Preoperative coping mechanisms have no predictive value for postoperative pain in breast cancer

Alves, Maria Luiza Melo; Vieira, Joaquim Edson; Mathias, L; Gozzani, Judymara Lauzi

doi:10.1590/1516-4446-2012-0934

Cited by 7 publications

(4 citation statements)

References 30 publications

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“…The MBMD survey has not been validated for TMD and the TMD population could represent a unique group in whom chronic anxiety predominates compared with the other psychological factors. Preoperative chronic anxiety has been shown to predict the magnitude of postoperative pain after oral and maxillofacial surgery, 25,26 orthopedic surgery, 27-32 neurosurgery, 33 oncology, 34,35 and general surgery. [36][37][38] The actual nature of the surgical procedure does not appear to influence the effect of chronic anxiety on the magnitude of postoperative pain decrease.…”

Section: Discussionmentioning

confidence: 99%

Can Preoperative Psychological Assessment Predict Outcomes After Temporomandibular Joint Arthroscopy?

Bouloux

Zerweck

Celano

et al. 2015

Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Can Preoperative Psychological Assessment Predict Outcomes After Temporomandibular Joint Arthroscopy?

Bouloux

Zerweck

Celano

et al. 2015

Journal of Oral and Maxillofacial Surgery

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“…Acute pain was not correlated with risk of mood disorders (69), cognitive coping (45) or alexithymia (68). No difference in pre-operative somatosensory amplification was noted between those with and without acute pain (52).…”

Section: Other Psychological Measures 0 -7 Daysmentioning

confidence: 84%

Psychological Factors Are Associated with Pain at All Time Frames After Breast Cancer Surgery: A Systematic Review with Meta-Analyses

et al. 2021

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Objective This systematic review aimed to 1) assess associations between psychological factors and pain after breast cancer (BC) treatment and 2) determine which preoperative psychological factors predicted pain in the acute, subacute, and chronic time frames after BC surgery. Design A systematic review with meta-analysis. Subjects Women with early-stage BC. Methods The Medline, EMBASE, CINAHL, and Web of Science databases were searched between 1990 and January 2019. Studies that evaluated psychological factors and pain after surgery for early-stage BC were included. Associations between psychological factors and pain, from early after surgery to >12 months after surgery, were extracted. Effect size correlations (r equivalents) were calculated and pooled by using random-effects meta-analysis models. Results Of 4,137 studies, 47 were included (n = 15,987 participants; 26 studies ≤12 months after surgery and 22 studies >12 months after surgery). The majority of the studies had low to moderate risk of bias. Higher preoperative anxiety and depression were weak but significant predictors of pain at all time points up to 12 months (r equivalent: 0.15–0.22). Higher preoperative pain catastrophizing and distress were also weak but significant predictors of pain during the acute (0–7 days) and chronic (3–12 months) periods (r equivalent: 0.10–0.20). For the period >12 months after surgery, weak but significant cross-sectional associations with pain were identified for anxiety, depression, pain catastrophizing, and distress (r equivalents: 0.15, 0.17, 0.25, 0.14, respectively). Conclusion Significant pooled effect size correlations between psychological factors and pain were identified across all time frames. Though weak, these associations should encourage assessment of key psychological factors during preoperative screening and pain assessments at all postoperative time frames.

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“…In addition to this, the assessment of coping strategies among breast cancer patients with preoperative pain did not have any predictive value for increased postoperative pain. But, those with greater isolated anxiety ratings for the expectations of higher postoperative pain predict more intense postoperative pain after breast cancer surgery [23][24][25] LOE � 1b, LOE � 2c, GOR � A, and GOR = C.…”

Section: 27mentioning

confidence: 98%

Evidence-Based Guideline on the Prevention and Management of Perioperative Pain for Breast Cancer Peoples in a Low-Resource Setting: A Systematic Review Article

Tageza Ilala,

Teku Ayano,

Ahmed Kedir

et al. 2023

Anesthesiology Research and Practice

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Background. Breast surgery for breast cancer is associated with significant acute and persistent postoperative pain. Surgery is the primary type of treatment, but up to 60% of breast cancer patients experience persistent pain after surgery, and 40% of them develop acute postmastectomy pain syndrome. Preoperative stress, involvement of lymph nodes while dissecting, and the postoperative psychological state of the patients play vital roles in managing the postoperative pain of the patients. The objective of this study is to develop evidence-based guideline on the prevention and management of perioperative pain for breast cancer surgical patients. Methods. An exhaustive literature search was made from PubMed, Cochrane Review, PubMed, Google Scholar, Hinari, and CINAHIL databases that are published from 2012 to 2022 by setting the inclusion and exclusion criteria. After data extraction, filtering was made based on the methodological quality, population data, interventions, and outcome of interest. Finally, one guideline, two meta-analyses, ten systematic reviews, 25 randomized clinical trials and ten observational studies are included in this review, and a conclusion was made based on their level of evidence and grade of recommendation. Results. A total of 38 studies were considered in this evaluation. The development of this guideline was based on different studies performed on the diagnosis, risk stratification and risk reduction, prevention of postoperative pain, and treatments of postoperative pain. Conclusion. The management of postoperative pain can be categorized as risk assessment, minimizing risk, early diagnosis, and treatment. Early diagnosis is the mainstay to identify and initiate treatment. The perioperative use of a nonpharmacological approach (including preoperative positive inspirational words and positive expectation) as an adjunct to the intraoperative regional anesthetic technique with general anesthesia with proper dosage of the standard pharmacological multimodal regimens is the first-line treatment. For postoperative analgesia, an extended form of intraoperative regional technique, nonpharmacologic technique, and NSAIDs can be used with the opioid-sparing anesthesia technique.

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Preoperative coping mechanisms have no predictive value for postoperative pain in breast cancer

Cited by 7 publications

References 30 publications

Can Preoperative Psychological Assessment Predict Outcomes After Temporomandibular Joint Arthroscopy?

Can Preoperative Psychological Assessment Predict Outcomes After Temporomandibular Joint Arthroscopy?

Psychological Factors Are Associated with Pain at All Time Frames After Breast Cancer Surgery: A Systematic Review with Meta-Analyses

Evidence-Based Guideline on the Prevention and Management of Perioperative Pain for Breast Cancer Peoples in a Low-Resource Setting: A Systematic Review Article

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