Preoperative Pain Catastrophizing Predicts Pain Outcome after Knee Arthroplasty
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TLDR
It was found pain catastrophizing was the only consistent psychologic predictor of poor WOMAC pain outcome and an intervention focusing on pain catastrophicizing seems to have potential for improving pain outcome in patients prone to catastrophized pain.Abstract:
Psychologic status is associated with poor outcome after knee arthroplasty yet little is known about which specific psychologic disorders or pain-related beliefs contribute to poor outcome. To enhance the therapeutic effect of a psychologic intervention, the specific disorders or pain-related beliefs that contributed to poor outcome should be identified. We therefore determined whether specific psychologic disorders (ie, depression, generalized anxiety disorder, panic disorder) or health-related beliefs (ie, self-efficacy, pain catastrophizing, fear of movement) are associated with poor outcome after knee arthroplasty. We conducted a cohort study of 140 patients undergoing knee arthroplasty at two hospitals. Patients completed a series of psychologic measures, provided various sociodemographic data, and were followed for 6 months. Patients were dichotomized to groups with either a favorable or a poor outcome using WOMAC pain and function scores and evidence-based approaches. After adjusting for confounding variables, we found pain catastrophizing was the only consistent psychologic predictor of poor WOMAC pain outcome. No psychologic predictors were associated consistently with poor WOMAC function outcome. An intervention focusing on pain catastrophizing seems to have potential for improving pain outcome in patients prone to catastrophizing pain.read more
Citations
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The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain.
TL;DR: Evidence that psychosocial variables play key roles in conferring risk for the development of pain, in shaping long-term pain-related adjustment, and in modulating pain treatment outcomes is described.
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Preoperative anxiety and catastrophizing: a systematic review and meta-analysis of the association with chronic postsurgical pain.
TL;DR: There is evidence that anxiety and catastrophizing play a role in the development of CPSP, and anxiety measures should be incorporated in future studies investigating the prediction and transition from acute to chronic postoperative pain.
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Predictors of persistent pain after total knee arthroplasty: a systematic review and meta-analysis
TL;DR: Catastrophizing, mental health, preoperative knee pain, and pain at other sites are the strongest independent predictors of persistent pain after TKA.
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Psychological Factors Affecting the Outcome of Total Hip and Knee Arthroplasty: A Systematic Review
M.M. Vissers,Johannes B. J. Bussmann,Jan A N Verhaar,Jan J. V. Busschbach,Sita M A Bierma-Zeinstra,Max Reijman +5 more
TL;DR: Low preoperative mental health and pain catastrophizing have an influence on outcome after TKA, and with regard to the influence of other psychological factors and for hip patients, only limited, conflicting, or no evidence was found.
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Self-efficacy and chronic pain outcomes: a meta-analytic review.
TL;DR: Meta-analysis indicated that SE has significant overall associations with impairment, affective distress, and pain severity within chronic pain samples and identified several factors that contribute to variability in effect sizes.
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