CATASTROPHIZING OF PAIN AS A PREDICTOR OF PRE- AND ACUTE POSTOPERATIVE PAIN IN PATIENTS WITH CARPAL TUNNEL SYNDROME

Aistė Pranckevičienė, Justina Dimšaitė, Antanas Budėnas, Andrius Radžiūnas

Abstract


Background and purpose. Research shows that pain catastrophizing might be an important predictor of pain related outcomes in patients with various health conditions despite of objective severity of the illness. This study aimed to evaluate prognostic value of catastrophizing the pain in predicting pain intensity before and one day after the surgery for median nerve decompression in a sample of patients with carpal tunnel syndrome (CTS).

Methods. 53 patients with electrodiagnostically proven CTS participated in this study. Patients were assessed before and one day after the surgery for median nerve decompression using the Pain Catastrophizing Scale (PCS), and the Short Form of the McGill Pain Questionnaire (SF-MPQ). Intensity of pre- and acute postoperative pain was evaluated using visual analogue scales.

Results. Level of reported pain decreased significantly one day after the surgery. No significant correlations were observed between pain catastrophizing and average level of pain during a week before and one day after the surgery. Correlation was observed between highest experienced level of pain after the surgery and preoperative total PCS score. However, pain catastrophizing did not predict neither preoperative nor acute postoperative pain one day after the surgery in multivariate analyses when other study variables were taken into account. Sensory dimension of SF-MPQ was a better predictor of preoperative pain. None of pain and demographic variables predicted acute postoperative pain.

Conclusions. Pain catastrophizing was not found to be a significant predictor of pre- or acute postoperative pain in CTS patients. 


Keywords


carpal tunnel syndrome, pain catastrophizing, pain intensity, surgery, predictive validity.

Full Text:

PDF

References


Bhatt, N. G., Sheth, M. S., Vyas, N. J. (2015). Relationship of electrodiagnostic findings with severity of symptoms and function in subjects with carpal tunnel syndrome. International Journal of Therapies and Rehabilitation Research, 4, 3. DOI:10.5455/ijtrr.00000054.

Dale, A. M., Harris-Adamson, C., Rempel, D., Gerr, F., Hegmann, K., Silverstein, B. et al. (2013). Prevalence and incidence of carpal tunnel syndrome in US working populations: Pooled analysis of six prospective studies. Scandinavian Journal of Work, Environment & Health, 39(5), 495-505. DOI:10.5271/sjweh.3351.

Das De, S., Vranceanu, A. M., Ring, D. C. (2013). Contribution of kinesophobia and catastrophic thinking to upper-extremity-specific disability. The Journal of Bone and Joint Surgery (American Volume) 95(1), 76-81. DOI: 10.2106/ JBJS.L.00064.

Fernandes, L., Storheim, K., Lochting, I., Grotle, M. (2012). Cross-cultural adaptation and validation of the Norwegian pain catastrophizing scale in patients with low back pain. BMC Musculoskeletal Disorders, 13, 111. DOI: 10.1186/1471- 2474-13-111.

Juozapavičienė, L. (2015). Opioidų bei opioidų ir adjuvantų derinio veiksmingumo tyrimas gydant nudegimo skausmą [Efficacy of opioids and opioids-adjuvants combination in burn pain treatment]. Doctoral Disertation. Lithuanian Uni- versity of Health Sciences. Retrieved from: http://gs.elaba.lt/object/elaba: 13066455/

Kim, H. J., Park, J. W., Chang, B. S., Lee, C. K., Yeom J. S. (2015). The influence of catastrophizing on treatment outcomes after surgery for lumbar spinal stenosis. Bone & Joint Journal, 97-B(11), 1546-1554. DOI: 10.1302/0301-620X. 97B11.36016.

Kremer, R., Granot, M., Yarnitsky, D., Crispel, Y., Fadel, S., Anson Best, L., Nir R-R. (2013). The role of pain catastrophizing in the prediction of acute and chronic postoperative pain. The Open Pain Journal, 6, 176-182. DOI: 10.2174/ 1876386301306010176.

Lane, L. B., Starecki, M., Olson, A., Kohn, N. (2014). Carpal tunnel syndrome diagnosis and treatment: a survey of members of the American Society for Surgery of the Hand. Journal of Hand Surgery (American Volume), 9(11), 2181-2187. DOI: 10.1016/j.jhsa.2014.07.019.

