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Sofia Gravani, John Koutelekos

Friday, April 1, 2022

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Pages: 138-147

DOI: 10.5281/zenodo.7484337


Introduction: The preoperative factors that have been studied for their relationship with postoperative pain are the demographic, general and clinical characteristics of the patients, data related to the surgery but also mental health factors.Purpose: The purpose of this literature review was to explore the relationship between psychological factors of anxiety and depression, with postoperative pain, the first postoperative day.Methodology: Research articles about the psychological factors of anxiety and depression were researched as preoperative factors influencing postoperative pain and then a secondary search was performed about the effect of these factors in the pain of the first postoperative day (early postoperative pain). The search was performed in the international databases PubMed, Scopus and Google Scholar, using keywords that served the purpose of the literature review.Results: Several studies were found that correlated anxiety and depression with postoperative pain but there were few studies that correlated these factors with pain on the first postoperative day. Most of the correlations were positive, with the researchers agreeing about the need for preoperative assessment and treatment of patients' mental health prior to surgery that would contribute to more effective postoperative analgesia and hospitalization of surgery patients.Conclusions: Anxiety and depression have a significant effect on the pain experience of the first postoperative day, but additional research is needed to draw conclusions and compare the results, using the same methodology for pain recording times and mental health data collection tools and also postoperative pain questionnaires.

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