Kristin L. Schreiber, MD, PhD, assistant professor of anesthesia at Harvard Medical School in Boston, Massachusetts, and senior author of the report, believes their new study advances the understanding of this complex issue. “While we may not be the first people to show these associations,... bringing it forward in a prospectively measured way is relatively new. I think it could be a new concept for many surgeons who have traditionally focused on what they’ve done surgically, and how that impacts pain afterwards, rather than considering the patient’s individual characteristics that might make them more susceptible to developing chronic pain.” Dr. Schreiber, a neuroscientist in the department of anesthesiology, perioperative and pain medicine at Brigham and Women’s Hospital in Boston, says one question she and her colleagues wanted to address is whether preoperative depression and anxiety are risk factors for developing chronic pain (defined in this study as a pain severity of at least 4 on a scale of 0 to 10 at 6 months). “Knowing this could allow these psychosocial traits to be used as markers to help predict who would have higher risk of long-term pain, and possibly treat them differently in the perioperative period.”

中文翻译：

---

围手术期管理可能会减少乳腺癌手术后的疼痛

该报告的资深作者、马萨诸塞州波士顿哈佛医学院麻醉学助理教授、医学博士、医学博士克里斯汀 L.施赖伯认为，他们的新研究促进了对这一复杂问题的理解。“虽然我们可能不是第一个展示这些关联的人，......以前瞻性的方式提出它是相对较新的。我认为对于许多传统上专注于他们所做的手术以及手术后疼痛如何影响的外科医生来说，这可能是一个新概念，而不是考虑可能使他们更容易患上慢性疼痛的患者的个体特征。” Schreiber 博士是波士顿布莱根妇女医院麻醉科、围手术期和疼痛医学科的神经科学家，说她和她的同事想要解决的一个问题是术前抑郁和焦虑是否是发生慢性疼痛的危险因素（在本研究中定义为 6 个月时疼痛严重程度至少为 4，范围为 0 到 10）。“知道这一点可以让这些社会心理特征被用作标记，以帮助预测谁有更高的长期疼痛风险，并可能在围手术期以不同的方式对待他们。”