Objective:To study the relationship between pre-operative anxiety and post-operative psychosomatic adjustment and the related psychosocial factors in upper-abdominal surgery patients. Methods: Forty patients undergoin...Objective:To study the relationship between pre-operative anxiety and post-operative psychosomatic adjustment and the related psychosocial factors in upper-abdominal surgery patients. Methods: Forty patients undergoing upper-abdominal surgery were assessed in this report. One day before surgery, the Medical Coping Mode Questionnaire (MCMQ), Perceived Social Support Scale (PSSS), Eysenck Personality Questionnaire (EPQ), State Anxiety Inventory (SAI) of State-Trait Anxiety Inventory (STAI) and a self-developed patients’ pre-operative appraisal questionnaire were used. In an hour before operation,the shift of the mean value of the pulse of every case compared with the base line measured at his (or her) admission was also recorded.After surgery, State Anxiety Inventory (SAI) of State-Trait Anxiety Inventory (STAI), a self-developed postoperative appraisal scale were used, and the indexes of somatic adjustment, including intestinal aerofluxus, total dosage of analgesia and so on were recorded. Results:Firstly, pre-operative anxiety was remarkably correlated to many indexes of post-operative psychosomatic adjustment. Secondly, hopelessness about operation, concern over sequela, resignation coping style and psychosis personality were the significant predictors of pre-operative anxiety. Conclusion:Post-operative psychosomatic adjustment could be handicapped by pre-operative anxiety which might be influenced by stress-related psychosocial factors.展开更多
AIM: To examine the individual contributions of insecure attachment styles and depression symptom severity to health-related quality of life(HRQo L) in patients diagnosed with adjustment disorder(AJD) with depressed m...AIM: To examine the individual contributions of insecure attachment styles and depression symptom severity to health-related quality of life(HRQo L) in patients diagnosed with adjustment disorder(AJD) with depressed mood. METHODS: Participants were 67 patients diagnosed with International Classification of Diseases, Tenth edition AJD with depressed mood, who completed standardised self-report questionnaires measuring study variables. Mean scores and SDs were computed for the outcome and predictor measures. Pearson correlations among the measures were computed. The study hypotheses were tested using analysis of variance(ANOVA) and multiple regression analyses. All analyses were performed using the SPSS-17 software package(SPSS Inc., Chicago, IL, United States).RESULTS: ANOVA showed a significant main effect of the insecure attachment styles on depression symptom severity and life satisfaction scores. The results suggestthat depressive symptoms were more severe(F = 4.13, df = 2.67, P < 0.05) and life satisfaction was poorer(F = 5.69, df = 2.67, P < 0.01) in both anxious-ambivalently and avoidantly attached patients compared with their securely attached counterparts, whereas the two insecure groups did not significantly differ by these variables. The anxious/ambivalent attachment style and depression symptom severity significantly contributed to HRQo L, accounting for 21.4% and 29.7% of the total variance, respectively [R2 = 0.79; Adjusted R2 = 0.77; F(5, 67) = 33.68, P < 0.0001], even after controlling for gender, marital and employment status confounders.CONCLUSION: The results show that the anxious/ambivalent attachment style together with depression symptom severity substantially and independently predict the HRQo L outcome in AJD with depressed mood.展开更多
文摘Objective:To study the relationship between pre-operative anxiety and post-operative psychosomatic adjustment and the related psychosocial factors in upper-abdominal surgery patients. Methods: Forty patients undergoing upper-abdominal surgery were assessed in this report. One day before surgery, the Medical Coping Mode Questionnaire (MCMQ), Perceived Social Support Scale (PSSS), Eysenck Personality Questionnaire (EPQ), State Anxiety Inventory (SAI) of State-Trait Anxiety Inventory (STAI) and a self-developed patients’ pre-operative appraisal questionnaire were used. In an hour before operation,the shift of the mean value of the pulse of every case compared with the base line measured at his (or her) admission was also recorded.After surgery, State Anxiety Inventory (SAI) of State-Trait Anxiety Inventory (STAI), a self-developed postoperative appraisal scale were used, and the indexes of somatic adjustment, including intestinal aerofluxus, total dosage of analgesia and so on were recorded. Results:Firstly, pre-operative anxiety was remarkably correlated to many indexes of post-operative psychosomatic adjustment. Secondly, hopelessness about operation, concern over sequela, resignation coping style and psychosis personality were the significant predictors of pre-operative anxiety. Conclusion:Post-operative psychosomatic adjustment could be handicapped by pre-operative anxiety which might be influenced by stress-related psychosocial factors.
基金Supported by(in part)The Ministry of Immigrant Absorption to Dr.Ponizovsky AM
文摘AIM: To examine the individual contributions of insecure attachment styles and depression symptom severity to health-related quality of life(HRQo L) in patients diagnosed with adjustment disorder(AJD) with depressed mood. METHODS: Participants were 67 patients diagnosed with International Classification of Diseases, Tenth edition AJD with depressed mood, who completed standardised self-report questionnaires measuring study variables. Mean scores and SDs were computed for the outcome and predictor measures. Pearson correlations among the measures were computed. The study hypotheses were tested using analysis of variance(ANOVA) and multiple regression analyses. All analyses were performed using the SPSS-17 software package(SPSS Inc., Chicago, IL, United States).RESULTS: ANOVA showed a significant main effect of the insecure attachment styles on depression symptom severity and life satisfaction scores. The results suggestthat depressive symptoms were more severe(F = 4.13, df = 2.67, P < 0.05) and life satisfaction was poorer(F = 5.69, df = 2.67, P < 0.01) in both anxious-ambivalently and avoidantly attached patients compared with their securely attached counterparts, whereas the two insecure groups did not significantly differ by these variables. The anxious/ambivalent attachment style and depression symptom severity significantly contributed to HRQo L, accounting for 21.4% and 29.7% of the total variance, respectively [R2 = 0.79; Adjusted R2 = 0.77; F(5, 67) = 33.68, P < 0.0001], even after controlling for gender, marital and employment status confounders.CONCLUSION: The results show that the anxious/ambivalent attachment style together with depression symptom severity substantially and independently predict the HRQo L outcome in AJD with depressed mood.
