Catastrophizing: a predictive factor for postoperative pain

Reenam S Khan; Kamran Ahmed; Elizabeth Blakeway; Petros Skapinakis; Leo Nihoyannopoulos; Kenneth Macleod; Nick Sevdalis; Hutan Ashrafian; Michael Platt; Ara Darzi; Thanos Athanasiou

doi:10.1016/j.amjsurg.2010.02.007

Catastrophizing: a predictive factor for postoperative pain

Reenam S Khan, Kamran Ahmed, Elizabeth Blakeway, Petros Skapinakis, Leo Nihoyannopoulos, Kenneth Macleod, Nick Sevdalis, Hutan Ashrafian, Michael Platt, Ara Darzi, Thanos Athanasiou

Imperial College London

Research output: Contribution to journal › Review article › peer-review

225 Citations (Scopus)

Abstract

BACKGROUND: postsurgical pain is a major cause of delayed recovery and discharge after surgery. A significant proportion of patients develop chronic postsurgical pain, which affects their quality of life. Cognitive and psychological factors are reported to play a significant role in the severity of reported postsurgical pain. High levels of catastrophizing are associated with a heightened pain experience and appear to contribute to the development of chronic pain. This article describes the concept of pain catastrophizing, its association with postsurgical pain, and its potential role in the management of postsurgical pain and postsurgical quality of life.

METHODS: data for this review were identified from MEDLINE, EMBASE, and PsycINFO. Reference lists of selected articles were cross-searched for additional literature.

RESULTS: High catastrophizing levels were found to be associated with increased pain severity, increased incidence of development of chronic pain, and poorer quality of life after surgery. There was no consensus on the relation between catastrophizing and analgesia consumption.

CONCLUSIONS: identifying and reducing catastrophizing levels can help to optimize pain management in surgical patients.

Original language	English
Pages (from-to)	122-31
Number of pages	10
Journal	American Journal of Surgery
Volume	201
Issue number	1
DOIs	https://doi.org/10.1016/j.amjsurg.2010.02.007
Publication status	Published - Jan 2011

Keywords

Adaptation, Psychological
Catastrophization/psychology
Humans
Pain Measurement
Pain, Postoperative/diagnosis
Quality of Life
Risk Factors

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10.1016/j.amjsurg.2010.02.007

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title = "Catastrophizing: a predictive factor for postoperative pain",

abstract = "BACKGROUND: postsurgical pain is a major cause of delayed recovery and discharge after surgery. A significant proportion of patients develop chronic postsurgical pain, which affects their quality of life. Cognitive and psychological factors are reported to play a significant role in the severity of reported postsurgical pain. High levels of catastrophizing are associated with a heightened pain experience and appear to contribute to the development of chronic pain. This article describes the concept of pain catastrophizing, its association with postsurgical pain, and its potential role in the management of postsurgical pain and postsurgical quality of life.METHODS: data for this review were identified from MEDLINE, EMBASE, and PsycINFO. Reference lists of selected articles were cross-searched for additional literature.RESULTS: High catastrophizing levels were found to be associated with increased pain severity, increased incidence of development of chronic pain, and poorer quality of life after surgery. There was no consensus on the relation between catastrophizing and analgesia consumption.CONCLUSIONS: identifying and reducing catastrophizing levels can help to optimize pain management in surgical patients.",

keywords = "Adaptation, Psychological, Catastrophization/psychology, Humans, Pain Measurement, Pain, Postoperative/diagnosis, Quality of Life, Risk Factors",

author = "Khan, {Reenam S} and Kamran Ahmed and Elizabeth Blakeway and Petros Skapinakis and Leo Nihoyannopoulos and Kenneth Macleod and Nick Sevdalis and Hutan Ashrafian and Michael Platt and Ara Darzi and Thanos Athanasiou",

year = "2011",

month = jan,

doi = "10.1016/j.amjsurg.2010.02.007",

language = "English",

volume = "201",

pages = "122--31",

journal = "American Journal of Surgery",

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T1 - Catastrophizing

T2 - a predictive factor for postoperative pain

AU - Khan, Reenam S

AU - Ahmed, Kamran

AU - Blakeway, Elizabeth

AU - Skapinakis, Petros

AU - Nihoyannopoulos, Leo

AU - Macleod, Kenneth

AU - Sevdalis, Nick

AU - Ashrafian, Hutan

AU - Platt, Michael

AU - Darzi, Ara

AU - Athanasiou, Thanos

PY - 2011/1

Y1 - 2011/1

N2 - BACKGROUND: postsurgical pain is a major cause of delayed recovery and discharge after surgery. A significant proportion of patients develop chronic postsurgical pain, which affects their quality of life. Cognitive and psychological factors are reported to play a significant role in the severity of reported postsurgical pain. High levels of catastrophizing are associated with a heightened pain experience and appear to contribute to the development of chronic pain. This article describes the concept of pain catastrophizing, its association with postsurgical pain, and its potential role in the management of postsurgical pain and postsurgical quality of life.METHODS: data for this review were identified from MEDLINE, EMBASE, and PsycINFO. Reference lists of selected articles were cross-searched for additional literature.RESULTS: High catastrophizing levels were found to be associated with increased pain severity, increased incidence of development of chronic pain, and poorer quality of life after surgery. There was no consensus on the relation between catastrophizing and analgesia consumption.CONCLUSIONS: identifying and reducing catastrophizing levels can help to optimize pain management in surgical patients.

AB - BACKGROUND: postsurgical pain is a major cause of delayed recovery and discharge after surgery. A significant proportion of patients develop chronic postsurgical pain, which affects their quality of life. Cognitive and psychological factors are reported to play a significant role in the severity of reported postsurgical pain. High levels of catastrophizing are associated with a heightened pain experience and appear to contribute to the development of chronic pain. This article describes the concept of pain catastrophizing, its association with postsurgical pain, and its potential role in the management of postsurgical pain and postsurgical quality of life.METHODS: data for this review were identified from MEDLINE, EMBASE, and PsycINFO. Reference lists of selected articles were cross-searched for additional literature.RESULTS: High catastrophizing levels were found to be associated with increased pain severity, increased incidence of development of chronic pain, and poorer quality of life after surgery. There was no consensus on the relation between catastrophizing and analgesia consumption.CONCLUSIONS: identifying and reducing catastrophizing levels can help to optimize pain management in surgical patients.

KW - Adaptation, Psychological

KW - Catastrophization/psychology

KW - Humans

KW - Pain Measurement

KW - Pain, Postoperative/diagnosis

KW - Quality of Life

KW - Risk Factors

U2 - 10.1016/j.amjsurg.2010.02.007

DO - 10.1016/j.amjsurg.2010.02.007

M3 - Review article

C2 - 20832052

SN - 0002-9610

VL - 201

SP - 122

EP - 131

JO - American Journal of Surgery

JF - American Journal of Surgery

IS - 1

ER -

Catastrophizing: a predictive factor for postoperative pain

Abstract

Keywords

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