Pain Catastrophizing, Response to Experimental Heat Stimuli, and Post–Cesarean Section Pain

Strulov, Lihi; Zimmer, Etan Z.; Granot, Michal; Tamir, Ada; Jakobi, Peter; Löwenstein, Lior

doi:10.1016/j.jpain.2006.09.004

Cited by 110 publications

(111 citation statements)

References 30 publications

(36 reference statements)

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“…Numerous studies have attempted to account for postoperative pain intensity and the abnormal persistence of postoperative pain on the basis of patient pathogenic and demographic factors [20, 42, 43], genomics [44], preoperative pain sensitivity [45–51], mood status [52–55], and psychological factors [56–58]. Any of these variables, or combinations of them, could serve as predictors of type of postoperative pain trajectory or rate of postoperative pain resolution.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Pain Trajectories in Cardiac Surgery Patients

Chapman

Zaslansky

Donaldson

et al. 2012

Pain Research and Treatment

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Poorly controlled postoperative pain is a longstanding and costly problem in medicine. The purposes of this study were to characterize the acute pain trajectories over the first four postoperative days in 83 cardiac surgery patients with a mixed effects model of linear growth to determine whether statistically significant individual differences exist in these pain trajectories, and to compare the quality of measurement by trajectory with conventional pain measurement practices. The data conformed to a linear model that provided slope (rate of change) as a basis for comparing patients. Slopes varied significantly across patients, indicating that the direction and rate of change in pain during the first four days of recovery from surgery differed systematically across individuals. Of the 83 patients, 24 had decreasing pain after surgery, 24 had increasing pain, and the remaining 35 had approximately constant levels of pain over the four postoperative days.

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Section: Discussionmentioning

confidence: 99%

Postoperative Pain Trajectories in Cardiac Surgery Patients

Chapman

Zaslansky

Donaldson

et al. 2012

Pain Research and Treatment

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show abstract

“…However, several experimental or physiological sensory tests have emerged, often using temperature extremes to measure a participant’s resilience to pain. Preoperative results of these tests have been shown to predict the severity of acute postoperative pain [9–12]. Preoperative pain tests may predict anywhere between 4 % and 54 % of the variance in subjective postoperative pain intensity, depending on the stimulation methods and the test paradigm used [13].…”

Section: Introductionmentioning

confidence: 99%

The Cold Pressor Test as a Predictor of Prolonged Postoperative Pain, a Prospective Cohort Study

2016

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IntroductionPresently, it is difficult to predict which patients are at increased risk of ongoing pain problems postoperatively. This study followed a group of patients from the week before their operation until 3 months after it, to identify potential risk variables.MethodsFifty-four patients undergoing moderate-major gynaecological surgery at Christchurch Women’s Hospital were recruited and assessed preoperatively over an 11-week period. At this initial assessment, participants were subjected to a cold pressor test (CPT). Telephonic follow-up was conducted at 6 weeks and 3 months postoperatively, to determine pain status. Information regarding the type of operation and surgical approach was collected from hospital records.ResultsPain threshold (time taken to report the onset of pain), as measured by the CPT, was significantly predictive of prolonged pain outcomes (area under the curve = 0.80, 95 % CI 0.66, 0.95). Pain tolerance (total time taken to end the CPT voluntarily) was similarly predictive but non-significant (area under the curve = 0.69, 95 % CI 0.47, 0.90).ConclusionThe preoperative cold pressor test shows some promise for predicting ongoing postoperative pain. However, more research is needed to determine the clinical significance of these findings in larger samples and how they could be incorporated into clinical practice.

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“…Studies that have included pain sensitivity measures as possible predictors of pain following obstetrics and gynecology surgery consistently identify higher thermal pain sensitivity to be predictive of postoperative pain [5,48,59,64]. A systematic review of 43 studies with 23,057 patients undergoing a variety of surgical procedures found that higher preoperative pain and anxiety, younger age, and abdominal, orthopedic, and thoracic surgery consistently predicted higher postoperative pain.…”

Section: Introductionmentioning

confidence: 99%

Predictors of postoperative movement and resting pain following total knee replacement

Rakel

Blodgett

Zimmerman

et al. 2012

Pain

152

174

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This study determined preoperative predictors of movement and resting pain following total knee replacement (TKR). We hypothesized that younger patients with higher preoperative pain intensity, pain sensitivity, trait anxiety, pain catastrophizing, and depression would be more likely to experience higher postoperative movement pain than older patients with lower scores on these variables prior to surgery and that predictors would be similar for resting pain. Demographics, analgesic intake, anxiety, depression, pain catastrophizing, resting pain, movement pain (i.e., during active knee range of motion), and quantitative sensory tests, were performed pre-operatively on 215 participants scheduled for a unilateral TKR. On postoperative day 2 (POD2), analgesic intake, resting pain, and movement pain were again assessed. Significant predictors of moderate or severe movement pain were higher preoperative movement pain, von Frey pain intensity (VFPI) and heat pain threshold (HPT). People with severe movement pain preoperatively were 20 times more likely to have severe movement pain postoperatively. When the influence of preoperative movement pain was removed, depression became a predictor. Significant predictors of moderate to severe resting pain were higher preoperative resting pain, depression, and younger age. These results suggest that patients with higher preoperative pain and depression are more likely to have higher pain following TKR and younger patients may have higher resting pain. Cutaneous pain sensitivity predicted movement pain but not resting pain, suggesting that mechanisms underlying movement pain are different from resting pain. Aggressive management of preoperative pain, pain sensitivity, and depression prior to surgery may facilitate postoperative recovery.

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Pain Catastrophizing, Response to Experimental Heat Stimuli, and Post–Cesarean Section Pain

Cited by 110 publications

References 30 publications

Postoperative Pain Trajectories in Cardiac Surgery Patients

Postoperative Pain Trajectories in Cardiac Surgery Patients

The Cold Pressor Test as a Predictor of Prolonged Postoperative Pain, a Prospective Cohort Study

Predictors of postoperative movement and resting pain following total knee replacement

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