Abstract

Several studies have investigated clinical, psychological, and patient characteristic variables associated with post-total knee arthroplasty pain; of those studies, many have cited pain catastrophizing as a potential predictor of postsurgical pain. The aim of this study was to quantify the effect pain catastrophizing has on post-TKA pain via a meta-analysis of related studies published 2013-2017. Nine articles involving 1,077 patients were selected based on requirements of pre-surgical catastrophizing measure and post-surgical pain measure, data reporting, and surgery type. Reported measures for all included studies were used to calculate effect size for pain catastrophizing as a predictor of post-TKA pain. Moderators of pain and pain catastrophizing were separated to determine if significance was influenced by type of catastrophizing or pain measure; type of catastrophizing measure included the Pain Catastrophizing Scale and Coping Strategies Questionnaire, and pain measures included the WOMAC pain scale, Brief Pain Inventory, and 5-m walk test. Pain as a function of BMI, age, and pre-surgical pain was also investigated. The meta-analysis concluded that pain catastrophizing is a significant predictor of post-TKA pain. BMI, age, and pre-surgical pain are all significant predictors of pain, as well. Mindfulness-Based Stress Reduction is explored as a clinical technique for resolving pain catastrophizing to potentially diminish pain following TKA. Future studies should investigate pain catastrophizing as a predictor of postsurgical pain for additional surgery types.

Semester/Year of Award

Spring 2018

Mentor

Matthew P. Winslow

Mentor Professional Affiliation

Psychology

Access Options

Restricted Access Thesis

Document Type

Bachelor Thesis

Degree Name

Honors Scholars

Degree Level

Bachelor's

Department

Chemistry

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