Psychological and psychosocial predictors of chronic postsurgical pain: a systematic review and meta-analysis.

Pain
Emanuele M GiustiGianluca Castelnuovo

Abstract

Knowledge about psychological and psychosocial predictors of chronic postsurgical pain is important to identify patients at risk for poor outcomes. The objective of this systematic review with meta-analysis was to assess the effect of such predictors. A comprehensive search of the available literature on this topic was performed using the electronic databases PubMed, Scopus, Embase, and PsycInfo. Estimates of the effect of each predictor were extracted, and both a narrative synthesis and a quantitative synthesis of these estimates were performed. Multiple imputation was used to take into account the effect of nonsignificant estimates in case they were not reported by original studies. From a sample of 8322 records, 83 articles were included in the narrative synthesis and 41 studies were used to perform the meta-analyses. The narrative synthesis showed that evidence about the effect of psychological predictors is heterogeneous, with few expected predictors, such as optimism, state anxiety and psychological distress, consistently associated with chronic postsurgical pain. By contrast, the meta-analyses showed that state anxiety, trait anxiety, mental health, depression, catastrophizing and, to a lesser extent, kinesiophobia and s...Continue Reading

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Citations

Dec 2, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Yukiko ShiroTakahiro Ushida
Mar 18, 2021·Pain·Emanuele Maria GiustiGianluca Castelnuovo
Jun 3, 2021·Journal of Clinical Medicine·Reetta M Sipilä, Eija A Kalso
Sep 10, 2021·Pain Practice : the Official Journal of World Institute of Pain·Emanuele M GiustiGianluca Castelnuovo
Oct 28, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Retze J AchttienAlison Rushton

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