Research Article
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Year 2023, Volume: 9 Issue: 2, 398 - 406, 04.03.2023
https://doi.org/10.18621/eurj.1241500

Abstract

References

  • 1. Sommer M, de Rijke JM, van Kleef M, Kessels AG, Peters ML, Geurts JW, et al. The prevalence of postoperative pain in a sample of 1490 surgical inpatients. Eur J Anaesthesiol 2008;25:267-4.
  • 2. Merskey HE, Bogduk N. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. Pain Suppl 1986;3:S1-226.
  • 3. Rief W, Barsky AJ. Psychobiological perspectives on somatoform disorders. Psychoneuroendocrinology 2005;30:996-2.
  • 4. Rief W, Hennings A, Riemer S, Euteneuer F. Psychobiological differences between depression and somatization. J Psychosom Res 2010;68:495-2.
  • 5. Lingard EA, Riddle DL. Impact of psychological distress on pain and function following knee arthroplasty. J Bone Joint Surg Am 2007;89:1161-9.
  • 6. Utrillas-Compaired A, De la Torre-Escuredo BJ, Tebar-Martínez AJ, Asúnsolo-Del Barco Á. Does preoperative psychologic distress influence pain, function, and quality of life after TKA? Clin Orthop Relat Res 2014;472:2457-5.
  • 7. Granot M, Ferber SG. The roles of pain catastrophizing and anxiety in the prediction of postoperative pain intensity: a prospective study. Clin J Pain 2005;21:439-5.
  • 8. Tesio V, Di Tella M, Ghiggia A, Romeo A, Colonna F, Fusaro E, et al. Alexithymia and depression affect quality of life in patients with chronic pain: a study on 205 Patients with fibromyalgia. Front Psychol 20184;9:442.
  • 9. Hosoi M, Molton IR, Jensen MP, Ehde DM, Amtmann S, O'Brien S, et al. Relationships among alexithymia and pain intensity, pain interference, and vitality in persons with neuromuscular disease: considering the effect of negative affectivity. Pain 2010;149:273-7.
  • 10. Zheng H, Schnabel A, Yahiaoui-Doktor M, Meissner W, Van Aken H, Zahn P, et al. Age and preoperative pain are major confounders for sex differences in postoperative pain outcome: a prospective database analysis. PLoS One 2017;12:e0178659.
  • 11. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71.
  • 12. Hisli N. Reability and validity of Beck Depression Inventory among university students. J Turk Psychol 1989;7:3-13.
  • 13. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. J Cogn Psychother 1998;12:163.
  • 14. Barsky AJ, Wyshak G, Klerman GL. The somatosensory amplification scale and its relationship to hypochondriasis. J Psychiatr Res 1990;24:323-34.
  • 15. Güleç H, Sayar K. Reliability and validity of the Turkish form of the Somatosensory Amplification Scale. Psychiatry Clin Neurosci 2007;61:25-30.
  • 16. Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. J Psychosom Res 1994;38:23-2.
  • 17. Bagby RM, Taylor GJ, Parker JD. The Twenty-item Toronto Alexithymia Scale-II. Convergent, discriminant, and concurrent validity. J Psychosom Res 1994;38:33-40.
  • 18. Güleç H, Köse S, Güleç MY, Çitak S, Evren C, Borckardt J, at al. Reliability and factorial validity of the Turkish version of the 20-item Toronto alexithymia scale (TAS-20). Bull Clin Psychopharmacol 2009;19:214-20.
  • 19. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983;17:45-56.
  • 20. Eysenck HJ, Eysenck SB. Manual of the Eysenck Personality Questionnaire (Junior and Adult). London: Hodder & Stoughton. 1975.
  • 21. Leslie Francis J, Brown LB, Philipchalk R. The development of an abbreviated form of 61 the revised Eysenck personality questionnaire (EPQR-A): its use among students in England, Canada, the U.S.A. and Australia. Pers Individ Dif 1992;13:443-49.
