Psychological factors associated with pain 24 hours post-tooth extraction

作者: K Enomoto

DOI:

关键词: DistressMoodAnalgesicOral and maxillofacial surgeryDental fearClinical psychologyPain catastrophizingAnxietyDental surgeryMedicine

摘要: Background: There is a considerable variation in dental patients’ post-operative pain experience and analgesic requirements following identical surgical procedures. This has been related to variety of psychological factors. Pain one the most commonly cited factors that strongly associated with fear. Surgical removal third molar, common procedure oral surgery generally dread, received limited research attention. It is, therefore, essential understand likely influence patients such stressful setting. Such an understanding will not only help cope fear pain, but also assist clinicians create less environment. study investigated predicting heightened perception tooth extraction: anxiety; control; catastrophizing; expectation pain; social desirability (defensiveness); trait anxiety monitor-blunter style coping. Methods: The sample consisted 306 participants (144 male 162 female aged between 18 62 years mean age 31.82) who were referred by their local practitioners for tooth/teeth under anaesthetic at unit Oral Maxillofacial UCL Eastman Dental Institute. which needed extraction molars. variables measured four different time points: on recruitment (baseline: T0), before (T1), after (T2) day (T3) surgery. assessed were: desirability; coping; sensory intensity affective quality state mood states. After surgery, surgeons rated complexity distress levels. 7 Results: was found 24 hours post-tooth best predicted levels expected together post-surgery anxiety, pain. Expected turn, monitoring felt (perceived) control (i.e., predictors). Moreover, be precursor all predictors. Furthermore, catastrophizing did make primary Nevertheless, it contributed sequentially helped intensify In addition, revealed underevaluated treatment

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