Preoperative Anxiety and Catastrophizing: A Systematic Review and Meta-analysis of the Association With Chronic Postsurgical Pain

  title={Preoperative Anxiety and Catastrophizing: A Systematic Review and Meta-analysis of the Association With Chronic Postsurgical Pain},
  author={Maurice Theunissen and Madelon L. Peters and Julie Bruce and H F Gramke and Marco A. E. Marcus},
  journal={The Clinical Journal oF Pain},
Objectives:Anxiety and pain catastrophizing predict acute postoperative pain. However, it is not well established whether they also predict chronic postsurgical pain (CPSP). The aim of this systematic review and meta-analysis was to investigate whether high levels of preoperative anxiety or pain catastrophizing are associated with an increased risk of CPSP. Methods:Electronic search databases included PubMed and PsychINFO. Additional literature was obtained by reference tracking and expert… 

The Association Between Preoperative Pain Catastrophizing and Chronic Pain After Hysterectomy – Secondary Analysis of a Prospective Cohort Study

High PCS was independently associated with CPHP and associated functional impairment and the effectiveness of early intervention for pain catastrophizers in improving pain-related outcomes was investigated.

Pain Catastrophizing and Function In Individuals With Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis

Very low-quality evidence indicated that higher levels of PC were often, but not always, significantly associated with and prospectively predicted both chronic pain intensity and disability, highlighting the potential role that PC may play in delaying recovery from CMP.

Risk Factors for Postoperative Pain Intensity in Patients Undergoing Lumbar Disc Surgery: A Systematic Review

Patients scheduled for lumbar disc surgery should be selected carefully and need to be treated in a multimodal setting including psychological support, and preliminary positive evidence was found for somatization and mental well-being.

Global Prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and Meta-analysis

The systematic review and meta-analysis revealed that approximately fifty percent of patients experienced preoperative anxiety which entails the policy makers and health care stakeholders should implement mitigating strategies to prevent and manage preoperativexiety.

Pain Catastrophizing Influences Preoperative and Postoperative Patient-Reported Outcomes in Adolescent Idiopathic Scoliosis.

Patients with AIS who exhibited pain catastrophizing experienced significant improvement in self-reported health 2 years after PSF, but they did not have the same levels of self- reported health as the normal-PCS group, and receiver operating characteristic (ROC) curve analysis indicated that an SRS-30 pain score of <3.5 has good sensitivity for predicting pain catastrophe.

Influence of depression, catastrophizing, anxiety, and resilience on postoperative pain at the first day after otolaryngological surgery

A set of somatic and psychological parameters seems to allow the identification of patients with higher risk for more postoperative pain, which should help to individualize and improve the perioperative pain management.

Preoperative pain catastrophizing and postoperative pain after total knee arthroplasty: a prospective cohort study with one year follow-up

No associations were found between preoperative pain catastrophizing and pain eight weeks or one year after surgery, and the decrease in PCS-scores challenges evidence regarding the stability ofPain Catastrophizing.



The Roles of Pain Catastrophizing and Anxiety in the Prediction of Postoperative Pain Intensity: A Prospective Study

It is suggested that a simple assessment of preoperative catastrophizing tendency and anxiety scores may assist medical teams in postoperative pain management.

Prospective relation between catastrophizing and residual pain following knee arthroplasty: two-year follow-up.

The number of comorbidities predicted the presence of pain at 24 months follow-up and, for the first time, preoperative PCS scores were shown to predict chronic postoperative pain.

Predictors of Postoperative Pain and Analgesic Consumption: A Qualitative Systematic Review

Type of surgery, age, and psychological distress were the significant predictors for analgesic consumption, and Gender was not found to be a consistent predictor as traditionally believed.

Catastrophizing and depressive symptoms as prospective predictors of outcomes following total knee replacement.

The present findings suggest that high levels of catastrophizing and depression may promote enhanced pain levels, indicating that interventions designed to reduce catastrophize and depressive symptoms may have the potential to further improve joint replacement outcomes.

The role of catastrophizing in the prediction of postoperative pain.

It is suggested that it is possible to preoperatively identify patients at risk for experiencing more severe pain in the postoperative recovery period and consideration might be given to utilizing a variety of resources to ameliorate or prevent pain.

Preoperative Pain Catastrophizing Predicts Pain Outcome after Knee Arthroplasty

It was found pain catastrophizing was the only consistent psychologic predictor of poor WOMAC pain outcome and an intervention focusing on pain catastrophicizing seems to have potential for improving pain outcome in patients prone to catastrophized pain.

Chronic Pain as an Outcome of Surgery: A Review of Predictive Factors

Five groups of surgeries were selected because the incidence of pain is known to be high, thus improving the probability of detecting predictive factors and the natural history of patients with and without persistent pain after surgery provides an opportunity to improve the understanding of the physiology and psychology of chronic pain.

Severity of Acute Pain After Breast Surgery Is Associated With the Likelihood of Subsequently Developing Persistent Pain

Patients who developed PPSP experienced pain of greater intensity on the fifth postoperative day than those that did not and were similar in terms of mental status (anxiety and depression), analgesic consumption, adverse effects of analgesic therapy, and changes on QST.

Catastrophizing: A Risk Factor For Postsurgical Pain

Testing the hypothesis that presurgery "catastrophizing" would predict postsurgical pain and postsurgical analgesic consumption suggests that high catastrophizing scores may be a risk factor for heightened pain following surgery.

Predictors of Acute Postoperative Pain After Elective Surgery

The most important predictors of postoperative pain seemed to be; preoperative pain, expected pain, surgical fear, and pain catastrophizing.