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Psychosomatic Medicine 30:826-836 (1968)
© 1968 American Psychosomatic Society

An Approach to the Measurement of the Pain and Anxiety Responses of Surgical Patients

FRANCES L. DREW M.D.C.M., M.P.H.1, RICHARD W. MORIARTY M.D.1, and ALVIN P. SHAPIRO M.D.1

1 Departments of Preventive Medicine and Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pa.

Supportive drug use in hospitals (narcotics, analgesics, sedatives, and tranquilizers) varies with a number of factors, among which are pain and anxiety. Two hundred-fifty consecutive postoperative patients were categorized in their recovery room behavior according to the amount of pain expressed. This grouping proved to be a good indicator for the use of all supportive drugs during the first postoperative week. Surgical procedures associated with the highest drug use were the same in our study as among others. This population was then compared with 150 consecutive patients with detached retina on whom photocoagulation was performed. Though this procedure is considered relatively painless, its anxiety component is high. More of the categories of supportive drugs were used on all postoperative days than among the general surgical patients. Supportive drug use after operation reflects both pain and anxiety but is not a good differentiator between the two.

Submitted on April 15, 1968




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