Psychological Distress in Candidates for Surgery: a Comparative Study Between Patients with Chronic and Acute Diseases
Abstract
Background: Preoperative psychological distress, including anxiety, stress, and depression, is an important issue in psychological pathology. It is of double importance among vulnerable groups such as patients with incurable chronic diseases (such as breast cancer) and simple diseases (such as cholecystitis). We assessed the development of anxiety and stress symptoms in two groups undergoing surgery; breast cancer patients and patients undergoing cholecystectomy. Methods: In a causal-comparative study, 30 participants were selected consecutively from a list of candidates for mastectomy and were compared with 30 patients undergoing cholecystectomy in terms of psychological distress. All samples completed the Depression, Anxiety, and Stress Scales-21 (DASS-21). Results: Our results showed that the average scores of stress (P < .000F=1/71), anxiety (P< .000F=117/556), and depression (P < .000F=3/41) were higher in patients with breast cancer surgery (mastectomy) than in those undergoing cholecystectomy surgery. Conclusions: Patients themselves have significant effects on the level of their stress. So, in this study, we attempted to examine the effects of stress and anxiety on people before surgery.
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17. Ghoneim MM, O’Hara MW. Depression and postoperative complications: an overview. BMC surgery. 2016;16(1):5.
18. Oei TP, Sawang S, Goh YW, Mukhtar F. Using the depression anxiety stress scale 21 (DASS-21) across cultures. International Journal of Psychology. 2013;48(6):1018-29.
19. Rees S, Young A. The experiences and perceptions of women diagnosed with breast cancer during pregnancy. Asia-Pacific journal of oncology nursing. 2016;3(3):252.
20. Chopra D, De La Garza R. Depressive, anxiety, and distress symptoms among cancer patients who endorse appearance problems. Palliative & supportive care. 2019;17(3):328-32.
21. Fingeret MC, Hutcheson KA, Jensen K, Yuan Y, Urbauer D, Lewin JS. Associations among speech, eating, and body image concerns for surgical patients with head and neck cancer. Head & neck. 2013;35(3):354-60.
22. Lovibond S, Lovibond P. Manual for the depression anxiety stress scales. 1995. Sydney: Psychology Foundation. 2005;2.
23. Jabłoński MJ, Mirucka B, Streb J, Słowik AJ, Jach R. Exploring the relationship between the body self and the sense of coherence in women after surgical treatment for breast cancer. Psycho‐oncology. 2019;28(1):54-60.
24. DeVita VT, Hellman S, Rosenberg SA. Cancer: principles & practice of oncology: Lippincott-Raven; 1997.
25. Mahdavi A, Jenaabadi H, Mosavimoghadam SR, Langari SSS, Lavasani MG, Madani Y. Relationship Between Mental, Existential, and Religious Well being and Death Anxiety in Women With Breast Cancer. Archives of Breast Cancer. 2019.
2. Sigdel S. Perioperative anxiety. Clin Trials Patent. 2015;1(1):2.
3. Alves MLM, Pimentel AJ, Guaratini ÁA, Marcolino JÁM, Gozzani JL, Mathias LAdST. Ansiedade no período pré-operatório de cirurgias de mama: estudo comparativo entre pacientes com suspeita de câncer e a serem submetidas a procedimentos cirúrgicos estéticos. Revista Brasileira de Anestesiologia. 2007;57(2):147-56.
4. Kraft M. Holistic issues in the preoperative period. International anesthesiology clinics. 2002;40(2):201-12.
5. What can help relieve anxiety before surgery? : Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006 [Available from: https://www.ncbi.nlm.nih.gov/books/NBK279557/.
6. Mackenzie J. Daycase anaesthesia and anxiety A study of anxiety profiles amongst patients attending a Day Bed Unit. Anaesthesia. 1989;44(5):437-40.
7. Magalhães Filho LLd, Segurado A, Marcolino JAM, Mathias LAdST. Impacto da avaliação pré-anestésica sobre a ansiedade e a depressão dos pacientes cirúrgicos com câncer. Revista Brasileira de Anestesiologia. 2006;56(2):126-36.
