Anxiety and Pain Expectation: Effects on Day Surgery Recovery

  • Research type

    Research Study

  • Full title

    The Effects of Preoperative Anxiety and Pain Expectation on Recovery from Day Surgery

  • IRAS ID

    179952

  • Contact name

    Menno L Verburg

  • Contact email

    menno.verburg@nhs.net

  • Sponsor organisation

    NHS Highland R&D

  • Duration of Study in the UK

    0 years, 3 months, 1 days

  • Research summary

    There is an increased drive towards day-case surgery, because of its well documented advantages, both for patients and NHS. A proportion of the population suffers from general anxiety. There is evidence to show that anxiety and expectations of pain affect the experience of pain. This project aims to establish the prevalence of generalised anxiety in this Highlands day-case population and whether generalised anxiety and pain expectation affect recovery from day-case surgery. For this study one hundred adult patients listed for day-case surgery would be invited to participate. By means of brief questionnaires, the levels of generalised anxiety, present pain, expectation and situational anxiety would be measured preoperatively. Post operatively, pain, use and side effects of medication would be measured with a brief questionnaire, before discharge. One week later the patient would be telephoned to answer the same post-operative questionnaire, assessing pain, analgesic use, side effects, readmission and A&E or GP visits. If it were found that anxiety has a negative effect on recovery from day-case surgery, patients could be assessed routinely for their level of general anxiety during their preoperative-assessment. If the level of anxiety was found to be high, measures could then be taken to alleviate its effects, such as, for instance, the development and introduction of psychosocial interventions that may help to mitigate pain expectation.additional preoperative anaesthetic input, bespoke information or premedication.

  • REC name

    London - Bloomsbury Research Ethics Committee

  • REC reference

    16/LO/0174

  • Date of REC Opinion

    27 Jan 2016

  • REC opinion

    Favourable Opinion