The effects of psychological factors and physical trauma on recovery from oral surgery

George, James; Scott, Donald S.; Turner, Sharon; Gregg, John M.

doi:10.1007/bf00845053

Cited by 83 publications

(64 citation statements)

References 21 publications

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“…Hansson et al (1989) did not find an association between presurgical stress or tension and pain after third molar surgery but found a high correlation between pain and analgesic intake. George et al (1980) found that expectancies and anxiety significantly predicted medication intake, but to a lesser extent patients' pain. Analgesic intake may obscure the relations between psychological predictors and pain since anxious patients may take more pain medication and then experience less pain.…”

Section: Discussionmentioning

confidence: 97%

“…Next, adolescents' trait-NA and expectancies about recovery were entered as affective and motivational parameters, respectively. Expectancies and NA were entered before other psychosocial measures since they were seen as having a primary impact on outcome (George et al, 1980;Scheier et al, 1989). In the third stage, anticipated parental pampering responses were entered as reflecting learned family patterns which may affect disability and pain (Walker and Zeman, 1992).…”

Section: Discussionmentioning

confidence: 99%

“…George et al (1980) showed that adults' information-seeking was positively associated with pain, disability, and poor healing after third molar surgery. However, information-seeking is only one aspect of problem-focused coping.…”

Section: Introductionmentioning

confidence: 98%

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The physical and psychosocial predictors of Adolescents' recovery from oral surgery

1995

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The purpose of this study was to expand medical models of recovery from surgery in adolescents. Sixty-seven adolescents undergoing third molar surgery and their parents participated. Adolescents' negative affectivity, expectancies about recovery, coping styles, and parents' anticipated encouragement of illness behavior were assessed preoperatively. Extent of surgery was assessed by the oral surgeon. Outcome measures included mouth opening, disability, and pain. Extent of surgery did not predict recovery. After controlling for extent of surgery, the psychosocial parameters accounted for an additional 19% of the variance in mouth opening and 21% of the variance in disability. Adolescents' expectancies about recovery and parents' anticipated "pampering" responses predicted mouth opening. Adolescents' expectancies predicted disability. Expectancies about recovery and parental encouragement of illness behavior add predictive power to models of adolescents' recovery from surgery. Limitations of the study, future research directions, and clinical implications are discussed.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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The physical and psychosocial predictors of Adolescents' recovery from oral surgery

1995

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“…The methodological and measurement heterogeneity across the studies may have also contributed to variance in effect sizes in the meta-analysis. Interestingly, clinical and tape-stripping studies were the only wound types to report nonsignificant findings [61,66] in the meta-analysis. In addition, it is worth noting that none of the tape stripping studies formally discussed the validity and reliability of their transepidermal water loss measurements, although one study [48] did state that procedural guidelines were followed.…”

Section: Discussionmentioning

confidence: 99%

Psychological stress and wound healing in humans: A systematic review and meta-analysis

Walburn

Vedhara

Hankins

et al. 2009

Journal of Psychosomatic Research

281

187

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(2009) Psychological stress and wound healing in humans: a systematic review and meta-analysis. Journal of Psychosomatic Research, 67 (3). pp. [253][254][255][256][257][258][259][260][261][262][263][264][265][266][267][268][269][270][271] This version is available from Sussex Research Online: http://sro.sussex.ac.uk/2232/ This document is made available in accordance with publisher policies and may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the URL above for details on accessing the published version. Copyright and reuse:Sussex Research Online is a digital repository of the research output of the University.Copyright and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable, the material made available in SRO has been checked for eligibility before being made available.Copies of full text items generally can be reproduced, displayed or performed and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. Abstract Objective: The current review aims to synthesize existing knowledge about the relationship between psychological stress and wound healing. Methods: A systematic search strategy was conducted using electronic databases to search for published articles up to the end of October 2007. The reference lists of retrieved articles were inspected for further studies and citation searches were conducted. In addition, a meta-analysis of a subset of studies was conducted to provide a quantitative estimation of the influence of stress on wound healing. Results: Twenty-two papers met the inclusion criteria of the systematic review and a subsample of 11 was included in a meta-analysis. The studies assessed the impact of stress on the healing of a variety of wound types in different contexts, including acute and chronic clinical wounds, experimentally created punch biopsy and blister wounds, and minor damage to the skin caused by tape stripping. Seventeen studies in the systematic review reported that stress was associated with impaired healing or dysregulation of a biomarker related to wound healing. The relationship between stress and wound healing estimated by the meta-analysis was r=−0.42 (95% CI=−0.51 to −0.32) (Pb.01). Conclusion: Attention now needs to be directed towards investigating potential moderators of the relationship, mediating mechanisms underpinning the association, as well as the demonstration of a causal link by the development of experimental interventions in healthy populations.

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“…His causality model, which refers solely to reduced oxygen supply, can today be considered outdated. In the early 1980s, George et al [1980] published a study in which psychological personality characteristics were studied with respect to convalescence following surgical procedures. They postulated that certain psychological personality characteristics lead to more complications and poorer wound healing.…”

Section: Studies On Emotions and Wound Healingmentioning

confidence: 99%

Psychosomatic Aspects of Chronic Wounds

Augustin¹,

Maier²

2003

Dermatol Psychosom

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Chronic wounds, such as ulcus cruris, decubitus and the diabetic foot are of great medical and socio-economic importance, since they affect 2–3 million people in Germany and have a prevalence of 1–2% in Western countries. Previous studies have primarily addressed the consequences of chronic wounds on quality of life, showing sometimes marked impairment in physical, social, psychological, and financial domains. There are few study data on the influence of psychosomatic factors on the onset and duration of chronic wounds. Experimental and psychosocial studies show, however, that emotional factors and stress may lead to increased pain and prolonged wound healing. Based on studies of patients undergoing minor surgical procedures, a perioperative stress model has been developed. This model explains the occurrence of complications as neuroendocrino-immunological interactions. Anxious patients report more severe pain and have higher cortisol and blood pressure values. Detailed explanations of the procedure, methods of muscle relaxation, music or pre-medication may be advantageous prior to surgical procedures. In chronic wounds, supportive communication, psychotherapy and psychopharmacological treatment are to be considered, depending on the indication. Looking at the studies from a psychosomatic point of view, it is clear that patients with chronic wounds suffer greater limitations of activity and mobility, more severe pain and increased worries about their health. Moreover, these patients show significantly lower self-esteem. In addition, there is also a secondary gain from illness. Improvement in compliance, which is very low in many patients, is thus an additional approach to improving the prognosis of a chronic wound. Adequate wound therapy and therapeutic device in wound care may, as confirmed by several studies, significantly improve patients’ quality of life and self-esteem. Likewise, structured follow-up care should be provided even after the wound has healed.

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The effects of psychological factors and physical trauma on recovery from oral surgery

Cited by 83 publications

References 21 publications

The physical and psychosocial predictors of Adolescents' recovery from oral surgery

The physical and psychosocial predictors of Adolescents' recovery from oral surgery

Psychological stress and wound healing in humans: A systematic review and meta-analysis

Psychosomatic Aspects of Chronic Wounds

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