  • 22. Karancı AN, Dirik G, Yorulmaz O. Turkish Adaptation of the Eysenck Personality Questionnaire-Revised Shortened Form (EKA-GGK). Turk J Psychiatr 2007;18:1-8.
  • 23. Hernández C, Díaz-Heredia J, Berraquero ML, Crespo P, Loza E, Ruiz Ibán MÁ. Pre-operative predictive factors of post-operative pain in patients with hip or knee arthroplasty: a systematic review. Reumatol Clin 2015;11:361-80.
  • 24. Pinto PR, McIntyre T, Ferrero R, Almeida A, Araújo-Soares V. Predictors of acute postsurgical pain and anxiety following primary total hip and knee arthroplasty. J Pain 2013;14:502-15.
  • 25. Vissers MM, Bussmann JB, Verhaar JA, Busschbach JJ, Bierma-Zeinstra SM, Reijman M. Psychological factors affecting the outcome of total hip and knee arthroplasty: a systematic review. Semin Arthritis Rheum 2012;41:576-88.
  • 26. Docherty M, Boxer P, Huesmann LR, O'Brien M, Bushman BJ. Exploring primary and secondary variants of psychopathy in adolescents in detention and in the community. J Clin Child Adolesc Psychol 2016;45:564-78.
  • 27. Romero E, Luengo MA, Sobral J. Personality and antisocial behaviour: Study of temperamental dimensions. Pers Individ Dif 2001:31:329-48.
  • 28. van Honk J, Schutter DJ. Unmasking feigned sanity: a neurobiological model of emotion processing in primary psychopathy. Cogn Neuropsychiatry 2006;11:285-306.
  • 29. Loney BR, Butler MA, Lima EN, Counts CA, Eckel LA. The relation between salivary cortisol, callous-unemotional traits, and conduct problems in an adolescent non-referred sample. J Child Psychol Psychiatry 2006;47:30-6.
  • 30. Marana E, Colicci S, Meo F, Marana R, Proietti R. Neuroendocrine stress response in gynecological laparoscopy: TIVA with propofol versus sevoflurane anesthesia. J Clin Anesth 2010;22:250-5.
  • 31. Hall GM, Peerbhoy D, Shenkin A, Parker CJ, Salmon P. Hip and knee arthroplasty: a comparison and the endocrine, metabolic and inflammatory responses. Clin Sci (Lond) 2000;98:71-9.
  • 32. Dolan MC, Anderson IM. The relationship between serotonergic function and the Psychopathy Checklist: Screening Version. J Psychopharmacol 2003;17:216-22.
  • 33. Tiihonen J, Virkkunen M, Räsänen P, Pennanen S, Sainio EL, Callaway J, et al. Free L-tryptophan plasma levels in antisocial violent offenders. Psychopharmacology (Berl) 2001;157:395-400.
  • 34. Chang FC, Tsai HY, Yu MC, Yi PL, Lin JG. The central serotonergic system mediates the analgesic effect of electroacupuncture on ZUSANLI (ST36) acupoints. J Biomed Sci 2004;11:179-5.
  • 35. Davis KC, Anderson JL. Psychological pain: A moderating factor between personality psychopathology and self-harm. J Am Coll Health 2021;16:1-9.
  • 36. Inanc BY, Yerlikaya EE. Re Research Oriented Theories. In: Personality Theories. Ankara: Pegem Academy, 2014: p. 245-85.
  • 37. Kiffin-Petersen SA, Jordan CL, Soutar GN. The big five, emotional exhaustion and citizenship behaviors in service settings: the mediating role of emotional labor. Pers Individ Dif 2011;50:43-8.
  • 38. Abdolmohamadi K, Seyed Pourmand NS, Babapour Kheyradin J. The somatization predictions derived from personal characteristics. Int J Behav Sci 2017;11:86-9.
  • 39. Lahey BB. Public health significance of neuroticism. Am Psychol 2009;64:241-6.
  • 40. Atay İM, Atay T, Dinçer R. Effects of psychological predictors on hospital discharge duration after total knee arthroplasty. J Exp Clin Med 2022;39:41-6.

