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Do psychological variables affect early surgical recovery?
Michael N Mavros1, Stavros Athanasiou, Ioannis D Gkegkes
1Alfa Institute of Biomedical Sciences, Athens, Greece.
Plos One
|June 3, 2011
Summary
Psychological factors significantly impact surgical recovery, with anxiety and depression complicating healing, while optimism and interventions like guided relaxation promote it. Further research is needed to confirm these associations for clinical practice.
Area of Science:
- Psychology and Medicine
- Surgical Outcomes Research
Background:
- The influence of psychological variables on surgical recovery remains inconclusive despite numerous studies.
- Existing research has not definitively established a link between psychological factors and surgical outcomes.
Purpose of the Study:
- To systematically investigate the association between preoperative psychological variables or interventions and early, objectively measured surgical recovery.
- To synthesize evidence on how psychological factors influence the healing process after surgery.
Main Methods:
- A systematic literature search was conducted across PubMed, Scopus, and PsycINFO databases.
- Studies focused on the relationship between psychological factors and early postoperative outcomes were identified and analyzed.
Main Results:
- 15 out of 16 studies found a significant link between psychological factors/interventions and early surgical recovery.
- Factors like anxiety, anger, and depression were associated with complicated recovery, while optimism and interventions like guided relaxation appeared to promote healing.
- Significant heterogeneity and conflicting results were noted, with some psychological factors showing no impact on surgical outcomes.
Conclusions:
- Psychological variables appear to be associated with early surgical recovery, suggesting potential clinical implications.
- The heterogeneity of current evidence necessitates large clinical trials to precisely evaluate psychology's role in surgical recovery.
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