Relationships among pain intensity, pain-related distress, and psychological distress in pre-surgical total knee arthroplasty patients: a secondary analysis

Katherine Hadlandsmyth; Edin Sabic; M Bridget Zimmerman; Kathleen A Sluka; Keela A Herr; Charles R Clark; Nicolas O Noiseux; John J Callaghan; Katharine M Geasland; Jennie L Embree; Barbara A Rakel

doi:10.1080/13548506.2016.1189581

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Relationships among pain intensity, pain-related distress, and psychological distress in pre-surgical total knee arthroplasty patients: a secondary analysis

Journal article

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Relationships among pain intensity, pain-related distress, and psychological distress in pre-surgical total knee arthroplasty patients: a secondary analysis

Katherine Hadlandsmyth, Edin Sabic, M Bridget Zimmerman, Kathleen A Sluka, Keela A Herr, Charles R Clark, Nicolas O Noiseux, John J Callaghan, Katharine M Geasland, Jennie L Embree, …

Psychology, health & medicine, Vol.22(5), pp.552-563

06/2017

DOI: 10.1080/13548506.2016.1189581

PMCID: PMC5414582

PMID: 27216314

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Abstract

The current study aimed to examine the relationships between movement and resting pain intensity, pain-related distress, and psychological distress in participants scheduled for total knee arthroplasty (TKA). This study examined the impact of anxiety, depression, and pain catastrophizing on the relationship between pain intensity and pain-related distress. Data analyzed for the current study (N = 346) were collected at baseline as part of a larger Randomized Controlled Trial investigating the efficacy of TENS for TKA (TANK Study). Participants provided demographic information, pain intensity and pain-related distress, and completed validated measures of depression, anxiety, and pain catastrophizing. Only 58% of the sample reported resting pain >0 while 92% of the sample reported movement pain >0. Both movement and resting pain intensity correlated significantly with distress (r = .86, p < .01 and .79, p < .01, respectively). About three quarters to two thirds of the sample (78% for resting pain and 65% for movement pain) reported different pain intensity and pain-related distress. Both pain intensity and pain-related distress demonstrated significant relationships with anxiety, depression, and catastrophizing. Of participants reporting pain, those reporting higher anxiety reported higher levels of distress compared to pain intensity. These findings suggest that anxious patients may be particularly distressed by movement pain preceding TKA. Future research is needed to investigate the utility of brief psychological interventions for pre-surgical TKA patients.

Transcutaneous Electric Nerve Stimulation

Cross-Sectional Studies

Humans

Middle Aged

Anxiety - psychology

Male

Osteoarthritis, Knee - therapy

Arthralgia - physiopathology

Stress, Psychological - psychology

Randomized Controlled Trials as Topic

Osteoarthritis, Knee - psychology

Depression - psychology

Arthroplasty, Replacement, Knee

Female

Aged

Osteoarthritis, Knee - physiopathology

Pain Measurement

Hospitals, Veterans

Arthralgia - therapy

Arthralgia - psychology

Catastrophization - psychology

Details

Title: Subtitle: Relationships among pain intensity, pain-related distress, and psychological distress in pre-surgical total knee arthroplasty patients: a secondary analysis
Creators: Katherine Hadlandsmyth - a College of Nursing , The University of Iowa , Iowa City , IA , USA
Edin Sabic - a College of Nursing , The University of Iowa , Iowa City , IA , USA
M Bridget Zimmerman - b College of Public Health, Department of Biostatistics , University of Iowa , Iowa City , IA , USA
Kathleen A Sluka - c College of Medicine, Department of Physical Therapy and Rehabilitation Science , University of Iowa , Iowa City , IA , USA
Keela A Herr - a College of Nursing , The University of Iowa , Iowa City , IA , USA
Charles R Clark - d College of Medicine, Department of Orthopedics and Rehabilitation , University of Iowa , Iowa City , IA , USA
Nicolas O Noiseux - d College of Medicine, Department of Orthopedics and Rehabilitation , University of Iowa , Iowa City , IA , USA
John J Callaghan - d College of Medicine, Department of Orthopedics and Rehabilitation , University of Iowa , Iowa City , IA , USA
Katharine M Geasland - c College of Medicine, Department of Physical Therapy and Rehabilitation Science , University of Iowa , Iowa City , IA , USA
Jennie L Embree - a College of Nursing , The University of Iowa , Iowa City , IA , USA
Barbara A Rakel - a College of Nursing , The University of Iowa , Iowa City , IA , USA
Resource Type: Journal article
Publication Details: Psychology, health & medicine, Vol.22(5), pp.552-563
DOI: 10.1080/13548506.2016.1189581
PMID: 27216314
PMCID: PMC5414582
NLM abbreviation: Psychol Health Med
ISSN: 1354-8506
eISSN: 1465-3966
Publisher: England
Grant note: R01 NR009844 / NINR NIH HHS T32 NS045549 / NINDS NIH HHS
Language: English
Date published: 06/2017
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Psychiatry; Clinical Research Unit; Nursing Administration and Gen; Iowa Neuroscience Institute; Biostatistics; Orthopedics and Rehabilitation; Nursing; Anesthesia; Physical Therapy and Rehabilitation Science; Neuroscience and Pharmacology
Record Identifier: 9983997455502771

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