The relationship of pain severity with anxiety, depression, somatic symptoms, personality, and alexithymia in the early period after total knee arthroplasty

Year 2023, Volume: 9 Issue: 2, 398 - 406, 04.03.2023
https://doi.org/10.18621/eurj.1241500

Abstract

Objectives: This study aims to investigate the relationship between pain severity in the early postoperative period and preoperative psychometric factors in individuals undergoing total knee arthroplasty (TKA).

Methods: This research was designed as a cross-sectional and descriptive study. Fifty participants undergoing TKA were inpatients at a private hospital's Orthopedics and Traumatology Clinic were included in the study. The same anesthesia protocol (spinal anesthesia) and the same surgical technique were performed on all patients. In data collection, Visual Analogue Scale (VAS), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Somatic Amplification Scale (SAS), Toronto Alexithymia Scale (TAS), Eysenck Personality Questionnaire Revised-Abbreviated (EPQR-A), and Sociodemographic Data Form were used.

Results:The mean age of the participants in the study was 64.80 ± 8.70 years, and 45 of the cases (90.0%) were women. Considering the Single Factor ANOVA Analysis, only psychoticism subscale scores were observed to be statistically significant in the change in VAS-Static scores. When all psychometric properties were controlled, the significant change in VAS-Dynamic scores was shown to continue at low effect.

Conclusions: According to these findings, the psychoticism dimension was concluded to be more associated with an antisocial personality disorder or aggressive patients, and the high level of pain in these patients may be related to low levels of serotonin and cortisol from a neurobiological point of view.

References

  • 1. Sommer M, de Rijke JM, van Kleef M, Kessels AG, Peters ML, Geurts JW, et al. The prevalence of postoperative pain in a sample of 1490 surgical inpatients. Eur J Anaesthesiol 2008;25:267-4.
  • 2. Merskey HE, Bogduk N. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy. Pain Suppl 1986;3:S1-226.
  • 3. Rief W, Barsky AJ. Psychobiological perspectives on somatoform disorders. Psychoneuroendocrinology 2005;30:996-2.
  • 4. Rief W, Hennings A, Riemer S, Euteneuer F. Psychobiological differences between depression and somatization. J Psychosom Res 2010;68:495-2.
  • 5. Lingard EA, Riddle DL. Impact of psychological distress on pain and function following knee arthroplasty. J Bone Joint Surg Am 2007;89:1161-9.
  • 6. Utrillas-Compaired A, De la Torre-Escuredo BJ, Tebar-Martínez AJ, Asúnsolo-Del Barco Á. Does preoperative psychologic distress influence pain, function, and quality of life after TKA? Clin Orthop Relat Res 2014;472:2457-5.
  • 7. Granot M, Ferber SG. The roles of pain catastrophizing and anxiety in the prediction of postoperative pain intensity: a prospective study. Clin J Pain 2005;21:439-5.
  • 8. Tesio V, Di Tella M, Ghiggia A, Romeo A, Colonna F, Fusaro E, et al. Alexithymia and depression affect quality of life in patients with chronic pain: a study on 205 Patients with fibromyalgia. Front Psychol 20184;9:442.
  • 9. Hosoi M, Molton IR, Jensen MP, Ehde DM, Amtmann S, O'Brien S, et al. Relationships among alexithymia and pain intensity, pain interference, and vitality in persons with neuromuscular disease: considering the effect of negative affectivity. Pain 2010;149:273-7.
  • 10. Zheng H, Schnabel A, Yahiaoui-Doktor M, Meissner W, Van Aken H, Zahn P, et al. Age and preoperative pain are major confounders for sex differences in postoperative pain outcome: a prospective database analysis. PLoS One 2017;12:e0178659.
  • 11. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-71.
  • 12. Hisli N. Reability and validity of Beck Depression Inventory among university students. J Turk Psychol 1989;7:3-13.
  • 13. Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: psychometric properties. J Cogn Psychother 1998;12:163.
  • 14. Barsky AJ, Wyshak G, Klerman GL. The somatosensory amplification scale and its relationship to hypochondriasis. J Psychiatr Res 1990;24:323-34.
  • 15. Güleç H, Sayar K. Reliability and validity of the Turkish form of the Somatosensory Amplification Scale. Psychiatry Clin Neurosci 2007;61:25-30.
  • 16. Bagby RM, Parker JD, Taylor GJ. The twenty-item Toronto Alexithymia Scale-I. Item selection and cross-validation of the factor structure. J Psychosom Res 1994;38:23-2.
  • 17. Bagby RM, Taylor GJ, Parker JD. The Twenty-item Toronto Alexithymia Scale-II. Convergent, discriminant, and concurrent validity. J Psychosom Res 1994;38:33-40.
