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Article

Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery

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1st Propaedeutic Surgical Department, Medical School, National and Kapodistrian University of Athens, Hippocratio General Hospital of Athens, 11527 Athens, Greece
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School of Health and Caring Sciences, University of West Attica, 12243 Athens, Greece
3
5th Propaedeutic Surgical Department, Medical School, National and Kapodistrian University of Athens, Eugenideio General Hospital of Athens, 11528 Athens, Greece
4
1st Propaedeutic Surgical Department, Medical School, National and Kapodistrian University of Athens, Laiko General Hospital of Athens, 11527 Athens, Greece
*
Authors to whom correspondence should be addressed.
J. Clin. Med. 2021, 10(1), 53; https://doi.org/10.3390/jcm10010053
Received: 20 November 2020 / Revised: 20 December 2020 / Accepted: 22 December 2020 / Published: 25 December 2020
(This article belongs to the Special Issue Bariatric Surgery: Latest Advances and Prospects)
Uncontrolled postoperative pain and prolonged immobilization after bariatric surgery have been associated with increased postoperative complications and prolonged hospitalization. The aim of our study was to evaluate the postoperative pain that follows bariatric surgery and identify any psychological factors that may affect the early postoperative perception of pain. The study included 100 patients with obesity (women, n = 61; age 37.4 ± 9.9 years, mean ± standard deviation; Body Mass Index (BMI) 47.6 ± 6.5 kg/m2) who underwent bariatric surgery. Preoperative anxiety and depression were evaluated by the Hospital Anxiety and Depression Scale (HADS), and the quantitative and qualitative dimension of early postoperative pain were evaluated by the McGill Pain Questionnaire Short Form (MPQ-SF). Furthermore, the postoperative analgesia protocol was recorded for each patient. Pain declined gradually during the first 24 h postoperative. Although preoperative anxiety had no correlation with the overall pain of postoperative Day 0, patients with a higher level of preoperative anxiety had significantly more intense and more unpleasant pain at 1 h post operation. In addition, depression influences both the intensity and unpleasantness of pain at different time points (1 h, 4 h and 24 h postoperative). Preoperative pain correlated with educational level, but not with age, BMI, gender, marital status, smoking and surgery type. In conclusion, preoperative anxiety and depression influence the early postoperative pain after bariatric surgery, and their preoperative identification is of major importance to enhance the implementation of fast-track postoperative protocols to prevent complications and prolonged hospitalization. View Full-Text
Keywords: obesity; bariatric surgery; pain dimensions; postoperative pain; preoperative anxiety; preoperative depression obesity; bariatric surgery; pain dimensions; postoperative pain; preoperative anxiety; preoperative depression
MDPI and ACS Style

Gravani, S.; Matiatou, M.; Nikolaidis, P.T.; Menenakos, E.; Zografos, C.G.; Zografos, G.; Albanopoulos, K. Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery. J. Clin. Med. 2021, 10, 53. https://doi.org/10.3390/jcm10010053

AMA Style

Gravani S, Matiatou M, Nikolaidis PT, Menenakos E, Zografos CG, Zografos G, Albanopoulos K. Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery. Journal of Clinical Medicine. 2021; 10(1):53. https://doi.org/10.3390/jcm10010053

Chicago/Turabian Style

Gravani, Sofia, Maria Matiatou, Pantelis T. Nikolaidis, Evangelos Menenakos, Constantinos G. Zografos, George Zografos, and Konstantinos Albanopoulos. 2021. "Anxiety and Depression Affect Early Postoperative Pain Dimensions after Bariatric Surgery" Journal of Clinical Medicine 10, no. 1: 53. https://doi.org/10.3390/jcm10010053

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