{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T19:47:18Z","timestamp":1790970438655,"version":"4.1.0"},"reference-count":51,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T00:00:00Z","timestamp":1637193600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Stress, anxiety, and post-surgical chest pain are common problems among patients with thoracic surgical pathology. The way in which psychological distress is managed\u2014the coping style\u2014can influence the postsurgical evolution and quality of life of patients. In our study, we monitored the influence of coping style on patients\u2019 anxiety and the intensity of post-operative chest pain. We conducted a cross-sectional study on 90 subjects with thoracic surgical pathology. One month after their surgeries, patients completed the following scales and questionnaires, translated, adapted, and validated for the Romanian population: COPE scale inventory, Generalized Anxiety Disorder-7 Questionnaire, McGill Pain Questionnaire, and Numeric Pain Rating Scale. Anxiety (evaluated using the Generalized Anxiety Disorder-7 Questionnaire) and postoperative thoracic pain intensity (evaluated by means of the Numeric Pain Rating Scale, Number of Words Chosen, and McGill Pain Questionnaire) were significantly higher in patients exhibiting social-focused coping than in patients presenting emotion-focused or problem-focused coping as their main coping style (Kruskal\u2013Wallis, p = 0.028, p = 0.022, p = 0.042, p = 0.007). In our study, there were no differences observed in pain intensity relative to level of anxiety. Coping style is an important concept in the management of anxiety and pain experienced by patients undergoing chest surgery. Therefore, a multidisciplinary approach should be considered in clinical practice.<\/jats:p>","DOI":"10.3390\/jpm11111221","type":"journal-article","created":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T08:53:56Z","timestamp":1637225636000},"page":"1221","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Coping, Anxiety, and Pain Intensity in Patients Requiring Thoracic Surgery"],"prefix":"10.3390","volume":"11","author":[{"given":"Elisei Moise","family":"Hasan","sequence":"first","affiliation":[{"name":"Clinic of Thoracic Surgery, Emergency Clinical Municipal Hospital Timi\u0219oara, Gheorghe Dima Street No. 5, 300079 Timi\u0219oara, Romania"},{"name":"University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square No. 2, 300041 Timi\u0219oara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7304-9716","authenticated-orcid":false,"given":"Crenguta Livia","family":"Calma","sequence":"additional","affiliation":[{"name":"Discipline of Physiology, Department of Functional Sciences, Center of Immuno-Physiology (CIFBIOTEH), \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square No. 2, 300041 Timi\u0219oara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9630-4727","authenticated-orcid":false,"given":"Anca","family":"Tudor","sequence":"additional","affiliation":[{"name":"Discipline of Biostatistics and Medical Informatics, Department of Functional Sciences, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square No. 2, 300041 Timi\u0219oara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2083-0581","authenticated-orcid":false,"given":"Cristian","family":"Oancea","sequence":"additional","affiliation":[{"name":"Discipline of Pneumology, Department of Infectious Diseases, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square No. 2, 300041 Timi\u0219oara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Voicu","family":"Tudorache","sequence":"additional","affiliation":[{"name":"Discipline of Pneumology, Department of Infectious Diseases, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square No. 2, 300041 Timi\u0219oara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5222-6237","authenticated-orcid":false,"given":"Ioan Adrian","family":"Petrache","sequence":"additional","affiliation":[{"name":"Clinic of Thoracic Surgery, Emergency Clinical Municipal Hospital Timi\u0219oara, Gheorghe Dima Street No. 5, 300079 Timi\u0219oara, Romania"},{"name":"First Discipline of Surgical Semiology, First Department of Surgery, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square No. 2, 300041 Timi\u0219oara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuela","family":"Tudorache","sequence":"additional","affiliation":[{"name":"Discipline of Pneumology, Department of Infectious Diseases, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square No. 2, 300041 Timi\u0219oara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0963-8222","authenticated-orcid":false,"given":"Ion","family":"Papava","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry, Department of Neuroscence, NEUROPSY-COG Center for Cognitive Research in Neuropsychiatric Pathology, \u201cVictor Babe\u0219\u201d University of Medicine and Pharmacy Timi\u0219oara, Eftimie Murgu Square No. 2, 300041 Timi\u0219oara, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1146\/annurev.clinpsy.1.102803.144141","article-title":"Stress and health: Psychological, behavioral, and biological determinants","volume":"1","author":"Schneiderman","year":"2005","journal-title":"Annu. 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