The relationship between psycho-emotional status and pain intensity after orthognathic surgery and their impact on early postoperative rehabilitation

Galazov AT, Drobyshev AYu, Drobysheva NS, et al. . The relationship between psycho-emotional status and pain intensity after orthognathic surgery and their impact on early postoperative rehabilitation. Russian Journal of Pain. 2025;23(1):24‑32. (In Russ.)
https://doi.org/10.17116/pain20252301124

Подписка 2025 Российский журнал боли (Russian Journal of Pain)

Использование инфографики авторами научных работ

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OBJECTIVE

To analyze the dependence of pain intensity and early rehabilitation, as well as length of hospital-stay on extent of surgery and psychological state of patients; to estimate the influence of postoperative pain syndrome on comfort of patients in early rehabilitation period and duration of hospital-stay.

MATERIAL AND METHODS

We analyzed VAS scores of pain and comfort, as well as length of hospital-stay depending on orthognathic surgery and severity of psycho-sensory-anatomical-functional (PSAF) auto-maladjustment syndrome. Pain intensity and comfort were assessed on the 2^nd postoperative day.

RESULTS

When comparing VAS scores of pain and comfort, as well as length of hospital-stay depending on orthognathic surgery, we found no significant between-group differences (p<0.05). Distribution of patients into subgroups depending on PSAF auto-maladjustment syndrome revealed significant differences (p>0.05) when comparing VAS scores of pain in all groups, VAS scores of comfort in all groups except for S Le Fort I / BSSO / Genioplasty and BSSO groups, as well as length of hospital-stay in all groups except for BSSO / Genioplasty (p>0.05). There was significant positive strong relationship between VAS scores of pain and comfort, as well as VAS scores of pain and length of hospital-stay.

CONCLUSION

Psycho-emotional status and pain intensity influence on early postoperative rehabilitation after orthognathic surgery. At the same time, extent of surgery has no significant effect on pain intensity, comfort in early rehabilitation period and duration of hospital-stay.

Keywords:

comfort in early rehabilitation period

duration of hospital-stay

pain intensity

psycho-emotional status

PSAF of auto-maladjustment syndrome

Authors:

Galazov A.T.

Russian University of Medicine

SPIN RSCI: 1101-2180
ORCID: 0009-0006-0572-1204

Drobyshev A.Yu.

Russian University of Medicine

SPIN RSCI: 6683-8226
ORCID: 0000-0002-1710-6923

Drobysheva N.S.

Russian University of Medicine

SPIN RSCI: 1246-5965
ORCID: 0000-0002-5612-3451

Redko N.A.

Russian University of Medicine

SPIN RSCI: 6189-4835
ORCID: 0000-0001-7807-9351

Techiev S.K.

Russian University of Medicine

ORCID: 0000-0003-1377-0410

Mikhailyukov V.M.

Russian University of Medicine

ORCID: 0009-0007-4736-4468

Klipa I.A.

Russian University of Medicine

ORCID: 0000-0002-6067-7684

Sviridov E.G.

Russian University of Medicine

ORCID: 0000-0002-9395-4158

Le T.H.

Russian University of Medicine

ORCID: 0009-0004-2061-1260

Berro F.

Russian University of Medicine

ORCID: 0009-0004-5238-8948

Received:

16.07.2024

Accepted:

25.11.2024

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References:

