ArticleBrain sciences2020
The Predictive Role of Executive Functions and Psychological Factors on Chronic Pain after Orthopaedic Surgery: A Longitudinal Cohort Study.
Article in Brain sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Risk factors of chronic postoperative pain after total knee arthroplasty: a systematic review.Journal of orthopaedic surgery and research · 2024Pooled it
- An observational cohort study of factors associated with patients' reports of being offered lumbar spine surgery during orthopaedic spine consultations for chronic low back pain.British journal of pain · 2026Article
- Pain catastrophizing and its associated factors among puerperal women with vaginal birth : a cross-sectional study.BMC pregnancy and childbirth · 2026Article
- Acceptance and commitment therapy for prevention of chronic pain after total knee arthroplasty.Pain medicine (Malden, Mass.) · 2026Article
- Article
- Assessment and Correlates of Different Phenotypical Characteristics of Psychological Flexibility in Adapting to Chronic Pain: A Feasibility Study.Pain practice : the official journal of World Institute of Pain · 2025Article
- The Effect of Combining Transcranial Direct Current Stimulation and Pain Neuroscience Education in Patients With Chronic Low Back Pain and High Pain Catastrophizing: An Exploratory Clinical, Cognitive, and fMRI Study.Brain and behavior · 2025Article
- Psychopathological Influences on Surgical and Clinical Outcomes in Lumbar Disk Herniation: Prediction Models and Literature Analysis.Journal of personalized medicine · 2025Article
- Chronic post-surgical pain in older adults: mechanisms, assessment, and management strategies.Frontiers in medicine · 2025Review
- Incorporating Therapeutic Education and Exercise in Migraine Management: A Biobehavioral Approach.Journal of clinical medicine · 2024Review
- The relationship of pain catastrophizing with postoperative patient-reported outcome measures in adults with pre-arthritic hip disease.Journal of hip preservation surgery · 2024Article
- Translation, cultural adaptation and validation of the Swahili Pain Catastrophizing Scale among refugees who survived torture and/or war trauma in Kenya: An observational study.Health science reports · 2024Article
- Executive functioning is associated to everyday interference of pain in patients with chronic pain.PloS one · 2024Article
- Exploring Associations between Healthcare Use and Demographics, Pain and Pain Cognitions in People Scheduled for Surgery for Lumbar Radiculopathy: A Cross-Sectional Study.Journal of clinical medicine · 2023Article
- The Relationship between Pain Catastrophizing and Cognitive Function in Chronic Musculoskeletal Pain: A Scoping Review.Pain research & management · 2023Article
- Development and Validation of Short Forms of the Pain Catastrophizing Scale (F-PCS-5) and Tampa Scale for Kinesiophobia (F-TSK-6) in Musculoskeletal Chronic Pain Patients.Journal of pain research · 2023Article
- The role of psychopathological symptoms in lumbar stenosis: A prediction model of disability after lumbar decompression and fusion.Frontiers in psychology · 2023Article
- The Contribution of Psychological Factors to Inter-Individual Variability in Conditioned Pain Modulation Is Limited in Young Healthy Subjects.Brain sciences · 2022Article
- Attention deficits in Brazilian health care workers with chronic pain.Frontiers in psychology · 2022Article
- Treatments for kinesiophobia in people with chronic pain: A scoping review.Frontiers in behavioral neuroscience · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Prevention and treatment of chronic post-surgical pain should be based on the early identification of patients at risk. The presence of a deficit in executive functions, along with the presence of psychological risk factors, could impair the use of appropriate pain coping strategies and might facilitate the transition to chronic post-surgical pain. A longitudinal cohort study was implemented. Patients listed for orthopaedic surgery were enrolled. Variables measured before surgery were pain intensity, the sensory, affective, cognitive and mixed components of pain, state and trait variables associated with the psychological status of the patient, fear of movement, pain catastrophizing, visual attention and cognitive flexibility. Pain intensity and the components of pain were re-evaluated after surgery and after three months. A linear mixed model was used to assess the predictors of pain intensity, and a multivariate linear mixed model was used to assess the predictors of the pain components. 167 patients were enrolled. Controlling for sex, age, pain duration and surgical procedure, catastrophizing and visual attention were predictors of pain intensity at follow-up. The sensory component of pain was predicted by state anxiety, healthcare-related fears, pain catastrophizing and visual attention. Anxiety and catastrophizing were predictors of the affective and evaluative components of pain. The mixed component of pain was predicted by state anxiety, healthcare-related fears and pain catastrophizing. Executive functions, along with psychological risk factors, shape the course of post-surgical pain. The efficacy of preventive and rehabilitation treatment could be possibly enhanced if these factors are treated.
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