{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:08:51Z","timestamp":1792786131659,"version":"4.5.0"},"reference-count":62,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T00:00:00Z","timestamp":1697155200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Catalan Board of Physical Therapists","award":["R05\/19"],"award-info":[{"award-number":["R05\/19"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Chronic postsurgical pain (CPSP) is a significant adverse effect shown in around 20% of people who had undergone a knee arthroplasty (KA). Psychological risk factors have emerged as significant and potentially modifiable risk factors for its development. However, there is still little evidence when assessing these factors during the acute postoperative period. This study aimed to assess the predictive value of postoperative pain catastrophizing, pain-related fear of movement, anxiety, depression, and pain attitudes in developing CPSP after KA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 6-month follow-up prospective observational study design was used. The study sample comprised 115 people who underwent a KA due to painful primary osteoarthritis. Measures of pain catastrophizing, pain-related fear of movement, anxiety, depression, and pain attitudes were obtained 1\u00a0week after surgery. CPSP was set at an intensity of \u226530 using a 100-mm visual analog scale at 3 and 6\u00a0months after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Analysis revealed that baseline pain intensity, pain catastrophizing, pain-related fear of movement, anxiety, depression, and maladaptive pain attitudes were significant predictors of chronic pain at 3 and 6\u00a0months after surgery in a univariate analysis. However, at 3\u00a0months after surgery, only pain intensity and pain catastrophizing were predictors in the final multivariate model forecasting disturbing pain. Moreover, 6\u00a0months after surgery, pain intensity and distrust in medical procedures remained independent predictors. Most of the psychological factors can be grouped into a single dimension defined as pain-related psychological distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results suggest that postoperative pain intensity, pain catastrophizing, and pain attitudes are independent predictors for CPSP after KA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Postoperative cognitive and emotional factors should be considered alongside pain intensity during postoperative rehabilitation after KA because they could influence the development of CPSP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ptj\/pzad141","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T14:34:57Z","timestamp":1697034897000},"source":"Crossref","is-referenced-by-count":19,"title":["Postoperative Psychological Predictors for Chronic Postsurgical Pain After a Knee Arthroplasty: A Prospective Observational Study"],"prefix":"10.1093","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2696-9683","authenticated-orcid":false,"given":"Marc","family":"Terradas-Monllor","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences and Welfare, University of Vic\u2014Central University of Catalonia (UVic-UCC), C. Sagrada Fam\u00edlia , Vic , Spain"},{"name":"Research Group on Methodology , Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, , Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), C. Sagrada Fam\u00edlia, Vic , Spain"},{"name":"Center for Health and Social Care Research (CESS), University of Vic\u2014Central University of Catalonia (UVIC-UCC) , Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, , Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), C. Sagrada Fam\u00edlia, Vic , Spain"},{"name":"Anaesthesiology Department , Pain Medicine Section, , Barcelona , Spain"},{"name":"Hospital Clinic de Barcelona , Pain Medicine Section, , Barcelona , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2734-2196","authenticated-orcid":false,"given":"Miguel A","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Faculty of Psychology, Universidad Aut\u00f3noma de Madrid , Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1101-9677","authenticated-orcid":false,"given":"Mirari","family":"Ochandorena-Acha","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Welfare, University of Vic\u2014Central University of Catalonia (UVic-UCC), C. Sagrada Fam\u00edlia , Vic , Spain"},{"name":"Research Group on Methodology , Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, , Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), C. Sagrada Fam\u00edlia, Vic , Spain"},{"name":"Center for Health and Social Care Research (CESS), University of Vic\u2014Central University of Catalonia (UVIC-UCC) , Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, , Institute for Research and Innovation in Life Sciences and Health in Central Catalonia (IRIS-CC), C. 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