Examining the role of positive and negative affect in recovery from spine surgery

Seebach, Caryn; Kirkhart, Matthew W.; Lating, Jeffrey M.; Wegener, Stephen T.; Song, Yanna; Riley, Lee H.; Archer, Kristin R.

doi:10.1016/j.pain.2011.10.012

Cited by 67 publications

(42 citation statements)

References 77 publications

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“…Their statistical techniques did not account for greater comorbidities among demented patients. Patients with depression were hospitalized nearly 1 day shorter than the other patients, which is different from some prior studies [15,35]. Given the small effect size, this finding may be spurious.…”

Section: Discussioncontrasting

confidence: 57%

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Do Psychiatric Comorbidities Influence Inpatient Death, Adverse Events, and Discharge After Lower Extremity Fractures?

Menendez

Neuhaus

Bot

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background Psychiatric comorbidity is known to contribute to illness (the state of feeling unwell/unable to rely on one's body) and increased use of healthcare resources, but the effect on inpatient outcomes in fracture care is relatively unexplored. Questions/purposes Our primary null hypothesis is that a concomitant diagnosis of depression, anxiety, dementia, or schizophrenia is not associated with (1) discharge to another care facility rather than home after lower extremity fractures. Secondary study questions address the associations between psychiatric comorbidity and (2) longer inpatient stay and inpatient (3) adverse events; (4) blood transfusion; and (5) mortality after lower extremity fractures. Methods Using the National Hospital Discharge Survey database, we analyzed a total estimated number of 10,669,449 patients with lower limb fractures from 1990 to 2007. Sixty-four percent were women, and the mean ± SD age was 67 ± 22 years. The prevalence in the study population was 3.2% for depression, 1.6% for anxiety, 0.6% for schizophrenia, and 2.9% for dementia. Results A discharge diagnosis of psychiatric comorbidity was associated with a lower rate of discharge to home after accounting for an association with greater medical comorbidity (schizophrenia: odds ratio [OR], 5.6, 95% confidence interval [CI], 5.5-5.8; dementia: OR, 1.3, 95% CI, 1.2-1.3; depression: OR, 1.2, 95% CI, 1.2-1.3; anxiety: OR, 1.04, 95% CI, 1.02-1.06). Hospital stay was longer for patients with schizophrenia and dementia but shorter in patients with depression or anxiety compared with patients without any mental disorders. Schizophrenia was associated with more in-hospital adverse events and depression and anxiety with fewer events. A diagnosis of depression was associated with blood transfusion. Psychiatric comorbidity was not associated with a higher risk of in-hospital death.

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Section: Discussioncontrasting

confidence: 57%

“…In addition, previous research has demonstrated that depression was markedly associated with poor long-term outcomes such as increased pain intensity, pain-related disability, and stiffness after TKA and spine surgery and that it correlated strongly with magnitude of disability in patients with orthopaedic trauma [8,15,35].…”

Section: Introductionmentioning

confidence: 99%

Do Psychiatric Comorbidities Influence Inpatient Death, Adverse Events, and Discharge After Lower Extremity Fractures?

Menendez

Neuhaus

Bot

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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“…Acute pain outcomes (e.g., 24 - 48 hours post-surgery) and use of non-study analgesic treatments should be collected even though the primary aim of the study is to investigate the prevention of CPSP. These data can contribute to our understanding of whether acute pain predicts chronic pain and whether different acute factors contribute to the transition from acute to chronic pain (i.e., 24 – 72 hours to 3 months) than those that contribute to the persistence of chronic pain (i.e., 6 months to 1 year), which has been investigated in previous studies [87,146]. …”

Section: Design Considerations In the Context Of 4 Illustrative Prmentioning

confidence: 89%

Research design considerations for chronic pain prevention clinical trials

Gewandter

Dworkin

Turk

et al. 2015

Pain

133

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Although certain risk factors can identify individuals who are most likely to develop chronic pain, few interventions to prevent chronic pain have been identified. To facilitate the identification of preventive interventions, an IMMPACT meeting was convened to discuss research design considerations for clinical trials investigating the prevention of chronic pain. We present general design considerations for prevention trials in populations that are at relatively high risk for developing chronic pain. Specific design considerations included subject identification, timing and duration of treatment, outcomes, timing of assessment, and adjusting for risk factors in the analyses. We provide a detailed examination of 4 models of chronic pain prevention (i.e., chronic post-surgical pain, postherpetic neuralgia, chronic low back pain, and painful chemotherapy-induced peripheral neuropathy). The issues discussed can, in many instances, be extrapolated to other chronic pain conditions. These examples were selected because they are representative models of primary and secondary prevention, reflect persistent pain resulting from multiple insults (i.e., surgery, viral infection, injury, and toxic/noxious element exposure), and are chronically painful conditions that are treated with a range of interventions. Improvements in the design of chronic pain prevention trials could improve assay sensitivity and thus accelerate the identification of efficacious interventions. Such interventions would have the potential to reduce the prevalence of chronic pain in the population. Additionally, standardization of outcomes in prevention clinical trials will facilitate meta-analyses and systematic reviews and improve detection of preventive strategies emerging from clinical trials.

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“…Seebach et al (71), too, reported distinctly different effects of PA and NA in a longitudinal study of spinal surgery patients. Whereas pre-surgery PA and NA were not related to post-surgery outcomes, post-surgery PA, but not NA, significantly predicted higher postoperative functional status at 3 month follow-up.…”

Section: The Influence Of Pa Relative To Na In the Experience Of Painmentioning

confidence: 99%

The Role of Positive Affect in Pain and Its Treatment

Finan

Garland

2015

The Clinical Journal of Pain

211

161

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This narrative review summarizes and integrates the available literature on PA and pain to: 1) Provide a brief overview of PA and summarize the key findings that have emerged in the study of PA and chronic pain; 2) Provide a theoretical foundation from which to understand how PA operates in the context of chronic pain; and 3) Highlight how the prevailing psychosocial treatments for chronic pain address PA in the therapeutic context, and offer suggestions for how future treatment development research can maximize the benefit of PA for patients with chronic pain. To that end, we review experimental studies that have assessed the association of evoked PA and pain sensitivity, as well as clinical studies that have assessed the association of naturally occurring PA and clinical pain in the context of chronic pain. The evidence suggests PA influences pain, over and above the influence of NA. We offer an “upward spiral” model of positive affect, resilience and pain self-management, which makes specific predictions that PA will buffer maladaptive cognitive and affective responses to pain, and promote active engagement in valued goals that enhance chronic pain self-management.

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Examining the role of positive and negative affect in recovery from spine surgery

Cited by 67 publications

References 77 publications

Do Psychiatric Comorbidities Influence Inpatient Death, Adverse Events, and Discharge After Lower Extremity Fractures?

Do Psychiatric Comorbidities Influence Inpatient Death, Adverse Events, and Discharge After Lower Extremity Fractures?

Research design considerations for chronic pain prevention clinical trials

The Role of Positive Affect in Pain and Its Treatment

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