Neuroticism in Relation to Recovery and Persisting Pain after Laparoscopic Cholecystectomy

Jess, Per; Jess, T.; Beck, Harvey G.; Bech, Per

doi:10.1080/00365529850172151

Cited by 59 publications

(6 citation statements)

References 10 publications

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“…The lack of specific biomarkers and inconclusive results of diagnostic exams are additional challenges in the diagnosis and treatment of most the chronic pain conditions ( Mao, 2012 ). Another crucial aspect that must be considered is that chronic pain and neuropsychiatric conditions are significantly comorbid ( Tasmuth et al, 1996 ; Jess et al, 1998 ; Linton, 2000 ; Dominick et al, 2012 ). The results of a clinical study indicates that pain, especially when affecting multiple locations is a risk factor for depressive and anxiety disorders ( Gerrits et al, 2014 ).…”

Section: Chronic Pains Pathophysiology: An Unsolved Puzzlementioning

confidence: 99%

Reward Circuitry Plasticity in Pain Perception and Modulation

2017

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Although pain is a widely known phenomenon and an important clinical symptom that occurs in numerous diseases, its mechanisms are still barely understood. Owing to the scarce information concerning its pathophysiology, particularly what is involved in the transition from an acute state to a chronic condition, pain treatment is frequently unsatisfactory, therefore contributing to the amplification of the chronic pain burden. In fact, pain is an extremely complex experience that demands the recruitment of an intricate set of central nervous system components. This includes cortical and subcortical areas involved in interpretation of the general characteristics of noxious stimuli. It also comprises neural circuits that process the motivational-affective dimension of pain. Hence, the reward circuitry represents a vital element for pain experience and modulation. This review article focuses on the interpretation of the extensive data available connecting the major components of the reward circuitry to pain suffering, including the nucleus accumbens, ventral tegmental area, and the medial prefrontal cortex; with especial attention dedicated to the evaluation of neuroplastic changes affecting these structures found in chronic pain syndromes, such as migraine, trigeminal neuropathic pain, chronic back pain, and fibromyalgia.

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Section: Chronic Pains Pathophysiology: An Unsolved Puzzlementioning

confidence: 99%

Reward Circuitry Plasticity in Pain Perception and Modulation

2017

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“…Previous studies revealed that chronic abdominal pain after cholecystectomy is common, ranging between 3% to 56%, whether open or laparoscopic ( 19 ). In a procedure-specific study, 18% of the patients submitted to laparoscopic cholecystectomy presented PPP one year later ( 20 ). Laparoscopic cholecystectomy has lower incidence of PPP when compared to open technique ( 19 , 21 ).…”

Section: Discussionmentioning

confidence: 99%

Evaluating Persistent Postoperative Pain in One Tertiary Hospital: Incidence, Quality of Life, Associated Factors, and Treatment

et al. 2016

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BackgroundPersistent postoperative pain (PPP) is defined as persistent pain after surgery of greater than three months’ duration.ObjectivesIdentify the incidence of PPP in our hospital and its associated factors; evaluate quality of life (QoL) and treatment of patients.Patients and MethodsWe conducted an observational prospective study in adults proposed to various types of surgery using the brief pain inventory short form preoperatively (T0), one day after surgery, and three months later (T3). If the patient had pain at T3 and other causes of pain were excluded, they were considered to have PPP, and the McGill Pain Questionnaire Short Form was applied. QoL was measured with the EuroQol 5-dimension questionnaire (EQ-5D).ResultsOne hundred seventy-five patients completed the study. The incidence of PPP was 28%, and the affected patients presented lower QoL. The majority referred to a moderate to severe level of interference in their general activity. Cholecystectomies were less associated with PPP, and total knee/hip replacements were more associated with it. Preoperative pain, preoperative benzodiazepines or antidepressants, and more severe acute postoperative pain were associated with the development of PPP. Half of the patients with PPP were under treatment, and they refer a mean symptomatic relief of 69%.ConclusionsThis study, apart from attempting to better characterize the problem of PPP, emphasizes the lack of its treatment.

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“…Preoperative neuroticism was a predictor of short-term outcomes, such as pain, mood, and the use of narcotics <7 days after cholecystectomy [15, 25], but was not associated with persisting pain at 1 year [26]. In addition, introversion predicts pain at 1 year after cholecystectomy [10].…”

Section: Discussionmentioning

confidence: 99%

Trait Anxiety Predicts Outcome 6 Weeks After Cholecystectomy. A Prospective Follow-Up Study

et al. 2010

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BackgroundA substantial group of patients with gallstone disease experience negative outcome after surgical removal of the gallbladder (cholecystectomy). Early identification of these patients is important.PurposeThe aim of the study is to identify predictors (clinical symptoms and trait anxiety) of negative symptomatic outcomes at 6 weeks after cholecystectomy.MethodsConsecutive patients (n = 133), 18–65 years, with symptomatic gallstone disease, completed symptom checklists and the state-trait anxiety inventory preoperatively and at 6 weeks after cholecystectomy.ResultsHigh trait anxiety was the only predictor of persistence of biliary symptoms at 6 weeks after cholecystectomy (OR = 6.88).ConclusionIn addition to clinical symptoms, high trait anxiety is a predictor of negative symptomatic outcome at 6 weeks after cholecystectomy. Trait anxiety should be evaluated to aim at a patient-tailored approach in gallstone disease.

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Neuroticism in Relation to Recovery and Persisting Pain after Laparoscopic Cholecystectomy

Cited by 59 publications

References 10 publications

Reward Circuitry Plasticity in Pain Perception and Modulation

Reward Circuitry Plasticity in Pain Perception and Modulation

Evaluating Persistent Postoperative Pain in One Tertiary Hospital: Incidence, Quality of Life, Associated Factors, and Treatment

Trait Anxiety Predicts Outcome 6 Weeks After Cholecystectomy. A Prospective Follow-Up Study

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