The role of prior pain experience and expectations on postoperative pain

Walmsley, P.; Brockopp, Dorothy; Brockopp, Gene W.

doi:10.1016/0885-3924(92)90105-q

Cited by 27 publications

(12 citation statements)

References 21 publications

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“…We found a significant effect of preoperative expectations on maintaining initial PCA route as well as on postoperative patient satisfaction, the latter finding also previously reported [20,36]. Expectations of postoperative pain and its relationship to postoperative satisfaction is a multifactorial complex concept that includes more than previous pain experiences [37]. Patients may well use PCA according to their expectations [21].…”

Section: Discussionsupporting

confidence: 80%

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

et al. 2001

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Both techniques, i.v. and epidural PCA, result in high levels of satisfaction. Satisfaction with PCA can be accurately predicted in nearly three of four patients based on initial PCA route and preoperative attitudes. Additionally, maintaining the initial treatment plan can be accurately predicted based on age and preoperative attitudes. Patient expectations about pain relief should be addressed preoperatively, particularly with younger patients, for optimal results.

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Section: Discussionsupporting

confidence: 80%

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

et al. 2001

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“…Previous studies have indicated that most patients expect pain after surgery (Brydon and Asbury, 1996;Scott and Hodson, 1997) even when pharmacological pain alleviation is to be provided (Walmsley et al, 1992). Total pain relief is not always sought by the patient and relatively few patients seem to expect complete relief of pain with the medication provided (Owen et al, 1990;Lavies et al, 1992;Kuhn et al, 1990;Hawkins, 1997).…”

Section: Introductionmentioning

confidence: 99%

Influence of expectations and actual pain experiences on satisfaction with postoperative pain management

Svensson

Sjöström

Haljamäe

2001

European Journal of Pain

135

106

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Experience of moderate or even severe postoperative pain has remained a clinical problem despite major progress in pain assessment and management. The aim of the present study was to assess any association between different pre- as well as postoperative factors, actual pain experiences in the postoperative period, and the overall patient satisfaction with the pain management. A random sample of surgical patients (n =191) responded to pre- and postoperative questionnaires detailing presence of preoperative baseline pain, expected and actually experienced postoperative pain levels and perceived adequacy of the pain relief provided. Patient satisfaction was assessed and factors of importance for satisfaction/dissatisfaction were analysed. It was found that 88% of the patients had previously undergone surgical procedures and that 53% of these patients claimed to have experienced moderate or severe pain at that time. Current pain prior to the present surgical procedure was reported by 61% of the patients. Most patients (91%) expected pain of moderate to severe intensity and 76% reported to have experienced such pain levels. In spite of this 81% of the patients claimed to be satisfied with the pain management while only 8% were dissatisfied. Sex, age, pre-operative expectation and actual experience of pain relief, and the overall pain experience were found to be factors associated with the probability of being satisfied/dissatisfied. Main characteristics of the dissatisfied patient were a younger age and female sex. It is concluded that patients commonly expect moderate to severe pain in the postoperative period and that the actual pain experience is mainly in accordance with the pre-operative expectations. Therefore, the validity of patient satisfaction as an optimal outcome variable in quality assurance processes of postoperative pain management may be questioned.

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“…Research with patients undergoing other types of surgery has established that higher levels of emotional distress prior to surgery (i.e., anticipatory distress) are associated with more adverse reactions to surgery (e.g., Martinez-Urrutia, 1975). There have also been clinical reports that patients' presurgery expectations of pain are predictive of their levels of postsurgery pain (Walmsley, Brockopp, & Brockopp, 1992). These findings are consistent with a psychological literature that has provided compelling experimental documentation that expectations for pain predict subsequent reactions to standardized laboratory challenges (Montgomery & Kirsch, 1996;Montgomery & Kirsch, 1997).…”

mentioning

confidence: 99%

Brief presurgery hypnosis reduces distress and pain in excisional breast biopsy patients

Montgomery

Weltz

Seltz

et al. 2002

International Journal of Clinical and Experimental Hypnosis

152

127

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Each year, hundreds of thousands of women undergo excisional breast biopsies for definitive diagnosis. Not only do these patients experience pain associated with the procedure, but they also endure distress associated with the threat of cancer. Hypnosis has been demonstrated as effective for controlling patients' pain in other surgical settings, but breast surgery patients have received little attention. To determine the impact of brief presurgical hypnosis on these patients' postsurgery pain and distress and to explore possible mediating mechanisms of these effects, 20 excisional breast biopsy patients were randomly assigned to a hypnosis or control group (standard care). Hypnosis reduced postsurgery pain and distress. Initial evidence suggested that the effects of hypnosis were mediated by presurgery expectations.

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The role of prior pain experience and expectations on postoperative pain

Cited by 27 publications

References 21 publications

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

Satisfaction With Epidural and Intravenous Patient-Controlled Analgesia

Influence of expectations and actual pain experiences on satisfaction with postoperative pain management

Brief presurgery hypnosis reduces distress and pain in excisional breast biopsy patients

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