Optimism measured pre-operatively is associated with reduced pain intensity and physical symptom reporting after coronary artery bypass graft surgery

Amy Ronaldson · Lydia Poole · Tara Kidd · Elizabeth S. Leigh · Marjan Jahangiri · Andrew Steptoe

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Optimism, Hope, and Well-being Cancer survivorship and care Cardiac Health and Mental Health

Abstract

OBJECTIVE: Optimism is thought to be associated with long-term favourable outcomes for patients undergoing coronary artery bypass graft (CABG) surgery. Our objective was to examine the association between optimism and post-operative pain and physical symptoms in CABG patients. METHODS: We assessed optimism pre-operatively in 197 adults undergoing CABG surgery, and then followed them up 6-8 weeks after the procedure to measure affective pain, pain intensity, and physical symptom reporting directly pertaining to CABG surgery. RESULTS: Greater optimism measured pre-operatively was significantly associated with lower pain intensity (β=-0.150, CI=-0.196 to -0.004, p=.042) and fewer physical symptoms following surgery (β=-0.287, CI=-0.537 to -0.036, p=.025), but not with affective pain, after controlling for demographic, clinical and behavioural covariates, including negative affectivity. CONCLUSIONS: Optimism is a modest, yet significant, predictor of pain intensity and physical symptom reporting after CABG surgery. Having positive expectations may promote better recovery.

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1994Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test.2010Optimism 2011The optimism bias 1989Dispositional optimism and recovery from coronary artery bypass surgery: The beneficial effects on physical and psychological well-being.2009Optimism and Physical Health: A Meta-analytic Review 2007Neural mechanisms mediating optimism bias 2011The optimism bias.1999Optimism and Rehospitalization After Coronary Artery Bypass Graft Surgery

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2017Psychological Well-Being and Physical Health: Associations, Mechanisms, and Future Directions 2017Should patients be optimistic about surgery? Resolving a conflicted literature 2018Emociones, afectos, optimismo y satisfacción vital en la formación inicial del profesorado 2019A New Brief Scale to Measure Optimism 2022The role of optimism in manifesting recovery outcomes after coronary artery bypass graft surgery: A systematic review

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