The Interrelation of Personality and Postoperative Factors

Boyle, P.; Parbrook, G.D.

doi:10.1093/bja/49.3.259

Cited by 28 publications

(13 citation statements)

References 11 publications

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“…This may indicate that objective assessment of pain relief can be obtained by PRSO alone without subjective assessment, since behavioral and personality changes have been demonstrated to reflect the intensity of pain [14][15][16][17]. Although there were significant differences in the gender ratio and pain duration among the groups, these factors did not seem to account for the differences in VAS and PRSO values: prevalence rates in rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE) are higher among females than among males (about 4:1 and 20:1, respectively), and the demographic difference was thought to be natural; pain duration was incomparably longer than the observation period in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…However, assessment of the intensity of chronic pain and evaluation of pain relief following treatment are sometimes difficult [13][14][15], since the evaluation of pain relief tends to differ between the patient's subjective report and objective observation by the medical staff [13][14][15]. Severe chronic pain has been demonstrated to alter behavior [14,15] and mood [15][16][17]. Therefore, objective evaluation of pain relief may be possible by observing changes in behavior, activities of daily life (ADL), drug intake, and the patient's mood.…”

Section: Introductionmentioning

confidence: 99%

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Simple pain relief score by observers (PRSO) for assessing chronic pain

et al. 1997

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In 56 patients with severe chronic pain, pain relief was evaluated by observation of changes in activities of daily life (ADL), drug intake, and patients' mood. The degree of pain relief was scored on the basis of these evaluations by a pain clinic physician, a nurse, and a member of the patient's family. The resulting score was termed "pain relief score by observers" (PRSO). Subjective pain relief was evaluated by the visual analogue scale (VAS). Although a significant correlation (rS=0.755,P<0.001) was demonstrated between the mean PRSO and VAS values, there was some dissociation between the two values in patients with underlying personal problems such as compensation lawsuits or job loss. The results suggest that an objective evaluation of pain relief is possible by PRSO alone without subjective assessment, and that PRSO can be used for patients with various types of pain. Combined assessment of pain relief by the VAS and PRSO methods may be useful to detect the influence of personal background factors in patients with chronic pain.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Simple pain relief score by observers (PRSO) for assessing chronic pain

et al. 1997

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“…Whilst m general terms PCA does appear to be supenor to IM, this cannot be taken to mean that PCA functions optimally for all patients Although it is recognized that psychological factors play a significant role m the percephon and tolerance of pam, as well as m the willmgness to communicate the discomfort and distress caused by pam (Boyle & Parbrook 1977, Stembach 1978, Johnston 1980, Seers 1987, Melzack & Wall 1988, few researchers have acknowledged their important impbcahons m relation to the PCA pam-rebef method. This seems extraordmary when one considers that PCA requires full patient cooperahon and parhapation…”

Section: Psydiological Componentsmentioning

confidence: 99%

Patient‐controlled analgesia: a new method for old

Thomas

Rose

1993

Journal of Advanced Nursing

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Patient-controlled analgesia (PCA) has successfully made the transition from a research tool for the investigation of pain, to a wider clinical utility as method of pain control. Reliable and sophisticated PCA systems have been commercially available for some time. The technique has been most commonly used for control of postoperative pain, but has also been successfully used during labour, after burns, in acute painful medical conditions and in terminal care. It is generally more effective than the traditional methods of postoperative pain control but not automatically so. The choice of opioid, the settings chosen for demand dose and the lockout interval will greatly influence the effectiveness of this method of analgesia. Psychological variables are also important in predicting the efficacy of PCA.

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“…Analysing the analgesic consumption, investigated by Macintyre and Jarvis [5], pain scores and loading dose correlated with morphine con-responders showed a wide variability in dosage requirements. The loading dose may be of value in assessing further psychological [9,13,14] and personality traits [15,16] are further contributors to variations in dose analgesic consumption and may also be used to adjust the analgesic regimen to individual needs. A careful observation of the loading dose and its effect on pain variability, although the number of patients in this group was small.…”

Section: Characterization Of Respondersmentioning

confidence: 99%

Responders and non-responders to post-operative pain treatment: the loading dose predicts analgesic needs

Stamer¹,

Grond²,

Maier³

1999

Eur J Anaesthesiol

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The study compares responders and non-responders to post-operative patient-controlled analgesia (PCA) and evaluates factors that might differ between these two groups in order to identify non-responders during the early post-operative period. A prospective, randomized, double-blinded study design was used. Patients recovering from abdominal surgery were assigned to one of three treatment groups for a study period of 48 h. After titration of an individual loading dose, patients could self-administer 1 mL bolus doses (2 mg of morphine, 20 mg of tramadol or placebo) using a PCA device. Patients responding or not responding to the treatment were identified. In non-responders the escape medication was morphine. There were 96 responders and 65 non-responders. All responders showed similar pain scores, irrespective of the drug they received. Drug consumption of placebo responders was twice as high as that of opioid responders. Pain scores and analgesic consumption of non-responders were significantly higher compared with responders, although those patients received morphine. The loading dose correlated with subsequent analgesic consumption. Altogether, 89.2% of the non-responders were identified after the loading dose. Size of loading dose and pain scores during the first 30 min are useful for assessing the overall response to post-operative pain management. These factors may be valuable for predicting individual pain management.

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The Interrelation of Personality and Postoperative Factors

Cited by 28 publications

References 11 publications

Simple pain relief score by observers (PRSO) for assessing chronic pain

Simple pain relief score by observers (PRSO) for assessing chronic pain

Patient‐controlled analgesia: a new method for old

Responders and non-responders to post-operative pain treatment: the loading dose predicts analgesic needs

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