Leung, L. (2012). Pain catastrophizing: An updated review. Indian Journal of Psy- chological Medicine, 34(3), 204-217. DOI: 10.4103/0253-7176.106012.

London, D. A., Stepan, J. G., Boyer, M. I., Calfee, R. P. (2014). The impact of depression and pain catastrophization on initial presentation and treatment outcomes for atraumatic hand conditions. The Journal of Bone and Joint Surgery, 96(10), 806-814. DOI:10.2106/JBJS.M.00755.

Lozano Calderón, S. A., Paiva, A., Ring, D. (2008). Patient satisfaction after open carpal tunnel release correlates with depression. Journal of Hand Surgery (American Volume) 33(3), 303-307. DOI: 10.1016/j.jhsa.2007.11.025.

Makanji, H. S., Zhao, M., Mudgal, C. S., Jupiter J. B., Ring D. (2012). Correspondence between clinical presentation and electrophysiological testing for potential carpal tunnel syndrome. The Journal of Hand Surgery (European Volume) 38E(5), 489-495. DOI:10.1177/1753193412461860.

Melzack, R. (1987). The Short Form McGill Pain Questionnaire. Pain, 30, 191-197. Nunez, F., Vranceanu A. M., Ring, D. (2010). Determinants of pain in patients with carpal tunnel syndrome. Clinical Orthopaedics and Related Research, 468, 3328-3332. DOI:10.1007/s11999-010-1551-x.

Quartana, P. J., Campbell, C. M., Edwards, R. R. (2009). Pain catastrophizing: a critical review. Expert Review of Neurotherapeutics, 9(5), 745-758. DOI:10.1586/ERN.09.34.

Sonohata, M., Tsuruta, T., Mine, H., Morimoto, T., Mawatari, M (2013). The relationship between neuropathic pain, and the function of the upper limbs based on clinical severity according to electrophysiological studies in patients with carpal tunnel syndrome. The Open Orthopaedics Journal, 7(1), 99-102. DOI: 10.2174/1874325001307010099.

Sousa, V. D., & Rojjanasrirat, W. (2011). Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. Journal of Evaluation in Clinical Practice, 17(2), 268- 274. Retrieved from: http://doi.org/10.1111/j.1365-2753.2010.01434.x

Sullivan, M. J. L. (2009). The Pain Catastrophizing Scale. User Manual. McGill University, Montreal, Quebec. Retrieved from: http://sullivan-painresearch.mcgill. ca/pcs.php

Sullivan, M. J. L., Bishop, S. R., Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment, 7(4), 524-532. DOI:10.1037/1040-3590.7.4.524.

Svilpauskaite, J., Truffert, A., Vaiciene, N., Magistris, M. (2006). Cutaneous silent period in carpal tunnel syndrome. Muscle & Nerve, 33(4), 487-493. DOI: 10.1002/mus.20496.

Tamburin, S., Cacciatori C., Marani, S., Zanette, G. (2008). Pain and motor function in carpal tunnel syndrome. A clinical, neurophysiological and psychophysical study. Journal of Neurology, 255, 1636-1643. DOI: 10.1007/s00415-008-0895-6.

Teunis,T.,Bot,A.G.,Thornton,E.R.,Ring,D.(2015). Catastrophic thinking is associated with finger stiffness after distal radius fracture surgery. Journal of Orthopaedic Trauma, 29(10), e414-e420. DOI: 10.1097/BOT.0000000000000342.

Vranceanu, A. M., Jupiter, J. B., Mudgal, C. S., Ring, D. (2010). Predictors of pain intensity and disability after minor hand surgery. Journal of Hand Surgery (American Volume), 35(6), 956-960. DOI: 10.1016/j.jhsa.2010.02.001.

Yang, S. Y., Bogosian, A., Moss-Morris, R., McCracken, L. M. (2016). Healthcare professionals’ perceptions of psychological treatment for chronic pain in Singapore: challenges, barriers, and the way forward. Disability and Rehabilitation, 38 (17), 1643-1651. DOI: 10.3109/09638288.2015.1107635.




DOI: http://dx.doi.org/10.7220/2345-024X.19.2

Copyright (c) 2017 International Journal of Psychology: A Biopsychosocial Approach

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

ISSN 1941-7233 (Print)

ISSN 2345-024X (Online)