Preoperative coping strategies and distress predict postoperative pain and morphine consumption in women undergoing abdominal gynecologic surgery
| dc.contributor.author | Cohen, Lorenzo | |
| dc.contributor.author | Fouladi, Rachel T. | |
| dc.contributor.author | Katz, Joel | |
| dc.date.accessioned | 2011-05-19T15:01:12Z | |
| dc.date.available | 2011-05-19T15:01:12Z | |
| dc.date.issued | 2005 | |
| dc.description.abstract | Objectives The aim of the present study was to predict postoperative pain and morphine consumption based on preoperative psychosocial factors. Methods One hundred and twenty-two women completed measures of distress and coping 1 week before major abdominal gynecological surgery by laparotomy. Forty-eight hours after surgery, measures of pain and negative affect (NA) were completed, and morphine consumption was recorded from a patient-controlled analgesia pump. Four weeks after surgery, measures of pain and NA were completed. Results Multivariate analyses revealed that preoperative self-distraction coping (P=.039) positively predicted postoperative pain levels in the hospital, after accounting for the effects of age, concurrent NA, and morphine consumption. Emotional support (P=.031) and religious-based coping (P=.036) positively predicted morphine consumption in the hospital, after accounting for the effects of age, concurrent NA, and pain levels. Preoperative distress (P<.04 to .008) and behavioral disengagement (P=.034), emotional support (P=.049), and religious-based coping (P=.001) positively predicted pain levels 4 weeks after surgery, after accounting for the effects of age and concurrent NA. Conclusion The results suggest that preoperative psychosocial factors are associated with postoperative pain and morphine consumption. | en |
| dc.identifier.citation | Journal of Psychosomatic Research, 58(2), 201-209. (2005) | |
| dc.identifier.uri | http://hdl.handle.net/10315/7970 | |
| dc.language.iso | en | en |
| dc.publisher | Elsevier | en |
| dc.rights.article | http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6T8V-4FWSN6K-J-1&_cdi=5096&_user=866177&_pii=S0022399904005483&_origin=gateway&_coverDate=02%2F28%2F2005&_sk=999419997&view=c&wchp=dGLbVlb-zSkWb&md5=d55b39f0329c4a73de0b755fb225b9e0&ie=/sdarticle.pdf | |
| dc.rights.journal | http://www.elsevier.com/wps/find/journaldescription.cws_home/525474/description#description | en |
| dc.rights.publisher | http://www.elsevier.com | en |
| dc.subject | surgical pain | en |
| dc.subject | recovery | en |
| dc.subject | morphine consumption | en |
| dc.subject | distress | en |
| dc.subject | coping | en |
| dc.title | Preoperative coping strategies and distress predict postoperative pain and morphine consumption in women undergoing abdominal gynecologic surgery | |
| dc.type | Article | en |