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Tsedinova Yu.B.

Petrovsky Russian Research Centre of Surgery;
Yudin Moscow City Hospital

Churyukanov M.V.

Sechenov First Moscow State Medical University (Sechenov University);
Petrovsky National Research Centre of Surgery

Zagorulko O.I.

Petrovsky National Research Center of Surgery

Medvedeva L.A.

Petrovsky National Research Center of Surgery

Yarygin I.V.

Petrovsky Russian Research Center of Surgery

Dombrovskaya A.V.

Petrovsky Russian Scientific Center of Surgery

Kabanova M.N.

Petrovsky Russian Research Center of Surgery

Neizvestnykh D.P.

Petrovsky Russian Research Center of Surgery

Melkonyan K.U.

Petrovsky Russian Research Center of Surgery

Aleksandrova E.N.

Petrovsky Russian Research Center of Surgery

Central sensitization and psychological factors in chronic postoperative pain

Authors:

Tsedinova Yu.B., Churyukanov M.V., Zagorulko O.I., Medvedeva L.A., Yarygin I.V., Dombrovskaya A.V., Kabanova M.N., Neizvestnykh D.P., Melkonyan K.U., Aleksandrova E.N.

More about the authors

Journal: Russian Journal of Pain. 2022;20(2): 45‑50

DOI: 10.17116/pain20222002145

Read: 1186 times

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Table of contents

CENTRAL SENSITIZATION AND PSYCHOLOGICAL FACTORS IN CHRONIC POSTOPERATIVE PAIN
CENTRAL SENSITIZATION AND PSYCHOLOGICAL FACTORS IN CHRONIC POSTOPERATIVE PAIN

To cite this article:

Tsedinova YuB, Churyukanov MV, Zagorulko OI, et al. . Central sensitization and psychological factors in chronic postoperative pain. Russian Journal of Pain. 2022;20(2):45‑50. (In Russ.)
https://doi.org/10.17116/pain20222002145

Подписка 2025 Российский журнал боли (Russian Journal of Pain)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To assess the role of central sensitization and psychological factors in development of chronic postoperative pain.

MATERIAL AND METHODS

The study included 43 patients who underwent cardiac and aortic surgery. All patients were preoperatively tested using the Hospital Anxiety and Depression Scale (HADS), the Pain Catastrophizing Scale, the Pain Coping Strategies Questionnaire and the Central Sensitization Inventory. We assessed acute pain intensity after surgery. Patients were interviewed regarding chronic postoperative pain after 3—6 postoperative months. Patients were divided into 2 groups depending on survey data: the main group with chronic postoperative pain (n=13) and the control group without chronic postoperative pain (n=30). Statistical analysis included non-parametric Mann-Whitney U-test, Fisher’s exact test, Spearman’s rank correlation coefficient and logistic regression analysis.

RESULTS

Chronic postoperative pain developed in 25.8% of patients. Severe pain in early postoperative period is an important predictor of chronic postoperative pain (p=0.007). We observed a correlation of central sensitization with chronic postoperative pain (p=0.07), while the level of central sensitization correlated with maladaptive pain coping strategies (p=0.023). Pain catastrophizing, anxiety and depression did not show significant predictive value regarding chronic postoperative pain.

CONCLUSION

Understanding the risk factors of chronic postoperative pain should contribute to formation of individual programs for its prevention.

Keywords:

chronic postoperative pain
central sensitization
catastrophizing
depression
anxiety
pain coping strategies

Authors:

Tsedinova Yu.B.

Petrovsky Russian Research Centre of Surgery;
Yudin Moscow City Hospital

Churyukanov M.V.

Sechenov First Moscow State Medical University (Sechenov University);
Petrovsky National Research Centre of Surgery

Zagorulko O.I.

Petrovsky National Research Center of Surgery

Medvedeva L.A.

Petrovsky National Research Center of Surgery

Yarygin I.V.

Petrovsky Russian Research Center of Surgery

Dombrovskaya A.V.

Petrovsky Russian Scientific Center of Surgery

Kabanova M.N.

Petrovsky Russian Research Center of Surgery

Neizvestnykh D.P.

Petrovsky Russian Research Center of Surgery

Melkonyan K.U.

Petrovsky Russian Research Center of Surgery

Aleksandrova E.N.

Petrovsky Russian Research Center of Surgery

Received:

14.02.2022

Accepted:

22.03.2022

Close metadata

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