Remembering the pain of surgery 1 year later: a longitudinal examination of anxiety in children's pain memory development

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dc.contributor.authorNoel, Melanie
dc.contributor.authorRosenbloom, Brittany N.
dc.contributor.authorPavlova, Maria
dc.contributor.authorCampbell, Fiona
dc.contributor.authorIsaac, Lisa A.
dc.contributor.authorPagé, M. Gabrielle
dc.contributor.authorStinson, Jennifer N.
dc.contributor.authorKatz, Joel D.
dc.date.accessioned2020-05-19T14:17:19Z
dc.date.available2020-05-19T14:17:19Z
dc.date.issued2019-01
dc.description.abstractChildren who develop greater negatively-biased recall of pain (ie, recalled pain is higher than the initial pain report) following surgery are at risk for developing chronic pain; therefore, identifying risk factors for the development of biased pain memories is important. Higher anxiety has been implicated in the development of greater negatively-biased recall of pain; however, studies have not examined anxiety at multiple time points before and after a surgery and its relationship to children's post-surgical pain memories after 1 year. This prospective study examined a cohort of 237 children and adolescents undergoing major surgery. Anxiety sensitivity, pain catastrophizing, and pain anxiety were assessed at baseline, 48 to 72 hours after surgery, and at 6- and 12-month follow-ups. Pain intensity at rest, movement-evoked pain intensity, and pain unpleasantness were assessed daily in hospital. Memories for pain were elicited via telephone 1-year post-surgery. Findings revealed that children who had higher levels of anxiety at baseline and 48 to 72 hours after surgery developed greater negatively-biased recall of pain intensity 12 months after surgery. Specifically, higher anxiety sensitivity at baseline and greater tendencies to catastrophize about pain at baseline and in the immediate acute recovery phase were most strongly linked to greater negatively-biased recall of pain. Greater negatively-biased recall of pain was related to higher pain intensity at 6 and 12 months post-surgery. Findings support conceptual models of anxiety and pain memory biases and can inform intervention efforts to reduce anxiety in the pre- and post-op periods to minimize negative biases in pain memories.en_US
dc.identifier.citationNoel, M., Rosenbloom, B. N., Pavlova, M., Campbell, F., Isaac, L. A., Pagé, M. G., Stinson, J. N., & Katz, J. D. (2019). Remembering the pain of surgery 1 year later: a longitudinal examination of anxiety in children's pain memory development. "Pain". 2019. pp. 1-43. http://dx.doi.org/10.1097/j.pain.0000000000001582en_US
dc.identifier.doihttp://dx.doi.org/10.1097/j.pain.0000000000001582en_US
dc.identifier.urihttp://hdl.handle.net/1880/112073
dc.language.isoengen_US
dc.publisherInternational Association for the Study of Painen_US
dc.publisher.departmentPsychologyen_US
dc.publisher.facultyArtsen_US
dc.publisher.hasversionacceptedVersionen_US
dc.publisher.institutionUniversity of Calgaryen_US
dc.rightsUnless otherwise indicated, this material is protected by copyright and has been made available with authorization from the copyright owner. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.titleRemembering the pain of surgery 1 year later: a longitudinal examination of anxiety in children's pain memory developmenten_US
dc.typejournal articleen_US
ucalgary.item.requestcopytrueen_US
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