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Preoperative coping strategies and distress predict postoperative pain and morphine consumption in women undergoing abdominal gynecologic surgery

Preoperative coping strategies and distress predict postoperative pain and morphine consumption in women undergoing abdominal gynecologic surgery

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Title: Preoperative coping strategies and distress predict postoperative pain and morphine consumption in women undergoing abdominal gynecologic surgery
Author: Cohen, Lorenzo
Fouladi, Rachel T.
Katz, Joel
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.
Subject: surgical pain
recovery
morphine consumption
distress
coping
Type: Article
Rights: 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
http://www.elsevier.com/wps/find/journaldescription.cws_home/525474/description#description
http://www.elsevier.com
URI: http://hdl.handle.net/10315/7970
Published: Elsevier
Citation: Journal of Psychosomatic Research, 58(2), 201-209. (2005)
Date: 2005

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