Mood and Attitude Predict Pain Outcomes Following Arthroscopic Knee Surgery
Mood and Attitude Predict Pain Outcomes Following Arthroscopic Knee Surgery
复制标题
DOI：
10.1007/s12160-008-9078-z
复制
发表时间：
2009-02-01
影响因子：
3.8
通讯作者：
Ickovics, Jeannette R.
中科院分区：
文献类型：
--
作者：
Rosenberger, Patricia H.;Kerns, Robert;Ickovics, Jeannette R.
疼痛减轻是膝关节镜手术后的临床重要结局。然而，关于术前情绪和态度因素及其与疼痛结局的潜在关系知之甚少。这项前瞻性纵向研究调查了术前抑郁、压力和乐观对疼痛严重程度的影响以及对功能的干扰，并控制了术后1年的相关人口统计学和临床因素。参与者（N = 180，平均年龄= 48.2岁）完成了评估术前和术后疼痛严重程度和干扰的量表。术前评估人口统计学、抑郁、压力、乐观和体重指数。医生评估了手术过程中膝关节骨关节炎的程度。控制相关人口统计学和临床变量的分层回归分析显示，乐观和压力是1年时疼痛严重程度的重要预测因素，但不是疼痛干扰。骨关节炎的程度预测疼痛干扰。这些发现支持乐观和压力是患者疼痛严重程度的重要预测因素。然而，它们并不能预测疼痛对日常功能的干扰程度。
Decreased pain represents a clinically important outcome following arthroscopic knee surgery. However, little is known about preoperative mood and attitudinal factors and their potential relationship with pain outcomes.This prospective, longitudinal study investigated the influence of preoperative depression, stress, and optimism on pain severity and interference with functioning, controlling for relevant demographic and clinical factors 1 year postoperatively.Participants (N = 180, mean age = 48.2 years) completed scales assessing pain severity and interference both preoperatively and postoperatively. Demographics, depression, stress, optimism, and body mass index were assessed preoperatively. Physicians assessed extent of knee osteoarthritis during surgery.Hierarchical regression analyses controlling for relevant demographic and clinical variables revealed that optimism and stress were significant predictors of pain severity at 1 year but not pain interference. Extent of osteoarthritis predicted pain interference.These findings support that optimism and stress are important predictors of patient-rated pain severity. They do not, however, predict the extent to which pain interferes with daily functioning.