Preoperative emotional states in patients with breast cancer and postoperative pain

Background: The present study examined the relationship between psychological variables, including anxiety, depression, and patient‐controlled analgesia (PCA) use in patients who underwent radical mastectomy. Methods: Ninety‐nine ASA I–II women with breast cancer between 18 and 60 years scheduled fo...

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Bibliographic Details
Published in:Acta anaesthesiologica Scandinavica 2003-01, Vol.47 (1), p.26-29
Main Authors: ÖZalp, G., Sarioglu, R., Tuncel, G., Aslan, K., Kadiogullari, N.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Analgesia, Patient-Controlled
Analgesics, Opioid - administration & dosage
Analgesics, Opioid - therapeutic use
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
anxiety
Anxiety - psychology
Biological and medical sciences
Breast Neoplasms - psychology
Breast Neoplasms - surgery
depression
Depression - psychology
Female
Humans
Local anesthesia. Pain (treatment)
Mastectomy, Modified Radical - psychology
Medical sciences
Middle Aged
Morphine - administration & dosage
Morphine - therapeutic use
Pain Measurement
Pain, Postoperative - psychology
patient-controlled analgesia
postoperative pain
Psychiatric Status Rating Scales
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Summary:Background: The present study examined the relationship between psychological variables, including anxiety, depression, and patient‐controlled analgesia (PCA) use in patients who underwent radical mastectomy. Methods: Ninety‐nine ASA I–II women with breast cancer between 18 and 60 years scheduled for modified radical mastectomy completed the state scale of the state‐trait anxiety inventory and the Beck depression inventory before the day of surgery. Standard general anesthesia, surgery, and IV‐PCA therapy was conducted. Postoperative ratings of pain intensity, opioid consumption and satisfaction with PCA were recorded for the first 24 h on the ward. The degree of pain intensity was evaluated by a visual analog scale (VAS, 1–10). Satisfaction with pain control was reported using an five‐point scale from 1 (very dissatisfied) to 5 (very satisfied). Results: The pain intensity, total analgesic consumption and dose/demand ratio were significantly related to preoperative anxiety and depression (P
ISSN:0001-5172
1399-6576
DOI:10.1034/j.1399-6576.2003.470105.x