Korean J Psychosom Med.
2018 Jun;26(1):68-75. 10.22722/KJPM.2018.26.1.68.
The Effect of Psychological Factors on Postoperative Pain in Gastric Tumor Patients after Endoscopic Submucosal Dissection
- Affiliations
-
- 1Department of Psychiatry, National Health Insurance Service Ilsan Hospital, Goyang, Korea. psy.ilsan@nhimc.or.kr
- 2Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
- 3Yonsei Hana Psychiatry Clinic and Institute of Mental Health, Goyang, Korea. psyconsult@naver.com
- 4Department of Psychiatry and Institute of Behavioral Science in Medicine, Yonsei University College of Medicine, Seoul, Korea.
- 5Department of Psychiatry, Konyang University Hospital, Daejeon, Korea.
- KMID: 2437725
- DOI: http://doi.org/10.22722/KJPM.2018.26.1.68
Abstract
OBJECTIVES
Since pain in cancer patients is an important factor that greatly affects the quality of life and prognosis, many attempts have been actively made to reduce the pain. Despite continuous effort on reducing pain after Endoscopic submucosal dissection (ESD), research has not been done on psychological factors as much as on biological factors affecting pain. The objective of this study is to investigate the psychological factors affecting postoperative pain in gastric tumor patients who underwent gastric ESD.
METHODS
91 gastric tumor patients who visited National Health Service Ilsan Hospital in Korean between May 2015 and June 2016, and received ESD were evaluated. Baseline characteristics including sociodemographic factors, anxiety, depression, and resilience were evaluated before the procedure. Multivariate logistic regression was done to analyze factors affecting postoperative pain.
RESULTS
The group with high postoperative pain showed lower alcohol consumption and higher depressive symptom scores than the group with low postoperative pain. Also, the group with high postoperative pain showed lower total resilience score with lower subtotal scores in self-control and positive item. Multivariate logistic regression analysis of the postoperative pain showed that patients with lower score in self-control of resilience [odd ratio (OR), 0.911 ; 95% CI, 0.854-0.971, p=0.004) reported more pain after ESD.
CONCLUSIONS
This study showed that patients with lower self-control ability of resilience felt more pain after ESD. Among the psychological factors evaluated in this study, resilience of an individual seems to have effect on pain.
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