The impact of subclinical depression on the postoperative perception of pain in general surgery patients

Lanitis, Sophocles; Karkoulias, Kiriakos; Pintireki, A.; Sgourakis, George; Kouloura, Andriana; Karaliotas, Constantine; Brotzakis, P.

doi:10.1007/s13126-015-0232-3

Cited by 1 publication

(8 citation statements)

References 22 publications

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“…Thus, the female gender was associated with increased postoperative pain and opioid consumption. Moreover, Lanitis et al (2015) reported 51.8% of females had no depression (group A), and 74.6% reported depression (group B). Conversely, 48.2% of males reported no depression (group A), and 25.4% reported depression (group B).…”

Section: Sample Characteristicsmentioning

confidence: 93%

“…The Numeric Rating Scale (NRS) is similar to the VAS, however the patient indicates a number from 0-10, 0 representing no pain, and 10 indicating maximal pain. Both scales are easy to obtain, reliable, valid and can detect changes over time (Lanitis et al, 2015). Within the same study, depression was measured using the Hospital Anxiety and Depression Scale (HADS), and this entails a physiological self-assessment consisting of fourteen items that measure anxiety and depression simultaneously.…”

Section: Study Measurements In the Perioperative Settingmentioning

confidence: 99%

“…This is important because a significant predictor of pain, such as anxiety which is also closely linked to depression, was excluded as a confounding factor. The fact that in the subgroup of patients without anxiety the impact of depression was significant means that depression may be an independent predictor of pain (Lanitis et al, 2015).…”

Section: General Surgerymentioning

confidence: 99%

“…These findings contrast a prospective, longitudinal inception cohort study conducted by Carroll et al (2012) which reported subjects with elevated levels of preoperative depressive symptoms were less likely to discontinue opioids after surgery, and were more likely to continue taking opioids 6 months after surgery. Caumo et al, 2002;Dadgostar, Bigder, Punjani, Lozo, Chahal, and Kavanagh, 2017;Kinjo, Sands, Lim, Paul, and, Leung, 2011;Lanitis et al, 2015;and Torres-Claramunt et al, 2017…”

Section: Postoperative Narcotic Consumptionmentioning

confidence: 99%

“…Similar data from Torres-Claramunt et al 2017 Weight/Body Mass Index. Lanitis et al (2015) included weight (kg) as a covariate in depression groups. Both depressed and non-depressed groups shared similar average weights.…”

Section: Sample Characteristicsmentioning

confidence: 99%

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The Influence of Depression on Pain in the Postoperative Setting: A Systematic Review

Olaoluwa¹

2018

Preprint

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Over 5% of Americans over the age of 12 reported depression between 2005–2006, and it remains the second leading cause of death in the adolescent and the early adulthood population. The estimated worldwide impact of depression affects approximately 300 million people (World Health Organization [WHO], 2017). Few research studies analyzed the correlation of depression and postoperative pain. The impact of depression on physiological wellbeing, and evidence from various studies suggest a correlation between psychological illnesses such as depression and the physiological manifestations of pain. This systematic review will consider Randomized Controlled Trials (RCT’s), however in the absence of RCT’s, a Quasi-experimental design, and Prospective cohort studies, will be included. Inclusion criteria for the systematic review consists of: adults ≥ 18 years of age with self-reported depression, subjects who have mild, moderate, or severe postoperative pain, subjects who received anesthesia or analgesia, and who underwent ambulatory surgery. Six of the nine studies reported higher postoperative pain levels among participants who had increased preoperative depression, and three out nine studies reported a negative correlation. Overall limitations in this review include the inability to obtain the highest level of evidence such as RCT’s. Due to lack of available RCT studies, cohort studies provided the primary basis of information for which this study relied. Cohort studies do not provide the highest level of evidence, and therefore an increased level of heterogenicity within this study was apparent.

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Section: Sample Characteristicsmentioning

confidence: 93%

Section: Study Measurements In the Perioperative Settingmentioning

confidence: 99%

Section: General Surgerymentioning

confidence: 99%