Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery
Uncontrolled postoperative pain and prolonged immobilization after bariatric surgery have been associated with increased postoperative complications and prolonged hospitalization. The aim of our study was to evaluate the postoperative pain that follows bariatric surgery and identify any psychologica...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/1/53 |
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| author | Sofia Gravani Maria Matiatou Pantelis T. Nikolaidis Evangelos Menenakos Constantinos G. Zografos George Zografos Konstantinos Albanopoulos |
| author_facet | Sofia Gravani Maria Matiatou Pantelis T. Nikolaidis Evangelos Menenakos Constantinos G. Zografos George Zografos Konstantinos Albanopoulos |
| author_sort | Sofia Gravani |
| collection | DOAJ |
| description | Uncontrolled postoperative pain and prolonged immobilization after bariatric surgery have been associated with increased postoperative complications and prolonged hospitalization. The aim of our study was to evaluate the postoperative pain that follows bariatric surgery and identify any psychological factors that may affect the early postoperative perception of pain. The study included 100 patients with obesity (women, <i>n</i> = 61; age 37.4 ± 9.9 years, mean ± standard deviation; Body Mass Index (BMI) 47.6 ± 6.5 kg/m<sup>2</sup>) who underwent bariatric surgery. Preoperative anxiety and depression were evaluated by the Hospital Anxiety and Depression Scale (HADS), and the quantitative and qualitative dimension of early postoperative pain were evaluated by the McGill Pain Questionnaire Short Form (MPQ-SF). Furthermore, the postoperative analgesia protocol was recorded for each patient. Pain declined gradually during the first 24 h postoperative. Although preoperative anxiety had no correlation with the overall pain of postoperative Day 0, patients with a higher level of preoperative anxiety had significantly more intense and more unpleasant pain at 1 h post operation. In addition, depression influences both the intensity and unpleasantness of pain at different time points (1 h, 4 h and 24 h postoperative). Preoperative pain correlated with educational level, but not with age, BMI, gender, marital status, smoking and surgery type. In conclusion, preoperative anxiety and depression influence the early postoperative pain after bariatric surgery, and their preoperative identification is of major importance to enhance the implementation of fast-track postoperative protocols to prevent complications and prolonged hospitalization. |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T13:45:21Z |
| publishDate | 2020-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-439e2e2067854f4cb64938dac7dec9492023-11-21T02:37:40ZengMDPI AGJournal of Clinical Medicine2077-03832020-12-011015310.3390/jcm10010053Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric SurgerySofia Gravani0Maria Matiatou1Pantelis T. Nikolaidis2Evangelos Menenakos3Constantinos G. Zografos4George Zografos5Konstantinos Albanopoulos61st Propaedeutic Surgical Department, Medical School, National and Kapodistrian University of Athens, Hippocratio General Hospital of Athens, 11527 Athens, Greece1st Propaedeutic Surgical Department, Medical School, National and Kapodistrian University of Athens, Hippocratio General Hospital of Athens, 11527 Athens, GreeceSchool of Health and Caring Sciences, University of West Attica, 12243 Athens, Greece5th Propaedeutic Surgical Department, Medical School, National and Kapodistrian University of Athens, Eugenideio General Hospital of Athens, 11528 Athens, Greece1st Propaedeutic Surgical Department, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital of Athens, 11527 Athens, Greece1st Propaedeutic Surgical Department, Medical School, National and Kapodistrian University of Athens, Hippocratio General Hospital of Athens, 11527 Athens, Greece1st Propaedeutic Surgical Department, Medical School, National and Kapodistrian University of Athens, Hippocratio General Hospital of Athens, 11527 Athens, GreeceUncontrolled postoperative pain and prolonged immobilization after bariatric surgery have been associated with increased postoperative complications and prolonged hospitalization. The aim of our study was to evaluate the postoperative pain that follows bariatric surgery and identify any psychological factors that may affect the early postoperative perception of pain. The study included 100 patients with obesity (women, <i>n</i> = 61; age 37.4 ± 9.9 years, mean ± standard deviation; Body Mass Index (BMI) 47.6 ± 6.5 kg/m<sup>2</sup>) who underwent bariatric surgery. Preoperative anxiety and depression were evaluated by the Hospital Anxiety and Depression Scale (HADS), and the quantitative and qualitative dimension of early postoperative pain were evaluated by the McGill Pain Questionnaire Short Form (MPQ-SF). Furthermore, the postoperative analgesia protocol was recorded for each patient. Pain declined gradually during the first 24 h postoperative. Although preoperative anxiety had no correlation with the overall pain of postoperative Day 0, patients with a higher level of preoperative anxiety had significantly more intense and more unpleasant pain at 1 h post operation. In addition, depression influences both the intensity and unpleasantness of pain at different time points (1 h, 4 h and 24 h postoperative). Preoperative pain correlated with educational level, but not with age, BMI, gender, marital status, smoking and surgery type. In conclusion, preoperative anxiety and depression influence the early postoperative pain after bariatric surgery, and their preoperative identification is of major importance to enhance the implementation of fast-track postoperative protocols to prevent complications and prolonged hospitalization.https://www.mdpi.com/2077-0383/10/1/53obesitybariatric surgerypain dimensionspostoperative painpreoperative anxietypreoperative depression |
| spellingShingle | Sofia Gravani Maria Matiatou Pantelis T. Nikolaidis Evangelos Menenakos Constantinos G. Zografos George Zografos Konstantinos Albanopoulos Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery Journal of Clinical Medicine obesity bariatric surgery pain dimensions postoperative pain preoperative anxiety preoperative depression |
| title | Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery |
| title_full | Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery |
| title_fullStr | Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery |
| title_full_unstemmed | Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery |
| title_short | Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery |
| title_sort | anxiety and depression affect early postoperative pain dimensions after bariatric surgery |
| topic | obesity bariatric surgery pain dimensions postoperative pain preoperative anxiety preoperative depression |
| url | https://www.mdpi.com/2077-0383/10/1/53 |
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