000161751 001__ 161751
000161751 005__ 20251017144554.0
000161751 0247_ $$2doi$$a10.1097/EJA.0000000000002157
000161751 0248_ $$2sideral$$a144371
000161751 037__ $$aART-2025-144371
000161751 041__ $$aeng
000161751 100__ $$aCastaño-Asins, Juan R.
000161751 245__ $$aEffectiveness of peri-operative psychological interventions for the reduction of postsurgical pain intensity, depression, anxiety and pain catastrophising
000161751 260__ $$c2025
000161751 5060_ $$aAccess copy available to the general public$$fUnrestricted
000161751 5203_ $$aBackground: Evidence suggests that psychological interventions during the peri-operative period can help reduce the development of chronic postsurgical pain (CPSP); however, there is no evidence of their effects on other important pain-related variables.
Objectives: This systematic review and meta-analysis evaluated the effectiveness of peri-operative psychological interventions for the reduction of postsurgical pain intensity, depression, anxiety, stress and pain catastrophising.
Study design: Systematic review of randomised controlled trials (RCTs) with meta-analyses (registration number: CRD42023403384). The search for studies was carried out in Web of Science, PsychINFO, MEDLINE and CINAHL up to March 2023.
Eligibility criteria: RCTs comparing peri-operative psychological interventions with usual care or nonpsychological control interventions in adult patients with any type of surgery. The main outcome was pain intensity reduction after surgery. Secondary outcomes included patient-reported depression, anxiety, stress and pain catastrophising after surgery.
Results: Twenty-seven RCTs (psychological intervention: 1462 patients; control: 1528 patients) were included in the systematic review and 17 studies for the meta-analysis. Random-effect models were used to combine the effect sizes of the studies. Compared with usual care or control interventions, psychological interventions reduced pain intensity, d = -0.45 95% CI, (-0.77 to -0.13) and anxiety, d = -0.33 95% CI, (-0.54 to -0.11) after surgery. Moderator analyses revealed that psychological interventions delivered by a psychologist were more effective than those delivered by other professionals. CBT seemed the most beneficial for surgical patients. The findings in other moderator analyses were heterogeneous.
Conclusions: Moderate-quality evidence exists that peri-operative psychological interventions can significantly reduce pain intensity and anxiety postsurgery. However, results should be interpreted with caution because of the presence of a high risk of bias in many trials.
000161751 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/CB06-02-1010$$9info:eu-repo/grantAgreement/ES/ISCIII/CIBERESP/CB22-02-00052
000161751 540__ $$9info:eu-repo/semantics/embargoedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000161751 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000161751 700__ $$0(orcid)0000-0002-2116-9257$$aBarceló-Soler, Alberto$$uUniversidad de Zaragoza
000161751 700__ $$aRoyuela-Colomer, Estíbaliz
000161751 700__ $$aSanabria-Mazo, Juan P.
000161751 700__ $$aGarcía, Vanesa
000161751 700__ $$aNeblett, Randy
000161751 700__ $$aBulbena, Antonio
000161751 700__ $$aPérez-Solà, Víctor
000161751 700__ $$aMontes-Pérez, Antonio
000161751 700__ $$aUrrútia, Gerard
000161751 700__ $$aFeliu-Soler, Albert
000161751 700__ $$aLuciano, Juan V.
000161751 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac
000161751 773__ $$g42, 7 (2025), 609-625$$pEur. j. anaesthesiol.$$tEUROPEAN JOURNAL OF ANAESTHESIOLOGY$$x0265-0215
000161751 8564_ $$s1212155$$uhttps://zaguan.unizar.es/record/161751/files/texto_completo.pdf$$yPostprint$$zinfo:eu-repo/date/embargoEnd/2026-08-01
000161751 8564_ $$s1258520$$uhttps://zaguan.unizar.es/record/161751/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint$$zinfo:eu-repo/date/embargoEnd/2026-08-01
000161751 909CO $$ooai:zaguan.unizar.es:161751$$particulos$$pdriver
000161751 951__ $$a2025-10-17-14:12:38
000161751 980__ $$aARTICLE