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Title: The cognitive determinants of pain syndrome in patients after spinal surgery

Author:

Liberacka-Lenart, Donata

Date:

2024

Type:

Praca doktorska

Abstract:

The aim of the study was to evaluate the relationship between chronic pain and cognitive functioning in patients with low back pain and to identify cognitive risk factors associated with patient dissatisfaction and persistent postoperative pain following spinal surgery. The study was conducted as a prospective cohort study with a six-month follow-up of all consecutive patients with LBP. The cognitive functioning of patients with LBP was depressed compared to healthy controls. There were difficulties in the learning process, psychomotor speed, and in attentional and executive functions. Cognitive problems were mainly related to effortful processes. The results indicated the special role of executive functions as a cognitive determinant of pain syndrome in patients after spinal surgery. Fluency of thinking, which consists of the ease in changing strategies and generating solutions, turned out to have a direct impact on the level of patients’ satisfaction with the procedure. Deficits of higher cognitive functions also had an indirect effect on the surgery outcomes through the choice of non-adaptive, passive pain coping strategies. The results of the study indicate the importance of screening patients in the preoperative period and the inclusion of pro-cognitive training in the risk group.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

psychologia

Degree grantor:

Rada Dyscypliny Nauki o zdrowiu

Promoter:

Przewłocki, Ryszard ; Zajączkowska, Renata

Date issued:

2023

Identifier:

oai:dl.cm-uj.krakow.pl:5160

Call number:

ZB-140299

Language:

pol

Access rights:

tylko w bibliotece

Subject and keywords:

chronic pain persistent postoperative pain cognitive function pain coping strategies risk factors

Object collections:

Last modified:

Nov 14, 2024

In our library since:

Oct 8, 2024

Number of object content hits:

5

Number of object content views in PDF format

0

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/5161

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Edition name Date
ZB-140299 Nov 14, 2024

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