Preoperative Anxiety and Catastrophizing

Theunissen, Maurice; Peters, Madelon L.; Bruce, Julie; Gramke, Hans-Fritz; Marcus, Marco A. E.

doi:10.1097/ajp.0b013e31824549d6

Cited by 511 publications

(173 citation statements)

References 60 publications

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“…Because one of the most frequently used instruments for measuring pre-operative (general) anxiety is the STAI [2], and this instrument was not included in any of the previous studies with the SFQ, we performed an additional study (Study 5) to assess convergent validity of the SFQ with the STAI. The Dutch version of the STAI was has been shown to be valid [32].…”

Section: Methodsmentioning

confidence: 99%

Validation of the Surgical Fear Questionnaire in Adult Patients Waiting for Elective Surgery

et al. 2014

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ObjectivesBecause existing instruments for assessing surgical fear seem either too general or too limited, the Surgical Fear Questionnaire (SFQ) was developed. The aim of this study is to assess the validity and reliability of the SFQ.MethodsBased on existing literature and expert consultation the ten-item SFQ was composed. Data on the SFQ were obtained from 5 prospective studies (N = 3233) in inpatient or day surgery patients. These data were used for exploratory factor analysis (EFA), confirmatory factor analysis (CFA), reliability analysis and validity analysis.ResultsEFA in Study 1 and 2 revealed a two-factor structure with one factor associated with fear of the short-term consequences of surgery (SFQ-s, item 1–4) and the other factor with fear of the long-term consequences of surgery (SFQ-l, item 5–10). However, in both studies two items of the SFQ-l had low factor loadings. Therefore in Study 3 and 4 the 2-factor structure was tested and confirmed by CFA in an eight-item version of the SFQ. Across all studies significant correlations of the SFQ with pain catastrophizing, state anxiety, and preoperative pain intensity indicated good convergent validity. Internal consistency (Cronbach's alpha) was between 0.765–0.920 (SFQ-total), 0.766–0.877 (SFQ-s), and 0.628–0.899 (SFQ-l). The SFQ proved to be sensitive to detect differences based on age, sex, education level, employment status and preoperative pain intensity.DiscussionThe SFQ is a valid and reliable eight-item index of surgical fear consisting of two subscales: fear of the short-term consequences of surgery and fear of the long-term consequences.

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Section: Methodsmentioning

confidence: 99%

Validation of the Surgical Fear Questionnaire in Adult Patients Waiting for Elective Surgery

et al. 2014

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“…Higher levels of anxiety [38,41] were related to stronger short-, medium- and long-term postoperative pain. Likewise, a systematic review and meta-analysis emphasizes the association of preoperative anxiety and catastrophizing with postsurgical pain [57]. In line with this, a study by von Korff et al [58] showed that mental comorbidity had a negative impact on the pain experience, indicating that spine pain can be seen as a construct depending on other health conditions and should be treated with a broadly based approach.…”

Section: Discussionmentioning

confidence: 95%

“…[55] argue that both acute and chronic pain interact with biopsychosocial mechanisms. For example, in their meta-analysis, Theunissen et al [57] showed that anxiety and catastrophizing were not only related to acute postsurgical pain but also to chronic pain.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Postoperative Pain Intensity in Patients Undergoing Lumbar Disc Surgery: A Systematic Review

