The Relationship Between Fear Avoidance Belief and Threat Learning in Postoperative Patients After Lung Surgery: An Observational Study
Lihong Bao,1,* Chunfen Peng,2,* Jingting He,2 Chengqin Sun,1 Lijuan Feng,1 Yang Luo1 1Department of Thoracic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China; 2Cancer Center, Union Hospital, Tongji Medic...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2023-08-01
|
| Series: | Psychology Research and Behavior Management |
| Subjects: | |
| Online Access: | https://www.dovepress.com/the-relationship-between-fear-avoidance-belief-and-threat-learning-in--peer-reviewed-fulltext-article-PRBM |
| _version_ | 1797740610838331392 |
|---|---|
| author | Bao L Peng C He J Sun C Feng L Luo Y |
| author_facet | Bao L Peng C He J Sun C Feng L Luo Y |
| author_sort | Bao L |
| collection | DOAJ |
| description | Lihong Bao,1,* Chunfen Peng,2,* Jingting He,2 Chengqin Sun,1 Lijuan Feng,1 Yang Luo1 1Department of Thoracic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China; 2Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yang Luo; Jingting He, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China, Email yangluo@hust.edu.cn; hejingting@hust.edu.cnBackground: The role of fear-avoidance beliefs (FAB) in patients with chronic pain has been widely confirmed. However, few conclusions have been drawn about its role in postoperative patients.Objective: To explore the characteristics of FAB in postoperative patients after lung surgery as well as the effect of threat learning on FAB.Methods: Between May and September 2022, this study recruited 150 participants who had undergone thoracoscopic surgery. Variables such as age, gender, education, chronic pain, fear of pain, surgery method, pain intensity, FAB, cough, ambulation and threat learning were collected and subjected to correlation analysis and stepwise regression.Results: The correlation analysis revealed that FAB was associated with age (r = − 0.183, p < 0.05), gender (r = − 0.256, p < 0.01), and preoperative FOP-9 (r = 0.400, p < 0.01). Postoperative variables such as pain intensity (r = 0.574, p < 0.01), initiation day of ambulation (r = 0.648, p < 0.01), total numbers of ambulation (r = − 0.665, p < 0.01), and cough performance (r = − 0.688, p < 0.01) were correlated with FAB. Furthermore, FAB was highly correlated with indicators of threat learning: direct (r = 0.556, p < 0.01), observation (r = 0.655, p < 0.01), and instruction (r = 0.671, p < 0.01). The highest variance explanation model of stepwise regression which explained 52.8% of the variance including instruction (B=1.751; p< 0.01), direct (B=1.245; p< 0.01), observation (B=0.768; p< 0.01), age (B=− 0.085; p< 0.01), and surgery method (B=1.321; p< 0.05).Conclusion: Patients commonly experience FAB after lung surgery, which can directly affect their recovery behaviors such as ambulation and active coughing. The formation of FAB is influenced by threat learning, which suggests that controlling threat learning is important in preventing postoperative FAB.Keywords: fear-avoidance, threat learning, fear of pain, postoperative pain, lung surgery |
| first_indexed | 2024-03-12T14:14:52Z |
| format | Article |
| id | doaj.art-c4efc349627145b9b7700c4045f65df8 |
| institution | Directory Open Access Journal |
| issn | 1179-1578 |
| language | English |
| last_indexed | 2024-03-12T14:14:52Z |
| publishDate | 2023-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Psychology Research and Behavior Management |
| spelling | doaj.art-c4efc349627145b9b7700c4045f65df82023-08-20T18:53:13ZengDove Medical PressPsychology Research and Behavior Management1179-15782023-08-01Volume 163259326785970The Relationship Between Fear Avoidance Belief and Threat Learning in Postoperative Patients After Lung Surgery: An Observational StudyBao LPeng CHe JSun CFeng LLuo YLihong Bao,1,* Chunfen Peng,2,* Jingting He,2 Chengqin Sun,1 Lijuan Feng,1 Yang Luo1 1Department of Thoracic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China; 2Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yang Luo; Jingting He, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People’s Republic of China, Email yangluo@hust.edu.cn; hejingting@hust.edu.cnBackground: The role of fear-avoidance beliefs (FAB) in patients with chronic pain has been widely confirmed. However, few conclusions have been drawn about its role in postoperative patients.Objective: To explore