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Pain Psychology and Perioperative Pain Management

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Perioperative Pain Control: Tools for Surgeons

Abstract

The experience of pain is a complex phenomenon which encompasses internal processes of sensation, perception, emotion, memory, cognition, and learning that interact with external factors such as culture, socioeconomic status, and the social environment. All these contribute to overall suffering whether pain is acute or chronic in nature. Psychological factors help paint a more complete picture of the dynamic processes involved in pain as it waxes and wanes in intensity and chronicity. From this understanding, psychological interventions have been developed to help individuals cope with and accept pain by learning to confront aversive physical sensations in creative ways rather than simply avoiding them. Oftentimes, these skills cannot be learned, internalized, and enacted within a perioperative timeframe. A comprehensive and coordinated effort in the pre- and postoperative phases would potentially have the greatest positive effect on outcomes.

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References

  1. Schug SA, Pogatzki-Zahn EM. Chronic pain after surgery or injury. Pain Clin Updates. 2011;19(1):1–4.

    Google Scholar 

  2. Treede RD, Rief W, Barke A, et al. A classification of chronic pain for ICD11. Pain. 2015;156:1003–7.

    Article  Google Scholar 

  3. Glare P, Aubrey KR, Myles PS. Transition from acute to chronic pain after surgery. Lancet. 2019;393(10180):1537–46.

    Article  Google Scholar 

  4. Feizerfan A, Sheh G. Transition from acute to chronic pain. Contin Educ Anaesth Crit Care Pain. 2014;15(2):98–102.

    Article  Google Scholar 

  5. Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine. 2002;27(5):E109–E20.

    Article  Google Scholar 

  6. Chapman CR, Vierck CJ. The transition of acute postoperative pain to chronic pain: an integrative overview of research on mechanisms. J Pain. 2017;18(4):359. e1–e38.

    Article  Google Scholar 

  7. VanDenKerkhof EG, Peters ML, Bruce J. Chronic pain after surgery: time for standardization? A framework to establish core risk factor and outcome domains for epidemiological studies. Clin J Pain. 2013;29(1):2–8.

    Article  Google Scholar 

  8. Hasenbring MI, Rusu AC, Turk DC. From acute to chronic back pain: risk factors, mechanisms, and clinical implications. Oxford: Oxford University Press; 2012.

    Book  Google Scholar 

  9. Vachon-Presseau E, Centeno M, Ren W, Berger S, Tetreault P, Ghantous M, et al. The emotional brain as a predictor and amplifier of chronic pain. J Dent Res. 2016;95(6):605–12.

    Article  CAS  Google Scholar 

  10. Baliki MN, Schnitzer TJ, Bauer WR, Apkarian AV. Brain morphological signatures for chronic pain. PLoS One. 2011;6(10):e26010.

    Article  CAS  Google Scholar 

  11. Hashmi JA, Baliki MN, Huang L, Baria AT, Torbey S, Hermann KM, et al. Shape shifting pain: chronification of back pain shifts brain representation from nociceptive to emotional circuits. Brain. 2013;136(9):2751–68.

    Article  Google Scholar 

  12. Vachon-Presseau E, Roy M, Martel M-O, Caron E, Marin M-F, Chen J, et al. The stress model of chronic pain: evidence from basal cortisol and hippocampal structure and function in humans. Brain. 2013;136(3):815–27.

    Article  Google Scholar 

  13. Hruschak V, Cochran G. Psychosocial predictors in the transition from acute to chronic pain: a systematic review. Psychol Health Med. 2018;23(10):1151–67.

    Article  Google Scholar 

  14. Diatchenko L, Fillingim RB, Smith SB, Maixner W. The phenotypic and genetic signatures of common musculoskeletal pain conditions. Nat Rev Rheumatol. 2013;9(6):340.

    Article  CAS  Google Scholar 

  15. Darnall B, Cohen R. Behavioral risk factors and interventions, including hypnosis for acute and chronic pain after surgery. Fact sheet no 6. 2017. IASP; 2017.

    Google Scholar 

  16. Linton SJ. Understanding pain for better clinical practice: a psychological perspective. Edinburgh: Elsevier Health Sciences; 2005.

    Google Scholar 

  17. Lethem J, Slade P, Troup J, Bentley G. Outline of a fear-avoidance model of exaggerated pain perception – I. Behav Res Ther. 1983;21(4):401–8.

    Article  CAS  Google Scholar 

  18. Vlaeyen JW, Crombez G, Linton SJ. The fear-avoidance model of pain. Pain. 2016;157(8):1588–9.

    Article  Google Scholar 

  19. Edwards RR, Dworkin RH, Sullivan MD, Turk DC, Wasan AD. The role of psychosocial processes in the development and maintenance of chronic pain. J Pain. 2016;17(9):T70–92.

    Article  Google Scholar 

  20. Esteve R, Ramírez-Maestre C, López-Martínez A. Experiential avoidance and anxiety sensitivity as dispositional variables and their relationship to the adjustment to chronic pain. Eur J Pain. 2012;16(5):718–26.

