The relationship between pain and negative affect in older adults: anxiety as a predictor of pain

Coping with anxiety in patients undergoing hip replacement

“…Finally, the patient's motivation to undertake actions for recovery during rehabilitation should be facilitated. Intervention and prevention programs should be based on different theoretical models, usually assuming active patient coping and plann-oriented coping (Klimiuk & Kuryliszyn-Moskal, 2012;Feeney, 2004). Some interventions consider selected dispositional variables, such as searching-avoiding-information (Case et al, 2005), and indicate alternative recommendations depending on the individuals' dispositions and preferences.…”

“…Researchers point out the occurrence of perioperative stress in patients undergoing surgical treatments; this stress may, depending on the nuisance associated with hospitalization and the patient's secondary reactions, hinder the decision about undergoing surgical treatment, worsen the mental state during hospitalization, and reduce tolerance to pain (Blackburn et al, 2012;Feeney, 2004;McKnight et al, 2010). …”

Advances in understanding the mechanisms and management of persistent pain in older adults † †This article’s contents are solely the responsibility of the authors and do not necessarily represent the official view of the National Center for Research Resources (NCRR) or the National Institutes of Health (NIH). Information on NCRR is available at http://www.ncrr.nih.gov/. Information on Re-engineering the Clinical Research Enterprise can be obtained from http://nihroadmap.nih.gov/clinicalresearch/overview-tr

“…knee or hip replacement surgery). 33 In another study of assisted living and skilled nursing home residents, anxious effect was found to exhibit a moderately stronger relationship to number of localized pain complaints than did depression.13 As with younger adults, to optimize descending inhibition and analgesia, comorbid depression and anxiety should be aggressively treated to remission.…”

Disabling Osteoarthritis and Symptomatic Anxiety: Impact and Implications

“…Here again, women in the higher age categories, those with trait anxiety histories who are more likely to experience state anxiety (Montin et al, 2007), those who are overweight, those who exhibit excessively high anxiety levels (Daltroy et al, 1998), as well as those using narcotics should be specifically targeted. Available treatment options include the use of video information (Ayral et al 2002), serotonin-reuptake inhibitors (Wu et al, 2002), benzodiazepines applied in therapeutic doses, pre-operative education (Bondy et al, 1999;Giraudet-Le Quintrec et al, 2003;Lin et al, 1997), guided imagery (Montin et al, 2007), anxiety management (Feeney, 2004), social rehabilitation (Badura-Brzoza et al, 2008), and Cognitive Behavioral Therapy (Davis al., 2010) and the mode of intervention should take into account the diagnostic category and its severity. Indeed, it seems imperative to do this for two reasons.…”

“…First, because research shows adults with osteoarthritis who are found to suffer from trait anxiety are likely to experience worse outcomes than those who are not anxious, as well as higher current and future pain levels, poorer coping behaviors, lower levels of physical activity participation, lower levels of social support, and poor sleep patterns, which in turn, could increase their pain and disablement experience adversely (Dekker et al, 2009;Khuwaje et al, 2010;Louie et al, 2010., Montin et al, 2007Smith & Zautra, 2008). Second, pre-operative state anxiety, which is associated with post-operative state anxiety is a significant predictor of pain among patients undergoing knee or hip replacements (Feeney (2004), and those who exhibit state anxiety are also likely to recover more slowly after surgery in the absence of intervention.…”