Journals / The European Research Journal / 2023 / Cilt: 9 - Sayı: 2

The relationship of pain severity with anxiety, depression, somatic symptoms, personality, and alexithymia in the early period after total knee arthroplasty

Pages
398–406
Publication Date
2023-03-04
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusions: According to these findings, the psychoticism dimension was concluded to be more associated with an antisocial personality disorder or aggressive patients, and the high level of pain in these patients may be related to low levels of serotonin and cortisol from a neurobiological point of view.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: This study aims to investigate the relationship between pain severity in the early postoperative period and preoperative psychometric factors in individuals undergoing total knee arthroplasty (TKA).
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Key Findings & Data:Results:The mean age of the participants in the study was 64.80 ± 8.70 years, and 45 of the cases (90.0%) were women.
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Conclusion & Impact:Conclusions: According to these findings, the psychoticism dimension was concluded to be more associated with an antisocial personality disorder or aggressive patients, and the high level of pain in these patients may be related to low levels of serotonin and cortisol from a neurobiological point of view.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Knee arthroplasty · pain · depression

Abstract

Objectives: This study aims to investigate the relationship between pain severity in the early postoperative period and preoperative psychometric factors in individuals undergoing total knee arthroplasty (TKA). Methods: This research was designed as a cross-sectional and descriptive study. Fifty participants undergoing TKA were inpatients at a private hospital's Orthopedics and Traumatology Clinic were included in the study. The same anesthesia protocol (spinal anesthesia) and the same surgical technique were performed on all patients. In data collection, Visual Analogue Scale (VAS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Somatic Amplification Scale (SAS), Toronto Alexithymia Scale (TAS), Eysenck Personality Questionnaire Revised-Abbreviated (EPQR-A), and Sociodemographic Data Form were used. Results:The mean age of the participants in the study was 64.80 ± 8.70 years, and 45 of the cases (90.0%) were women. Considering the Single Factor ANOVA Analysis, only psychoticism subscale scores were observed to be statistically significant in the change in VAS-Static scores. When all psychometric properties were controlled, the significant change in VAS-Dynamic scores was shown to continue at low effect. Conclusions: According to these findings, the psychoticism dimension was concluded to be more associated with an antisocial personality disorder or aggressive patients, and the high level of pain in these patients may be related to low levels of serotonin and cortisol from a neurobiological point of view.

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Cite This Article

TURAN, Ç., KÜÇÜKALP, A. (2023). The relationship of pain severity with anxiety, depression, somatic symptoms, personality, and alexithymia in the early period after total knee arthroplasty. The European Research Journal, Cilt: 9 - Sayı: 2, 398–406. https://ajindex.com/articles/888801

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References (14)

  1. Sommer M, de Rijke JM, van Kleef M, Kessels AG, Peters ML, Geurts JW, et al. The prevalence of postoperative pain in a sample of 1490 surgical inpatients. Eur J Anaesthesiol 2008;25:267-4
  2. Merskey HE, Bogduk N. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. Pain Suppl 1986;3:S1-226
  3. Rief W, Barsky AJ. Psychobiological perspectives on somatoform disorders. Psychoneuroendocrinology 2005;30:996-2
  4. Rief W, Hennings A, Riemer S, Euteneuer F. Psychobiological differences between depression and somatization. J Psychosom Res 2010;68:495-2
  5. Lingard EA, Riddle DL. Impact of psychological distress on pain and function following knee arthroplasty. J Bone Joint Surg Am 2007;89:1161-9
  6. Utrillas-Compaired A, De la Torre-Escuredo BJ, Tebar-Martínez AJ, Asúnsolo-Del Barco Á. Does preoperative psychologic distress influence pain, function, and quality of life after TKA? Clin Orthop Relat Res 2014;472:2457-5
  7. Granot M, Ferber SG. The roles of pain catastrophizing and anxiety in the prediction of postoperative pain intensity: a prospective study. Clin J Pain 2005;21:439-5
  8. Tesio V, Di Tella M, Ghiggia A, Romeo A, Colonna F, Fusaro E, et al. Alexithymia and depression affect quality of life in patients with chronic pain: a study on 205 Patients with fibromyalgia. Front Psychol 20184;9:442
  9. Hosoi M, Molton IR, Jensen MP, Ehde DM, Amtmann S, O'Brien S, et al. Relationships among alexithymia and pain intensity, pain interference, and vitality in persons with neuromuscular disease: considering the effect of negative affectivity. Pain 2010;149:273-7
  10. Zheng H, Schnabel A, Yahiaoui-Doktor M, Meissner W, Van Aken H, Zahn P, et al. Age and preoperative pain are major confounders for sex differences in postoperative pain outcome: a prospective database analysis. PLoS One 2017;12:e0178659
  11. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71
  12. Hisli N. Reability and validity of Beck Depression Inventory among university students. J Turk Psychol 1989;7:3-13
  13. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. J Cogn Psychother 1998;12:163
  14. Barsky AJ, Wyshak G, Klerman GL. The somatosensory amplification scale and its relationship to hypochondriasis. J Psychiatr Res 1990;24:323-34. 1