Patient experiences of anxiety, depression and acute pain after surgery: a longitudinal perspective.

Carr, E. C.J., Thomas, V. N. and Wilson-Barnet, J., 2005. Patient experiences of anxiety, depression and acute pain after surgery: a longitudinal perspective. International Journal of Nursing Studies, 42 (5), pp. 521-530.

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Official URL: http://www.sciencedirect.com/science?_ob=ArticleUR...

DOI: 10.1016/j.ijnurstu.2004.09.014

Abstract

This study sought to explore the impact of the psychological variables anxiety and depression, on pain experience over time following surgery. Eighty-five women having major gynaecological surgery were assessed for anxiety, depression and pain after surgery. To gain further understanding, 37 patients participated in a semi-structured taped telephone interview 4–6 weeks post-operatively. Pre-operative anxiety was found to be predictive of post-operative anxiety on Day 2, with patients who experienced high levels of anxiety before surgery continuing to feel anxious afterwards. By Day 4 both anxiety and depression scores increased as pain increased and one-third of the sample experienced levels of anxiety in psychiatric proportions whilst under one-third experienced similar levels of depression. These findings have significant implications for the provision of acute pain management after surgery. Future research and those managing acute pain services need to consider the multidimensional effect of acute pain and the interface between primary and secondary care.

Item Type:Article
ISSN:0020-7489
Uncontrolled Keywords:anxiety, depression, post-operative pain
Subjects:Technology > Medicine and Health > Nursing and Midwifery
Group:School of Health and Social Care > Centre for Wellbeing and Quality of Life
ID Code:5886
Deposited By:Dr Eloise Carr LEFT
Deposited On:23 Jul 2008 14:45
Last Modified:07 Mar 2013 14:49

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