Premium
Perioperative anxiety and depression in patients undergoing abdominal surgery for benign or malignant disease
Author(s) -
Williams Hannah,
Jajja Mohammad Raheel,
Baer Wendy,
Balch Glen C.,
Maithel Shishir K.,
Patel Ankit D.,
Patel Dipan,
Patel Snehal G.,
Stetler Jamil L.,
Winer Joshua H.,
Gillespie Theresa W.,
Kooby David A.
Publication year - 2019
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.25584
Subject(s) - medicine , perioperative , anxiety , depression (economics) , distress , comorbidity , malignancy , prospective cohort study , abdominal surgery , cancer , disease , surgery , psychiatry , clinical psychology , economics , macroeconomics
Background and Objectives Etiologies, levels, and associated factors of psychological distress in cancer patients facing surgery are poorly defined. We conducted a prospective comparative study of perioperative anxiety and depression in patients undergoing abdominal surgery for either malignant or benign disease. Methods With Institutional Review Board approval, patients consenting for surgery at our institution were enrolled. Surveys were completed at a preoperative visit and within 2 weeks of a postoperative appointment. Participants listed their top three sources of anxiety, and completed the Patient Health Questionnaire‐9 and the General Anxiety Disorder‐7. Results A total of 79 patients completed the preoperative assessment and 44 (58.7%) finished the postoperative survey. Forty‐one were male (51.9%), 12 (15.2%) had a psychiatric comorbidity (PSYHx), and 47 (59.5%) had cancer. Perioperative anxiety and depression did not differ by malignancy status. Patients were most concerned about surgery (22.5%) preoperatively and finances (27.9%) postoperatively. PSYHx, frailty, insurance status, and opioid use were all associated with perioperative psychological distress. Conclusions Cancer patients did not have significantly higher levels of perioperative psychological distress compared with benign controls. Socioeconomic worries are prevalent throughout the perioperative period, and efforts to alleviate distress should focus on providing adequate counseling.