    Article  CAS  Google Scholar 

  21. Reiss S, McNally R. The expectancy model of fear. In: Reiss S, Bootzin RR, editors. Theoretical issues in behavior therapy. New York: Academic; 1985. p. 107–21.

    Google Scholar 

  22. Feldner MT, Hekmat H, Zvolensky MJ, Vowles KE, Secrist Z, Leen-Feldner EW. The role of experiential avoidance in acute pain tolerance: a laboratory test. J Behav Ther Exp Psychiatry. 2006;37(2):146–58.

    Article  Google Scholar 

  23. Hasenbring MI, Chehadi O, Titze C, Kreddig N. Fear and anxiety in the transition from acute to chronic pain: there is evidence for endurance besides avoidance. Pain Manag. 2014;4(5):363–74.

    Article  Google Scholar 

  24. Darnall BD. Pain psychology and pain catastrophizing in the perioperative setting: a review of impacts, interventions and unmet needs. Hand Clin. 2016;32(1):33.

    Article  Google Scholar 

  25. Mimic A, Bantel C, Jovicic J, Mimic B, Kisic-Tepavcevic D, Durutovic O, et al. Psychological factors as predictors of early postoperative pain after open nephrectomy. J Pain Res. 2018;11:955.

    Article  CAS  Google Scholar 

  26. Vissers MM, Bussmann JB, Verhaar JA, Busschbach JJ, Bierma-Zeinstra SM, Reijman M. Psychological factors affecting the outcome of total hip and knee arthroplasty: a systematic review. Seminars in Arthritis and Rheumatism. 2012;41(4):576–88.

    Google Scholar 

  27. Theunissen M, Peters ML, Bruce J, Gramke H-F, Marcus MA. Preoperative anxiety and catastrophizing: a systematic review and meta-analysis of the association with chronic postsurgical pain. Clin J Pain. 2012;28(9):819–41.

    Article  Google Scholar 

  28. Horn-Hofmann C, Scheel J, Dimova V, Parthum A, Carbon R, Griessinger N, et al. Prediction of persistent post-operative pain: pain-specific psychological variables compared with acute post-operative pain and general psychological variables. Eur J Pain. 2018;22(1):191–202.

    Article  CAS  Google Scholar 

  29. Kohl A, Rief W, Glombiewski JA. Acceptance, cognitive restructuring, and distraction as coping strategies for acute pain. J Pain. 2013;14(3):305–15.

    Article  Google Scholar 

  30. Reichart R, Vogel I, Weiss T, Hennig S, Walter J, Kalff R. Short psychological intervention as a perioperative pain reduction treatment in spinal neurosurgery. J Neurol Surg A Cent Eur Neurosurg. 2012;73(06):387–96.

    Article  Google Scholar 

  31. Ziehm S, Rosendahl J, Barth J, Strauss BM, Mehnert A, Koranyi S. Psychological interventions for acute pain after open heart surgery. Cochrane Database Syst Rev. 2017;7

    Google Scholar 

  32. Zeidan, F. The neurobiology of mindfulness meditation. In: K. W. Brown, J. D. Creswell, & R. M. Ryan, editors. Handbook of mindfulness: Theory, research, and practice. New York: The Guilford Press; 2015. p. 171–89.

    Google Scholar 

  33. Zeidan F, Martucci KT, Kraft RA, Gordon NS, McHaffie JG, Coghill RC. Brain mechanisms supporting the modulation of pain by mindfulness meditation. J Neurosci. 2011;31(14):5540–8.

    Article  CAS  Google Scholar 

  34. Garland EL, Baker AK, Larsen P, Riquino MR, Priddy SE, Thomas E, et al. Randomized controlled trial of brief mindfulness training and hypnotic suggestion for acute pain relief in the hospital setting. J Gen Intern Med. 2017;32(10):1106–13.

    Article  Google Scholar 

  35. Nelson EA, Dowsey MM, Knowles SR, Castle DJ, Salzberg MR, Monshat K, et al. Systematic review of the efficacy of pre-surgical mind-body based therapies on post-operative outcome measures. Complement Ther Med. 2013;21(6):697–711.

    Article  Google Scholar 

  36. Kabat-Zinn J. Full catastrophe living (revised edition): using the wisdom of your body and mind to face stress. Pain, and illness. New York: Bantam; 2013.

    Google Scholar 

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Correspondence to Patricia W. Tsui .

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Tsui, P.W., Gupta, A.K., Cervoni, C.A., Page, C.R., Sonty, N. (2021). Pain Psychology and Perioperative Pain Management. In: Svider, P.F., Pashkova, A.A., Johnson, A.P. (eds) Perioperative Pain Control: Tools for Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-030-56081-2_9

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  • DOI: https://doi.org/10.1007/978-3-030-56081-2_9

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  • Publisher Name: Springer, Cham

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