  • 18. Güleç H, Köse S, Güleç MY, Çitak S, Evren C, Borckardt J, at al. Reliability and factorial validity of the Turkish version of the 20-item Toronto alexithymia scale (TAS-20). Bull Clin Psychopharmacol 2009;19:214-20.
  • 19. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983;17:45-56.
  • 20. Eysenck HJ, Eysenck SB. Manual of the Eysenck Personality Questionnaire (Junior and Adult). London: Hodder & Stoughton. 1975.
  • 21. Leslie Francis J, Brown LB, Philipchalk R. The development of an abbreviated form of 61 the revised Eysenck personality questionnaire (EPQR-A): its use among students in England, Canada, the U.S.A. and Australia. Pers Individ Dif 1992;13:443-49.
  • 22. Karancı AN, Dirik G, Yorulmaz O. Turkish Adaptation of the Eysenck Personality Questionnaire-Revised Shortened Form (EKA-GGK). Turk J Psychiatr 2007;18:1-8.
  • 23. Hernández C, Díaz-Heredia J, Berraquero ML, Crespo P, Loza E, Ruiz Ibán MÁ. Pre-operative predictive factors of post-operative pain in patients with hip or knee arthroplasty: a systematic review. Reumatol Clin 2015;11:361-80.
  • 24. Pinto PR, McIntyre T, Ferrero R, Almeida A, Araújo-Soares V. Predictors of acute postsurgical pain and anxiety following primary total hip and knee arthroplasty. J Pain 2013;14:502-15.
  • 25. Vissers MM, Bussmann JB, Verhaar JA, Busschbach JJ, Bierma-Zeinstra SM, Reijman M. Psychological factors affecting the outcome of total hip and knee arthroplasty: a systematic review. Semin Arthritis Rheum 2012;41:576-88.
  • 26. Docherty M, Boxer P, Huesmann LR, O'Brien M, Bushman BJ. Exploring primary and secondary variants of psychopathy in adolescents in detention and in the community. J Clin Child Adolesc Psychol 2016;45:564-78.
  • 27. Romero E, Luengo MA, Sobral J. Personality and antisocial behaviour: Study of temperamental dimensions. Pers Individ Dif 2001:31:329-48.
  • 28. van Honk J, Schutter DJ. Unmasking feigned sanity: a neurobiological model of emotion processing in primary psychopathy. Cogn Neuropsychiatry 2006;11:285-306.
  • 29. Loney BR, Butler MA, Lima EN, Counts CA, Eckel LA. The relation between salivary cortisol, callous-unemotional traits, and conduct problems in an adolescent non-referred sample. J Child Psychol Psychiatry 2006;47:30-6.
  • 30. Marana E, Colicci S, Meo F, Marana R, Proietti R. Neuroendocrine stress response in gynecological laparoscopy: TIVA with propofol versus sevoflurane anesthesia. J Clin Anesth 2010;22:250-5.
  • 31. Hall GM, Peerbhoy D, Shenkin A, Parker CJ, Salmon P. Hip and knee arthroplasty: a comparison and the endocrine, metabolic and inflammatory responses. Clin Sci (Lond) 2000;98:71-9.
  • 32. Dolan MC, Anderson IM. The relationship between serotonergic function and the Psychopathy Checklist: Screening Version. J Psychopharmacol 2003;17:216-22.
  • 33. Tiihonen J, Virkkunen M, Räsänen P, Pennanen S, Sainio EL, Callaway J, et al. Free L-tryptophan plasma levels in antisocial violent offenders. Psychopharmacology (Berl) 2001;157:395-400.
  • 34. Chang FC, Tsai HY, Yu MC, Yi PL, Lin JG. The central serotonergic system mediates the analgesic effect of electroacupuncture on ZUSANLI (ST36) acupoints. J Biomed Sci 2004;11:179-5.
  • 35. Davis KC, Anderson JL. Psychological pain: A moderating factor between personality psychopathology and self-harm. J Am Coll Health 2021;16:1-9.
  • 36. Inanc BY, Yerlikaya EE. Re Research Oriented Theories. In: Personality Theories. Ankara: Pegem Academy, 2014: p. 245-85.
  • 37. Kiffin-Petersen SA, Jordan CL, Soutar GN. The big five, emotional exhaustion and citizenship behaviors in service settings: the mediating role of emotional labor. Pers Individ Dif 2011;50:43-8.
  • 38. Abdolmohamadi K, Seyed Pourmand NS, Babapour Kheyradin J. The somatization predictions derived from personal characteristics. Int J Behav Sci 2017;11:86-9.
  • 39. Lahey BB. Public health significance of neuroticism. Am Psychol 2009;64:241-6.
  • 40. Atay İM, Atay T, Dinçer R. Effects of psychological predictors on hospital discharge duration after total knee arthroplasty. J Exp Clin Med 2022;39:41-6.
There are 40 citations in total.

Details

Primary Language English
Subjects Psychiatry
Journal Section Original Articles
Authors

Çetin Turan 0000-0002-5259-6112

Abdullah Küçükalp 0000-0002-1290-6059

Publication Date March 4, 2023
Submission Date January 24, 2023
Acceptance Date February 7, 2023
Published in Issue Year 2023 Volume: 9 Issue: 2

Cite

AMA Turan Ç, Küçükalp A. The relationship of pain severity with anxiety, depression, somatic symptoms, personality, and alexithymia in the early period after total knee arthroplasty. Eur Res J. March 2023;9(2):398-406. doi:10.18621/eurj.1241500

e-ISSN: 2149-3189 


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