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The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study

Prevention and treatment of chronic post-surgical pain should be based on the early identification of patients at risk. The presence of a deficit in executive functions, along with the presence of psychological risk factors, could impair the use of appropriate pain coping strategies and might facili...

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Autores principales: Giusti, Emanuele Maria, Manna, Chiara, Varallo, Giorgia, Cattivelli, Roberto, Manzoni, Gian Mauro, Gabrielli, Samantha, D’Amario, Federico, Lacerenza, Marco, Castelnuovo, Gianluca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601771/
https://www.ncbi.nlm.nih.gov/pubmed/32998214
http://dx.doi.org/10.3390/brainsci10100685
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author Giusti, Emanuele Maria
Manna, Chiara
Varallo, Giorgia
Cattivelli, Roberto
Manzoni, Gian Mauro
Gabrielli, Samantha
D’Amario, Federico
Lacerenza, Marco
Castelnuovo, Gianluca
author_facet Giusti, Emanuele Maria
Manna, Chiara
Varallo, Giorgia
Cattivelli, Roberto
Manzoni, Gian Mauro
Gabrielli, Samantha
D’Amario, Federico
Lacerenza, Marco
Castelnuovo, Gianluca
author_sort Giusti, Emanuele Maria
collection PubMed
description Prevention and treatment of chronic post-surgical pain should be based on the early identification of patients at risk. The presence of a deficit in executive functions, along with the presence of psychological risk factors, could impair the use of appropriate pain coping strategies and might facilitate the transition to chronic post-surgical pain. A longitudinal cohort study was implemented. Patients listed for orthopaedic surgery were enrolled. Variables measured before surgery were pain intensity, the sensory, affective, cognitive and mixed components of pain, state and trait variables associated with the psychological status of the patient, fear of movement, pain catastrophizing, visual attention and cognitive flexibility. Pain intensity and the components of pain were re-evaluated after surgery and after three months. A linear mixed model was used to assess the predictors of pain intensity, and a multivariate linear mixed model was used to assess the predictors of the pain components. 167 patients were enrolled. Controlling for sex, age, pain duration and surgical procedure, catastrophizing and visual attention were predictors of pain intensity at follow-up. The sensory component of pain was predicted by state anxiety, healthcare-related fears, pain catastrophizing and visual attention. Anxiety and catastrophizing were predictors of the affective and evaluative components of pain. The mixed component of pain was predicted by state anxiety, healthcare-related fears and pain catastrophizing. Executive functions, along with psychological risk factors, shape the course of post-surgical pain. The efficacy of preventive and rehabilitation treatment could be possibly enhanced if these factors are treated.
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spelling pubmed-76017712020-11-01 The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study Giusti, Emanuele Maria Manna, Chiara Varallo, Giorgia Cattivelli, Roberto Manzoni, Gian Mauro Gabrielli, Samantha D’Amario, Federico Lacerenza, Marco Castelnuovo, Gianluca Brain Sci Article Prevention and treatment of chronic post-surgical pain should be based on the early identification of patients at risk. The presence of a deficit in executive functions, along with the presence of psychological risk factors, could impair the use of appropriate pain coping strategies and might facilitate the transition to chronic post-surgical pain. A longitudinal cohort study was implemented. Patients listed for orthopaedic surgery were enrolled. Variables measured before surgery were pain intensity, the sensory, affective, cognitive and mixed components of pain, state and trait variables associated with the psychological status of the patient, fear of movement, pain catastrophizing, visual attention and cognitive flexibility. Pain intensity and the components of pain were re-evaluated after surgery and after three months. A linear mixed model was used to assess the predictors of pain intensity, and a multivariate linear mixed model was used to assess the predictors of the pain components. 167 patients were enrolled. Controlling for sex, age, pain duration and surgical procedure, catastrophizing and visual attention were predictors of pain intensity at follow-up. The sensory component of pain was predicted by state anxiety, healthcare-related fears, pain catastrophizing and visual attention. Anxiety and catastrophizing were predictors of the affective and evaluative components of pain. The mixed component of pain was predicted by state anxiety, healthcare-related fears and pain catastrophizing. Executive functions, along with psychological risk factors, shape the course of post-surgical pain. The efficacy of preventive and rehabilitation treatment could be possibly enhanced if these factors are treated. MDPI 2020-09-28 /pmc/articles/PMC7601771/ /pubmed/32998214 http://dx.doi.org/10.3390/brainsci10100685 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Giusti, Emanuele Maria
Manna, Chiara
Varallo, Giorgia
Cattivelli, Roberto
Manzoni, Gian Mauro
Gabrielli, Samantha
D’Amario, Federico
Lacerenza, Marco
Castelnuovo, Gianluca
The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study
title The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study
title_full The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study
title_fullStr The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study
title_full_unstemmed The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study
title_short The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study
title_sort predictive role of executive functions and psychological factors on chronic pain after orthopaedic surgery: a longitudinal cohort study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601771/
https://www.ncbi.nlm.nih.gov/pubmed/32998214
http://dx.doi.org/10.3390/brainsci10100685
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