Role of Trait Anxiety in Persistent Radicular Pain After Surgery for Lumbar Disc Herniation

D’Angelo, Cristina; Mirijello, Antonio; Ferrulli, Anna; Leggio, Lorenzo; Berardi, A.; Icolaro, Nadia; Miceli, Antonio; D’Angelo, Vincenzo; Gasbarrini, Giovanni; Addolorato, Giovanni

doi:10.1227/01.neu.0000371971.51755.1c

Cited by 32 publications

(34 citation statements)

References 28 publications

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“…Although most studies used regression analyses to test prediction models of outcomes, two studies used discriminant analysis [18,19] and one used cluster analysis [23]. Six studies included an adjustment for baseline leg pain, back pain, or functional disability in their prediction models [19,21,24,27-29], while five studies had an adjustment for other variables [17,20,22,25,26]. One study was originally a randomized clinical trial that did not find a significant difference between two rehabilitation programs [26].…”

Section: Resultsmentioning

confidence: 99%

“…Two (one high and one low quality study) of the four studies that measured pain coping preoperatively reported association with postoperative outcomes [18,24]. The two studies (one high and one low quality studies) that measured anxiety found an association with LDH surgical outcomes [17,25]. Three (high quality studies) out of four studies that measured fear and avoidance beliefs found an association with LDH surgical outcomes [19,24,26].…”

Section: Resultsmentioning

confidence: 99%

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Do preoperative fear avoidance model factors predict outcomes after lumbar disc herniation surgery? A systematic review

2013

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BackgroundLumbar disc herniation (LDH) surgery is usually recommended when conservative treatments fail to manage patients’ symptoms. However, many patients undergoing LDH surgery continue to report pain and disability. Preoperative psychological factors have shown to be predictive for postoperative outcomes. Our aim was to systematically review studies that prospectively examined the prognostic value of factors in the Fear Avoidance Model (FAM), including back pain, leg pain, catastrophizing, anxiety, fear-avoidance, depression, physical activity and disability, to predict postoperative outcomes in patients undergoing LDH surgery.MethodsWe performed a systematic literature review of prospective studies that measured any FAM factors preoperatively to predict postoperative outcomes for patients undergoing LDH surgery. Our search databases included PubMed, CINAHL, and PsycINFO. We assessed the quality of each included study using a certain quality assessment list. Degree of agreement between reviewers on quality assessment was examined. Results related to FAM factors in the included studies were summarized.ResultsThirteen prospective studies met our inclusion criteria. Most studies were considered high quality. Heterogeneity was present between the included studies in many aspects. The most common FAM factors examinered were baseline pain, disability and depression. In, general, depression, fear-avoidance behaviors, passive pain coping, and anxiety FAM factors appeared to have negative influence on LDH surgical outcome. Baseline back pain and leg pain appeared to have differing prognostic value on LDH surgical outcomes.ConclusionsFAM factors seem to influence LDH surgical outcomes. Patients with high levels of depression, anxiety and fear-avoidance behaviors are more likely to have poor outcomes following LDH surgery. Conversely, high levels of leg pain, but not back pain seem to be predictor for favorable LDH surgery outcome. More research is needed to determine the exact role of FAM factors on LDH surgical outcome and the value for screening for these factors.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Do preoperative fear avoidance model factors predict outcomes after lumbar disc herniation surgery? A systematic review

2013

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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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“…Screening for pre-surgical distress is likely to identify patients at risk for poor outcome after surgery (26). Presence of trait anxiety before surgery is a prognostic factor for the persistence of pain after surgery (27). The 3 studies described above investigated patients 1 year after surgery.…”

Section: Discussionmentioning

confidence: 99%

Patientsâ€™ experience of health three years after structured physiotherapy or surgery for lumbar disc herniation

G¹,

G²,

Thomeé³

et al. 2013

J Rehabil Med

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Objective: To describe the experience of health among pa tients 3 years after treatment with a structured physiothera py model or surgery for lumbar disc herniation. Design: A qualitative research study. Subjects/patients: Patients were referred to the orthopaedic clinic at Sahlgrenska University Hospital with sciatica due to lumbar disc herniation. Twenty patients who were eligi ble for surgery were treated either with a structured physio therapy model or with surgery. Methods: Openended interviews were conducted and ana lysed using content analysis. Results: Findings were grouped into two themes: feeling of wellbeing and feeling of illbeing. In the group treated with structured physiotherapy there were a high number of codes in the feeling of wellbeing theme. In the group treated with surgery there were a high number of codes in the feeling of illbeing theme. Conclusion: Patients treated with structured physiotherapy or surgery experienced feelings of wellbeing and illbeing 3 years after treatment. Patients treated with physiotherapy and surgery described varying experiences of health 3 years after treatment for lumbar disc herniation. It can be specu lated that the experience of wellbeing may be explained by the ability of structured physiotherapy treatments to em power patients.

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Role of Trait Anxiety in Persistent Radicular Pain After Surgery for Lumbar Disc Herniation

Abstract: The presence of trait anxiety before surgery is a prognostic factor for the persistence of pain after surgery.

Cited by 32 publications

References 28 publications

Do preoperative fear avoidance model factors predict outcomes after lumbar disc herniation surgery? A systematic review

Do preoperative fear avoidance model factors predict outcomes after lumbar disc herniation surgery? A systematic review

Can Preoperative Psychological Assessment Predict Outcomes After Temporomandibular Joint Arthroscopy?

Patientsâ€™ experience of health three years after structured physiotherapy or surgery for lumbar disc herniation

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