8. Schag CA, Heinrich RL. Anxiety in medical situations: adult cancer patients. Journal of clinical psychology. 1989;45(1):20-7.
9. Razavi D, Stiefel F. Common psychiatric disorders in cancer patients. Supportive care in cancer. 1994;2(4):223-32.
10. Breitbart W. Identifying patients at risk for, and treatment of major psychiatric complications of cancer. Supportive care in cancer. 1995;3(1):45-60.
11. GJ B. Ansiedade no paciente com câncer. Disponível em: Psiqweb 2004 [Available from: http://gballone.sites.uol.com.br/psicossomatica/cancer2.html.
12. Carroll BT, Kathol RG, Noyes Jr R, Wald TG, Clamon GH. Screening for depression and anxiety in cancer patients using the Hospital Anxiety and Depression Scale. General hospital psychiatry. 1993;15(2):69-74.
13. Frederick L, Page DL, Fleming ID, Fritz AG, Balch CM, Haller DG, et al. AJCC cancer staging manual: Springer Science & Business Media; 2002.
14. Caumo W, Schmidt AP, Schneider CN, Bergmann J, Iwamoto C, Bandeira D, et al. Risk factors for preoperative anxiety in adults. Acta Anaesthesiologica Scandinavica. 2001;45(3):298-307.
15. Hur MH, Cheong NY, Yun HS, Lee MK, Song Y. Effects of delivery nursing care using essential oils on delivery stress response, anxiety during labor, and postpartum status anxiety. Journal of Korean Academy of Nursing. 2005;35(7):1277-84.
16. Lewis‐Smith H, Diedrichs PC, Rumsey N, Harcourt D. Efficacy of psychosocial and physical activity‐based interventions to improve body image among women treated for breast cancer: A systematic review. Psycho‐Oncology. 2018;27(12):2687-99.
17. Ghoneim MM, O’Hara MW. Depression and postoperative complications: an overview. BMC surgery. 2016;16(1):5.
18. Oei TP, Sawang S, Goh YW, Mukhtar F. Using the depression anxiety stress scale 21 (DASS-21) across cultures. International Journal of Psychology. 2013;48(6):1018-29.
19. Rees S, Young A. The experiences and perceptions of women diagnosed with breast cancer during pregnancy. Asia-Pacific journal of oncology nursing. 2016;3(3):252.
20. Chopra D, De La Garza R. Depressive, anxiety, and distress symptoms among cancer patients who endorse appearance problems. Palliative & supportive care. 2019;17(3):328-32.
21. Fingeret MC, Hutcheson KA, Jensen K, Yuan Y, Urbauer D, Lewin JS. Associations among speech, eating, and body image concerns for surgical patients with head and neck cancer. Head & neck. 2013;35(3):354-60.
22. Lovibond S, Lovibond P. Manual for the depression anxiety stress scales. 1995. Sydney: Psychology Foundation. 2005;2.
23. Jabłoński MJ, Mirucka B, Streb J, Słowik AJ, Jach R. Exploring the relationship between the body self and the sense of coherence in women after surgical treatment for breast cancer. Psycho‐oncology. 2019;28(1):54-60.
24. DeVita VT, Hellman S, Rosenberg SA. Cancer: principles & practice of oncology: Lippincott-Raven; 1997.
25. Mahdavi A, Jenaabadi H, Mosavimoghadam SR, Langari SSS, Lavasani MG, Madani Y. Relationship Between Mental, Existential, and Religious Well being and Death Anxiety in Women With Breast Cancer. Archives of Breast Cancer. 2019.
| Files | ||
| Issue | Vol 11 No 4 (2019) | |
| Section | Original Articles | |
| DOI | https://doi.org/10.18502/bccr.v11i4.5724 | |
| Keywords | ||
| Preoperative Anxiety Depression Stress Psychological Distress | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Ghanbari N, Narimani M. Psychological Distress in Candidates for Surgery: a Comparative Study Between Patients with Chronic and Acute Diseases. Basic Clin Cancer Res. 2020;11(4):182-187.
