Egloff Niklaus, Wegmann Barbara, Juon Bettina, Stauber Stefanie, von Känel Roland, Vögelin Esther
Division of Psychosomatic Medicine, Department of General Internal Medicine, Inselspital Bern University Hospital; Department of Clinical Research, University of Bern.
Division of Psychosomatic Medicine, Department of General Internal Medicine, Inselspital Bern University Hospital.
J Pain Res. 2017 Jan 31;10:259-263. doi: 10.2147/JPR.S116674. eCollection 2017.
The aim of this prospective study was to examine to what extent anxiety and depressive symptoms predict the level of pain at 4-month follow-up in hand surgery patients. A total of 132 consecutive patients (mean age: 51.5±17.1 years, 51.9% female) of a tertiary center for hand surgery participated in this study. The patients underwent conservative or operative treatment, depending on the nature of their hand problem. The initial pain assessment included psychometric testing with the hospital anxiety and depression scale. Ninety-nine patients underwent operative treatment and 33 patients were conservatively treated. At 4-month follow-up, the amount of pain was measured with a visual analog scale (0-10). After controlling for age, sex, and pre-surgical pain intensity, depressive symptoms were a significant predictor for increased pain levels at follow-up in conservatively treated patients. In operatively treated patients, anxiety symptoms showed a trend for being a predictor of pain level at follow-up. The findings support the assumption that psychological factors may have an impact on pain outcome in patients presenting to hand surgery clinics.
这项前瞻性研究的目的是检验焦虑和抑郁症状在多大程度上能够预测手部手术患者在4个月随访时的疼痛程度。一家三级手部手术中心的132名连续患者（平均年龄：51.5±17.1岁，51.9%为女性）参与了本研究。根据手部问题的性质，患者接受了保守治疗或手术治疗。初始疼痛评估包括使用医院焦虑抑郁量表进行心理测量测试。99名患者接受了手术治疗，33名患者接受了保守治疗。在4个月随访时，使用视觉模拟量表（0-10）测量疼痛程度。在控制了年龄、性别和术前疼痛强度后，抑郁症状是保守治疗患者随访时疼痛程度增加的显著预测因素。在接受手术治疗的患者中，焦虑症状显示出作为随访时疼痛程度预测因素的趋势。这些发现支持了心理因素可能对手部手术门诊患者的疼痛结果产生影响这一假设。
