - SCOPUS:17044427068
SN - 0022-3999
VL - 58
SP - 201
EP - 209
JO - Journal of Psychosomatic Research
JF - Journal of Psychosomatic Research
IS - 2
ER -