Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Perceived Health Benefits in Vestibular Schwannoma Patients with Long-term Postoperative Headache: Insights from Personality Traits and Pain Coping – a cross-sectional study

Version 1 : Received: 11 December 2023 / Approved: 12 December 2023 / Online: 12 December 2023 (06:42:42 CET)

A peer-reviewed article of this Preprint also exists.

Thomas, M.; Führes, H.; Scheer, M.; Rampp, S.; Strauss, C.; Schönfeld, R.; Leplow, B. Perceived Health Benefits in Vestibular Schwannoma Patients with Long-Term Postoperative Headache: Insights from Personality Traits and Pain Coping—A Cross-Sectional Study. J. Pers. Med. 2024, 14, 75. Thomas, M.; Führes, H.; Scheer, M.; Rampp, S.; Strauss, C.; Schönfeld, R.; Leplow, B. Perceived Health Benefits in Vestibular Schwannoma Patients with Long-Term Postoperative Headache: Insights from Personality Traits and Pain Coping—A Cross-Sectional Study. J. Pers. Med. 2024, 14, 75.

Abstract

Postoperative headaches (POH) following retrosigmoid microsurgery for ves-tibular schwannoma (VS) can significantly diminish patients' perceived health benefits (PHB). A survey of 101 VS patients, utilizing the Rostock Headache Compendium, Glasgow Benefit Inventory, Ten-Item Personality Inventory (TI-PI-G), and German pain processing questionnaire (FESV), revealed that almost half experienced POH, leading to a markedly reduced overall PHB compared to those without POH. This decrease in PHB was linked to higher levels of pain-related helplessness, depression, anxiety, and anger. Positive associations were found between PHB and action-planning competence, cognitive restruc-turing, and experience of competence. Personality traits, particularly low emo-tional stability and openness, were associated with pain-related psychological impairment. Interestingly, hearing loss and facial paresis did not impact PHB. The study underscores the influence of pain-related mental interference and coping strategies on PHB in long-term POH patients, suggesting a role for personality traits in their pain management. The findings advocate for short-term psychological interventions, emphasizing adaptive coping mecha-nisms like cognitive restructuring, to enhance PHB in VS patients post-microsurgery.

Keywords

vestibular schwannoma; postoperative headache; microsurgery; personality traits; coping mechanisms; perceived health benefits; pain coping

Subject

Biology and Life Sciences, Behavioral Sciences

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