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J Psychosom Res. 2005 Feb;58(2):201-9.

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

Author information

  • 1Department of Behavioral Science, The University of Texas, M.D. Anderson Cancer Center, Box 243, 1515 Holcombe Boulevard, Houston, TX 77030, USA. lcohen@mdanderson.org

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.

PMID:
15820849
[PubMed - indexed for MEDLINE]
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