[Psychological prophylaxis training for coping with postoperative pain. Long-term effects].

Area of Science:

• Psychology
• Pain Management
• Surgical Recovery

Background:

• Postoperative pain and psychological distress are common after surgery.
• Effective coping strategies are crucial for recovery.
• Multidimensional psychological prophylaxis training addresses cognitive-emotional pain.

Purpose of the Study:

• To investigate the impact of psychological prophylaxis training on recovery post-surgery.
• To assess the long-term effects (12 months) of coping with cognitive-emotional pain.
• To evaluate pain intensity, disability, anxiety, catastrophizing, and hypervigilance.

Main Methods:

• 48 young male patients undergoing chest malformation surgery were studied.
• A training group received multidimensional psychological prophylaxis.
• Patients were assessed pre-surgery and at 1, 3, 6, and 12 months post-surgery.

Main Results:

• The training group showed significantly higher improvement rates.
• This included reduced acute pain intensity and 3-month pain disability.
• Pain anxiety was significantly lower in the training group at 12 months.

Conclusions:

• Psychological prophylaxis training offers a protective effect against long-term surgery-related consequences.
• It aids in the long-term management of pain and psychological distress.
• The control group experienced a resurgence of pain anxiety, potentially linked to implant removal.