Psychosocial Factors and Psychological Interventions: Implications for Chronic Post-Surgical Pain in Pediatric Patients with Osteosarcoma

Jennifer M. Allen*, Kristin Niel, Andy Guo, Yin Su, Hui Zhang, Doralina L. Anghelescu

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

This study retrospectively investigated psychological factors contributing to chronic post-surgical pain (CPSP) in pediatric patients after limb-sparing or amputation surgery for extremity osteosarcoma. Psychological factors were identified and analyzed by the Wilcoxon rank-sum and median two-sample tests. Univariate and multivariate Cox regressions were performed using gender, age, psychological factors, and psychological interventions related to CPSP duration as covariates. Duration of pain treatment was significantly longer in patients resistant to psychological interventions (p = 0.01) than those receptive to interventions. Shorter duration of pain treatment was associated with older age (p = 0.03) and receptiveness to psychological interventions (HR = 4.19, 95% CI [1.22, 14.35]). Older age and receptiveness to psychological interventions as part of pain management care are associated with needing a shorter duration of pain treatment. Our results highlight the importance of prospective investigations evaluating motivation to engage in psychotherapy and psychological interventions and identify risk factors for CPSP in pediatric oncology.

Original languageEnglish (US)
JournalJournal of Clinical Psychology in Medical Settings
DOIs
StateAccepted/In press - 2020

Keywords

  • Chronic post-surgical pain
  • Non-pharmacological pain management
  • Pediatric oncology
  • Pediatric pain
  • Psychosocial risk factors

ASJC Scopus subject areas

  • Clinical Psychology

Fingerprint Dive into the research topics of 'Psychosocial Factors and Psychological Interventions: Implications for Chronic Post-Surgical Pain in Pediatric Patients with Osteosarcoma'. Together they form a unique fingerprint.

Cite this