et al. 2017

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ObjectivesPain relief has been shown to be the most frequently reported goal by patients undergoing lumbar disc surgery. There is a lack of systematic research investigating the course of postsurgical pain intensity and factors associated with postsurgical pain. This systematic review focuses on pain, the most prevalent symptom of a herniated disc as the primary outcome parameter. The aims of this review were (1) to examine how pain intensity changes over time in patients undergoing surgery for a lumbar herniated disc and (2) to identify socio-demographic, medical, occupational and psychological factors associated with pain intensity.MethodsSelection criteria were developed and search terms defined. The initial literature search was conducted in April 2015 and involved the following databases: Web of Science, Pubmed, PsycInfo and Pubpsych. The course of pain intensity and associated factors were analysed over the short-term (≤ 3 months after surgery), medium-term (> 3 months and < 12 months after surgery) and long-term (≥ 12 months after surgery).ResultsFrom 371 abstracts, 85 full-text articles were reviewed, of which 21 studies were included. Visual analogue scales indicated that surgery helped the majority of patients experience significantly less pain. Recovery from disc surgery mainly occurred within the short-term period and later changes of pain intensity were minor. Postsurgical back and leg pain was predominantly associated with depression and disability. Preliminary positive evidence was found for somatization and mental well-being.ConclusionsPatients scheduled for lumbar disc surgery should be selected carefully and need to be treated in a multimodal setting including psychological support.

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“…Independent of depression, pain catastrophizing has been associated with an array of negative phenomena including increased affective distress (Picavet, Vlaeyen, & Schouten, 2002; Spinhoven et al, 2004), muscle and joint tenderness (Severeijns, Vlaeyen, van den Hout, & Weber, 2001), muscular tension at rest (Smeets, van Geel, Kester, & Knottnerus, 2007), pain-related disability (Severeijns, Vlaeyen, & van den Hout, 2004; Severeijns et al, 2001), and poor response to various pain treatments including surgery (Abbott, Tyni-Lenne, & Hedlund, 2011; Helmerhorst, Vranceanu, Vrahas, Smith, & Ring, 2014; Jensen, Thomsen, & Hojsted, 2006; Kennedy, Vranceanu, Nunez, & Ring, 2010; Smeets et al, 2007; Spinhoven et al, 2004; Theunissen, Peters, Bruce, Gramke, & Marcus, 2012). Indeed, the perioperative setting is useful for investigating the clinical impacts of pain, nocebo-induced hyperalgesia, particularly with surgery often involving a clear pain stimulus and a defined recovery period.…”

Section: Introductionmentioning

confidence: 99%

Optimizing Placebo and Minimizing Nocebo to Reduce Pain, Catastrophizing, and Opioid Use: A Review of the Science and an Evidence-Informed Clinical Toolkit

Darnall

Colloca

2018

International Review of Neurobiology

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Pain, a noxious psychosensory experience, motivates escape behavior to assure protection and survival. Psychological factors alter the experience and trajectory of pain, as well as behavior and treatment response. In the context of pain, the placebo effect (expectation for pain relief) releases endogenous opioids and facilitates analgesia from exogenously administered opioids. Nocebo hyperalgesia (expectation for persistent or worsening pain) opposes endogenous opioid analgesia and patient engagement in prescription opioid tapering. Reductions in nocebo hyperalgesia and pain catastrophizing may enhance descending modulation of pain, mediate adaptive structural brain changes and promote patient engagement in opioid tapering. Interventions that minimize nocebo and optimize placebo may adaptively shape the central nervous system toward pain relief and potentially opioid reduction. Here we provide a critical description of catastrophizing and its impact on pain, placebo and nocebo effects. We also consider the importance of minimizing nocebo and optimizing placebo effects during prescription opioid tapering, and offer a clinical toolkit of resources to accomplish these goals clinically.

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Preoperative Anxiety and Catastrophizing

Abstract: There is evidence that anxiety and catastrophizing play a role in the development of CPSP. We recommend that anxiety measures should be incorporated in future studies investigating the prediction and transition from acute to chronic postoperative pain.

Cited by 511 publications

References 60 publications

Validation of the Surgical Fear Questionnaire in Adult Patients Waiting for Elective Surgery

Validation of the Surgical Fear Questionnaire in Adult Patients Waiting for Elective Surgery

Risk Factors for Postoperative Pain Intensity in Patients Undergoing Lumbar Disc Surgery: A Systematic Review

Optimizing Placebo and Minimizing Nocebo to Reduce Pain, Catastrophizing, and Opioid Use: A Review of the Science and an Evidence-Informed Clinical Toolkit

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