Optimism measured pre-operatively is associated with reduced pain intensity and physical symptom reporting after coronary artery bypass graft surgery.

Abstract:

OBJECTIVE:Optimism is thought to be associated with long-term favourable outcomes for patients undergoing coronary artery bypass graft (CABG) surgery. Our objective was to examine the association between optimism and post-operative pain and physical symptoms in CABG patients. METHODS:We assessed optimism pre-operatively in 197 adults undergoing CABG surgery, and then followed them up 6-8 weeks after the procedure to measure affective pain, pain intensity, and physical symptom reporting directly pertaining to CABG surgery. RESULTS:Greater optimism measured pre-operatively was significantly associated with lower pain intensity (β=-0.150, CI=-0.196 to -0.004, p=.042) and fewer physical symptoms following surgery (β=-0.287, CI=-0.537 to -0.036, p=.025), but not with affective pain, after controlling for demographic, clinical and behavioural covariates, including negative affectivity. CONCLUSIONS:Optimism is a modest, yet significant, predictor of pain intensity and physical symptom reporting after CABG surgery. Having positive expectations may promote better recovery.

journal_name

J Psychosom Res

authors

Ronaldson A,Poole L,Kidd T,Leigh E,Jahangiri M,Steptoe A

doi

10.1016/j.jpsychores.2014.07.018

subject

Has Abstract

pub_date

2014-10-01 00:00:00

pages

278-82

issue

4

eissn

0022-3999

issn

1879-1360

pii

S0022-3999(14)00282-7

journal_volume

77

pub_type

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