Minaev YuL, Khaikin MB, Polkhovskaya NM, Belousova LG. Current state of methods for assessing the quality of medical care. Quality Management of Medical Care. 2013;1:54-61. (In Russ.).
McKinley RK, Stevenson K, Adams S, Manku-Scott TK. Meeting patient expectations of care: the major determinant of satisfaction with out-of-hours primary medical care? Fam Pract. 2002;19(4):333-338. https://doi.org/10.1093/fampra/19.4.333
Goldzweig G, Abramovitch A, Brenner B, Perry S, Peretz T, Baider L. Expectations and Level of Satisfaction of Patients and Their Physicians: Concordance and Discrepancies. Psychosomatics. 2015;56(5):521-529. https://doi.org/10.1016/j.psym.2014.10.001
Kalita VV., Shaitanyuk AV. The content of the concept of “psychological comfort”. Social and Human Sciences in the Far East. 2014;3(43):76-81. (In Russ.).
Gavurova B, Dvorsky J, Popesko B. Patient Satisfaction Determinants of Inpatient Healthcare. Int J Environ Res Public Health. 2021;18(21):11337. https://doi.org/10.3390/ijerph182111337
Drobyshev AY, Dibirov TM, Mikhailyukov VM. Surgical methods of treating patients with asymmetrical deformities of the jaws. Moscow: Moscow State Medical and Dental University named after A.I. Evdokimov Ministry of Health of the Russian Federation; 2018:34. (In Russ.).
Galazov AT, Drobyshev AY, Redko NA, Klipa IA, Mikhailyukov VM, Sviridov EG, Azieva TR, Drobysheva NS. The influence of the volume of surgical intervention on the severity of pain in patients after orthognathic surgery. Russian Dental Journal. 2023:27(6). (In Russ.). https://doi.org/10.17816/dent595717
Lampl C, Thomas H, Tassorelli C, Katsarava Z, Laínez JM, Lantéri-Minet M, Rastenyte D, Ruiz de la Torre E, Stovner LJ, Andrée C, Steiner TJ. Headache, depression and anxiety: associations in the Eurolight project. J Headache Pain. 2016;17:59. https://doi.org/10.1186/s10194-016-0649-2
Meng W, Adams MJ, Reel P, Rajendrakumar A, Huang Y, Deary IJ, Palmer CNA, McIntosh AM, Smith BH. Genetic correlations between pain phenotypes and depression and neuroticism. Eur J Hum Genet. 2020;28(3):358-366. https://doi.org/10.1038/s41431-019-0530-2
Soloviev MM. Mental discomfort. PSAF auto-maladjustment syndrome. SPb: Severnaya zvezda; 2021:115. (In Russ.).
Chen CM, Lai SS, Chen HS, Hsu KR, Lai YH. Effects of patient- and operation-related factors on postoperative pain after orthognathic surgery. J Craniofac Surg. 2012;23(3):724-727. https://doi.org/10.1097/SCS.0b013e31824dbb7c
Lumley MA, Cohen JL, Borszcz GS, Cano A, Radcliffe AM, Porter LS, Schubiner H, Keefe FJ. Pain and emotion: a biopsychosocial review of recent research. J Clin Psychol. 2011;67(9):942-968. https://doi.org/10.1002/jclp.20816
Peres MF, Lucchetti G. Coping strategies in chronic pain. Curr Pain Headache Rep. 2010;14(5):331-338. https://doi.org/10.1007/s11916-010-0137-3
AlKharafi L, AlHajery D, Andersson L. Orthognathic surgery: pretreatment information and patient satisfaction. Med Princ Pract. 2014;23(3):218-224. https://doi.org/10.1159/000360735
Al-Hadi N, Chegini S, Klontzas ME, McKenny J, Heliotis M. Patient expectations and satisfaction following orthognathic surgery. Int J Oral Maxillofac Surg. 2019;48(2):211-216. https://doi.org/10.1016/j.ijom.2018.07.013
Cadogan J, Bennun I. Face value: an exploration of the psychological impact of orthognathic surgery. Br J Oral Maxillofac Surg. 2011;49(5):376-580. https://doi.org/10.1016/j.bjoms.2010.07.006
Sayers MS, Cunningham SJ, Newton JT. How do you identify the patient with ‘high expectations’ of orthodontic treatment: An empirical approach. J Orthod. 2020;47(4):289-293. https://doi.org/10.1177/1465312520939970
Osipova VV. Psychological aspects of pain. Neurology, Neuropsychiatry, Psychosomatics. 2010;1:4-9. (In Russ.).
Solovyova SL. Psychological factors of chronic pain [Electronic resource]. Medical Psychology in Russia: Electronic Scientific Journal. 2019;6(59). (In Russ.). https://medpsy.ru/mprj/archiv_global/2019_6_59/nomer03.php
Shimizu K, Inage K, Orita S, Eguchi Y, Shiga Y, Koda M, Aoki Y, Kotani T, Akazawa T, Furuya T, Nakamura J, Takahashi H, Suzuki-Narita M, Maki S, Hagiwara S, Inoue M, Norimoto M, Kinoshita H, Sato T, Sato M, Enomoto K, Takaoka H, Mizuki N, Hozumi T, Tsuchiya R, Kim G, Otagiri T, Mukaihata T, Hishiya T, Ohtori S. Background factors for chronic low back pain resistant to cognitive behavioral therapy. Sci Rep. 2021 Apr 15;11(1):8227. PMID: 33859240; PMCID: PMC8050286. https://doi.org/10.1038/s41598-021-87239-2
Yakhno NN, Abuzarova GR, Alekseev VV. Pain: A practical guide. Moscow: MEDpress-inform; 2022:416. (In Russ.).
Graham CD, Gouick J, Ferreira N, Gillanders D. The influence of psychological flexibility on life satisfaction and mood in muscle disorders. Rehabil Psychol. 2016;61(2):210-217. https://doi.org/10.1037/rep0000092
Lucas JJ, Moore KA. Psychological flexibility: positive implications for mental health and life satisfaction. Health Promot Int. 2020;35(2):312-320. https://doi.org/10.1093/heapro/daz036
Huamán ET, Juvet LM, Nastri A, Denman WT, Kaban LB and Dodson TB. Changing patterns of hospital length of stay after orthognathic surgery. Journal of Oral and Maxillofacial Surgery. 2008;66:492-497.
Hang FS, Burrows SA, Gebauer DP. Patient-Controlled Analgesia and Length of Hospital Stay in Orthognathic Surgery: A Randomized Controlled Trial. J Oral Maxillofac Surg. 2019;77(4):818-827. https://doi.org/10.1016/j.joms.2018.10.001
Geisser ME, Robinson ME, Keefe FJ, Weiner ML. Catastrophizing, depression and the sensory, affective and evaluative aspects of chronic pain. Pain. 1994 Oct;59(1):79-83. PMID: 7854806. https://doi.org/10.1016/0304-3959(94)90050-7
Yakhno NN. Neurology of pain. Russian Journal of Pain. 2013;2(39):3-5. (In Russ.).