{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:14:39Z","timestamp":1785521679204,"version":"3.56.0"},"reference-count":0,"publisher":"ALUNA","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiadomo\u015bci Lekarskie"],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess the impact of psychoemotional status indicators (state anxiety, trait anxiety, and depression) on the intensity and duration of postoperative\npain syndrome in patients after hysteroscopic myomectomy, and to determine their prognostic value for optimising analgesic management under conditions\nof wartime stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>Ninety reproductive-age patients with submucosal uterine fibroids were examined. Group 1 (n=62) included women living under\nwartime stress in Ukraine: subgroup 1.1 (n=32) internally displaced persons and subgroup 1.2 (n=30) residents of Kyiv. Group 2 (n=28) comprised Ukrainian\nwomen temporarily living abroad who returned to Kyiv for planned surgery. Psychoemotional status was assessed using the Spielberger\u2013Hanin and Beck\nscales, and pain using the NRS scale. Statistical analysis used nonparametric methods and ROC analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Anxiety levels differed significantly between all groups (p&lt;0.001), highest in internally displaced persons. Subgroups 1.1 and 1.2 had higher NRS\npain scores and required the maximum daily dexketoprofen dose (150 mg) compared with group 2. ROC analysis showed state anxiety strongly predicts acute\npain intensity (AUC=0.804), while depression predicts pain duration in the outpatient setting (AUC=0.860).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Wartime stress significantly modulates pain perception by lowering the pain threshold even during hysteroscopic myomectomy. State anxiety\ncorrelates with acute postoperative pain intensity, while depressive states are associated with prolonged pain and the risk of chronification. These findings\nsupport personalised analgesia that considers patients\u2019 psychoemotional profiles.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.36740\/wlek\/222586","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:04:17Z","timestamp":1785517457000},"page":"1266-1272","source":"Crossref","is-referenced-by-count":0,"title":["The impact of psychoemotional state on the intensity and nature of pain after hysteroscopic myomectomy"],"prefix":"10.36740","author":[{"given":"\u041elena O.","family":"Lytvak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliia I.","family":"Martynova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmytro O.","family":"Govsieiev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"22436","published-online":{"date-parts":[[2026,6,30]]},"container-title":["Wiadomo\u015bci Lekarskie"],"original-title":[],"link":[{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/pdf-222586-142986","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/pdf-222586-142986","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T17:04:24Z","timestamp":1785517464000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.wiadomoscilekarskie.pl\/The-impact-of-psychoemotional-state-on-the-intensity-and-nature-of-pain-after-hysteroscopic,222586,0,2.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,30]]},"references-count":0,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026]]}},"alternative-id":["222586"],"URL":"https:\/\/doi.org\/10.36740\/wlek\/222586","relation":{},"ISSN":["0043-5147","2719-342X"],"issn-type":[{"value":"0043-5147","type":"print"},{"value":"2719-342X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,30]]}}}