ArticleHealthcare (Basel, Switzerland)2025
Type-D Personality as a Predictor of Postoperative Pain, Recovery, and Clinical Outcomes After Spine Surgery: Implications for Chronic Pain Management.
Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Association of Type D Personality with Disability and Quality of Life in Patients with Chronic Nonspecific Low Back Pain.Healthcare (Basel, Switzerland) · 2026Article
- Surgical Trauma Gradient as an Independent Predictor of Postoperative Pain, Functional Recovery, and Complication Risk After Spine Surgery: A 2 × 2 Invasiveness Model with Psychosocial Interaction.Journal of clinical medicine · 2026Article
- Prevalence of Type-D Personality and Its Association with Pain, Disability, and Psychological Distress in a University Spine Outpatient Clinic: A Cross-Sectional Study.Journal of clinical medicine · 2026Article
- The prevalence of Type D personality and its association with clinical outcomes in patients with cervical radiculopathy after either conservative or surgical treatment.Frontiers in human neuroscience · 2026Article
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Authors and funding
5 authors.
Funding
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Abstract
objectivesTo investigate the association between Type-D personality and pain-related outcomes in patients undergoing spine surgery, and to discuss implications for the management of chronic pain conditions.
methodsA prospective cohort of 200 patients scheduled for elective spine surgery was assessed for Type-D personality using the DS14 scale. Postoperative outcomes including pain intensity (VAS), functional recovery (ODI), complication rates, and patient satisfaction (PSI) were measured preoperatively and at 3, 6, and 12 months. Multivariate regression analyses adjusted for age, sex, surgical approach, comorbidities, and baseline health status.
resultsType-D personality was identified in 30% of patients. These individuals reported significantly higher postoperative pain, slower functional recovery, higher complication rates, and lower overall satisfaction compared to non-Type-D patients. Compared with non-Type-D patients, Type-D patients reported higher pain and slower functional recovery at 12 months (VAS β = 0.34, 95% CI 0.18-0.52,
conclusionsType-D personality is associated with worse postoperative pain and recovery. Preoperative psychological assessment and tailored interventions may improve outcomes. These findings highlight the importance of integrating psychosocial screening into pain management strategies for both spine surgery and chronic pain populations.
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