the characteristics of FAB in postoperative patients after lung surgery as well as the effect of threat learning on FAB.Methods: Between May and September 2022, this study recruited 150 participants who had undergone thoracoscopic surgery. Variables such as age, gender, education, chronic pain, fear of pain, surgery method, pain intensity, FAB, cough, ambulation and threat learning were collected and subjected to correlation analysis and stepwise regression.Results: The correlation analysis revealed that FAB was associated with age (r = − 0.183, p < 0.05), gender (r = − 0.256, p < 0.01), and preoperative FOP-9 (r = 0.400, p < 0.01). Postoperative variables such as pain intensity (r = 0.574, p < 0.01), initiation day of ambulation (r = 0.648, p < 0.01), total numbers of ambulation (r = − 0.665, p < 0.01), and cough performance (r = − 0.688, p < 0.01) were correlated with FAB. Furthermore, FAB was highly correlated with indicators of threat learning: direct (r = 0.556, p < 0.01), observation (r = 0.655, p < 0.01), and instruction (r = 0.671, p < 0.01). The highest variance explanation model of stepwise regression which explained 52.8% of the variance including instruction (B=1.751; p< 0.01), direct (B=1.245; p< 0.01), observation (B=0.768; p< 0.01), age (B=− 0.085; p< 0.01), and surgery method (B=1.321; p< 0.05).Conclusion: Patients commonly experience FAB after lung surgery, which can directly affect their recovery behaviors such as ambulation and active coughing. The formation of FAB is influenced by threat learning, which suggests that controlling threat learning is important in preventing postoperative FAB.Keywords: fear-avoidance, threat learning, fear of pain, postoperative pain, lung surgeryhttps://www.dovepress.com/the-relationship-between-fear-avoidance-belief-and-threat-learning-in--peer-reviewed-fulltext-article-PRBMfear-avoidancefear of painanxiety of painpain catastrophizingpostoperative painacute painthoracic surgery. |
| spellingShingle | Bao L Peng C He J Sun C Feng L Luo Y The Relationship Between Fear Avoidance Belief and Threat Learning in Postoperative Patients After Lung Surgery: An Observational Study Psychology Research and Behavior Management fear-avoidance fear of pain anxiety of pain pain catastrophizing postoperative pain acute pain thoracic surgery. |
| title | The Relationship Between Fear Avoidance Belief and Threat Learning in Postoperative Patients After Lung Surgery: An Observational Study |
| title_full | The Relationship Between Fear Avoidance Belief and Threat Learning in Postoperative Patients After Lung Surgery: An Observational Study |
| title_fullStr | The Relationship Between Fear Avoidance Belief and Threat Learning in Postoperative Patients After Lung Surgery: An Observational Study |
| title_full_unstemmed | The Relationship Between Fear Avoidance Belief and Threat Learning in Postoperative Patients After Lung Surgery: An Observational Study |
| title_short | The Relationship Between Fear Avoidance Belief and Threat Learning in Postoperative Patients After Lung Surgery: An Observational Study |
| title_sort | relationship between fear avoidance belief and threat learning in postoperative patients after lung surgery an observational study |
| topic | fear-avoidance fear of pain anxiety of pain pain catastrophizing postoperative pain acute pain thoracic surgery. |
| url | https://www.dovepress.com/the-relationship-between-fear-avoidance-belief-and-threat-learning-in--peer-reviewed-fulltext-article-PRBM |
| work_keys_str_mv | AT baol therelationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy AT pengc therelationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy AT hej therelationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy AT sunc therelationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy AT fengl therelationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy AT luoy therelationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy AT baol relationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy AT pengc relationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy AT hej relationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy AT sunc relationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy AT fengl relationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy AT luoy relationshipbetweenfearavoidancebeliefandthreatlearninginpostoperativepatientsafterlungsurgeryanobservationalstudy |