The role of anxiety and related states in pediatric postsurgical pain
Background: Nearly 20% of children and adolescents have pain with disability 1 year after surgery, and they experience poor sleep, school absence, and decreased activities. Negative clinical, psychological, and developmental effects include greater pain medication use, longer recovery, and fear of f...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2020-12-01
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| Series: | Canadian Journal of Pain |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/24740527.2020.1847600 |
| _version_ | 1818427473874911232 |
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| author | Cheryl H. T. Chow Louis A. Schmidt D. Norman Buckley |
| author_facet | Cheryl H. T. Chow Louis A. Schmidt D. Norman Buckley |
| author_sort | Cheryl H. T. Chow |
| collection | DOAJ |
| description | Background: Nearly 20% of children and adolescents have pain with disability 1 year after surgery, and they experience poor sleep, school absence, and decreased activities. Negative clinical, psychological, and developmental effects include greater pain medication use, longer recovery, and fear of future medical care. Research has found psychological and family influences (i.e., child and parental anxiety) on pediatric chronic postsurgical pain (CPSP), but a better understanding of the role of perioperative anxiety and its related states in predicting pediatric postsurgical pain is needed. The poor understanding of the causes of child CPSP can lead to misdiagnosis and inadequate treatment, with significant short- and long-term effects. Objectives: The aim of this review was to summarize the literature on children’s perioperative anxiety and parental anxiety in relation to acute postsurgical pain, CPSP, and pain trajectories. We also examined other related psychological factors (i.e., anxiety sensitivity, catastrophizing, pain anxiety, and fear of pain) in relation to pediatric acute and chronic postsurgical pain. Lastly, we discuss the interventions that may be effective in reducing children’s and parents’ preoperative anxiety. Conclusions: Our findings may improve the understanding of the causes of CPSP and highlight the gaps in research and need for further study. |
| first_indexed | 2024-12-14T14:46:18Z |
| format | Article |
| id | doaj.art-ab533ce3742a443e983b97b73bf18adb |
| institution | Directory Open Access Journal |
| issn | 2474-0527 |
| language | English |
| last_indexed | 2024-12-14T14:46:18Z |
| publishDate | 2020-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Canadian Journal of Pain |
| spelling | doaj.art-ab533ce3742a443e983b97b73bf18adb2022-12-21T22:57:16ZengTaylor & Francis GroupCanadian Journal of Pain2474-05272020-12-0144263610.1080/24740527.2020.18476001847600The role of anxiety and related states in pediatric postsurgical painCheryl H. T. Chow0Louis A. Schmidt1D. Norman Buckley2McMaster UniversityMcMaster UniversityMcMaster UniversityBackground: Nearly 20% of children and adolescents have pain with disability 1 year after surgery, and they experience poor sleep, school absence, and decreased activities. Negative clinical, psychological, and developmental effects include greater pain medication use, longer recovery, and fear of future medical care. Research has found psychological and family influences (i.e., child and parental anxiety) on pediatric chronic postsurgical pain (CPSP), but a better understanding of the role of perioperative anxiety and its related states in predicting pediatric postsurgical pain is needed. The poor understanding of the causes of child CPSP can lead to misdiagnosis and inadequate treatment, with significant short- and long-term effects. Objectives: The aim of this review was to summarize the literature on children’s perioperative anxiety and parental anxiety in relation to acute postsurgical pain, CPSP, and pain trajectories. We also examined other related psychological factors (i.e., anxiety sensitivity, catastrophizing, pain anxiety, and fear of pain) in relation to pediatric acute and chronic postsurgical pain. Lastly, we discuss the interventions that may be effective in reducing children’s and parents’ preoperative anxiety. Conclusions: Our findings may improve the understanding of the causes of CPSP and highlight the gaps in research and need for further study.http://dx.doi.org/10.1080/24740527.2020.1847600pediatric acute postsurgical painpediatric chronic postsurgical painchild anxietyparent anxietycatastrophizinganxiety sensitivitypain trajectoriespain anxietysurgery |
| spellingShingle | Cheryl H. T. Chow Louis A. Schmidt D. Norman Buckley The role of anxiety and related states in pediatric postsurgical pain Canadian Journal of Pain pediatric acute postsurgical pain pediatric chronic postsurgical pain child anxiety parent anxiety catastrophizing anxiety sensitivity pain trajectories pain anxiety surgery |
| title | The role of anxiety and related states in pediatric postsurgical pain |
| title_full | The role of anxiety and related states in pediatric postsurgical pain |
| title_fullStr | The role of anxiety and related states in pediatric postsurgical pain |
| title_full_unstemmed | The role of anxiety and related states in pediatric postsurgical pain |
| title_short | The role of anxiety and related states in pediatric postsurgical pain |
| title_sort | role of anxiety and related states in pediatric postsurgical pain |
| topic | pediatric acute postsurgical pain pediatric chronic postsurgical pain child anxiety parent anxiety catastrophizing anxiety sensitivity pain trajectories pain anxiety surgery |
| url | http://dx.doi.org/10.1080/24740527.2020.1847600 |
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