Type-D personality in patients undergoing spine surgery was associated with higher postoperative pain at 12 months compared to non-Type-D patients (β = 0.34; 95% CI 0.18-0.52; p = 0.004).
Cohort (n=200)
Does Type-D personality predict worse postoperative pain, recovery, and clinical outcomes in patients undergoing elective spine surgery?
Type-D personality is a significant predictor of worse postoperative pain, slower functional recovery, and lower satisfaction after elective spine surgery, highlighting the need for psychosocial screening.
Effect estimate: β = 0.34 (95% CI 0.18-0.52)
p-value: p=0.004
Objectives: To investigate the association between Type-D personality and pain-related outcomes in patients undergoing spine surgery, and to discuss implications for the management of chronic pain conditions. Methods: A prospective cohort of 200 patients scheduled for elective spine surgery was assessed for Type-D personality using the DS14 scale. Postoperative outcomes including pain intensity (VAS), functional recovery (ODI), complication rates, and patient satisfaction (PSI) were measured preoperatively and at 3, 6, and 12 months. Multivariate regression analyses adjusted for age, sex, surgical approach, comorbidities, and baseline health status. Results: Type-D personality was identified in 30% of patients. These individuals reported significantly higher postoperative pain, slower functional recovery, higher complication rates, and lower overall satisfaction compared to non-Type-D patients. Compared with non-Type-D patients, Type-D patients reported higher pain and slower functional recovery at 12 months (VAS β = 0.34, 95% CI 0.18–0.52, p = 0.004, Cohen’s d = 0.61; ODI β = 0.31, 95% CI 0.12–0.48, p = 0.006, d = 0.58), and lower satisfaction (PSI β = −0.36, 95% CI −0.49 to −0.20, p < 0.001, d = 0.66). Conclusions: Type-D personality is associated with worse postoperative pain and recovery. Preoperative psychological assessment and tailored interventions may improve outcomes. These findings highlight the importance of integrating psychosocial screening into pain management strategies for both spine surgery and chronic pain populations.
Riediger et al. (Fri,) conducted a cohort in elective spine surgery (n=200). Type-D personality vs. non-Type-D patients was evaluated on postoperative pain (VAS) at 12 months (β = 0.34, 95% CI 0.18-0.52, p=0.004). Type-D personality in patients undergoing spine surgery was associated with higher postoperative pain at 12 months compared to non-Type-D patients (β = 0.34; 95% CI 0.18-0.52; p = 0.004).
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