ArticleBMC women's health2025
Factors influencing surgical anxiety and postoperative pain: a comprehensive evaluation of psychological and gynecological determinants.
Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The role of lidocaine spray in reducing pain during intrauterine device insertion.BMC women's health · 2026Trial
- The impact of perioperative neck stretching exercises on post-thyroidectomy neck discomfort, voice, and quality of life: a randomized controlled trial.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Trial
- The mediating role of illness perception between Type D personality and psychological distress in preoperative patients with gynecologic cancers: A cross-sectional study.Asia-Pacific journal of oncology nursing · 2026Article
- The effect of preoperative fear and anxiety on postoperative pain in surgical patients: a descriptive and correlational study.Irish journal of medical science · 2026Article
- Influence of perioperative nursing under the RCA-PDCA model on sleep and quality of life in patients undergoing gynecological surgery.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Perioperative Anxiety in Adults: A Narrative Review of Pathophysiology, Assessment, and Multimodal Management Strategies.Healthcare (Basel, Switzerland) · 2026Review
- Article
- Multimodal analgesia in resource-limited settings: A comparative analysis of postoperative pain management strategies in Pakistan.PLOS global public health · 2025Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative pain is a persistent challenge in gynecological surgery, influenced by psychological and clinical factors. Surgical anxiety, a critical preoperative psychological state, is shaped by underlying psychological conditions that can affect pain experiences during recovery. This study aimed to explore the psychological factors contributing to surgical anxiety and their interaction with postoperative pain outcomes, focusing on anxiety, psychological distress, and general gynecological status.
methodsA cross-sectional study was conducted with 114 women undergoing gynecological surgery at a tertiary care hospital. Data collection included demographic and clinical characteristics, along with psychological assessments using the surgical anxiety questionnaire, Kessler psychological distress scale, and general health questionnaire-12. Postoperative pain was evaluated using the American Pain Society Patient Outcome Questionnaire-Revised and the Postoperative Pain Assessment Tool-Day 1/7. Statistical analyses involved correlation tests, group comparisons, and structural equation modeling (SEM).
resultsPsychological distress and general health were significant predictors of surgical anxiety. Higher levels of surgical anxiety were associated with increased psychosocial impacts on postoperative pain, particularly in activity interference and self-care. SEM analysis revealed moderate indirect effects of surgical anxiety on pain outcomes through psychological distress, while direct effects on pain were minimal.
conclusionsPreoperative assessments of psychological distress and general health are essential for understanding surgical anxiety and its nuanced impact on postoperative pain. Tailored pain management strategies that address both psychological and clinical factors may enhance recovery and patient satisfaction following gynecological surgery.
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