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Updated: Dec 30, 2025
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Psychological sequelae of colonic resections
A Powell-Chandler1, K Boyce1, O James1
1Health Education and Improvement Wales, Cardiff, UK.
Psychological issues like anxiety, depression, and PTSD are common after colorectal surgery. Younger women who undergo emergency surgery face higher risks.
Area of Science:
- Colorectal Surgery Outcomes
- Psychological Health in Surgical Patients
Background:
- General population prevalence of anxiety, depression, and PTSD is estimated at 5.9%, 3.3%, and 4.4% respectively.
- Previous research has not extensively detailed the psychological burden following colorectal surgery.
Purpose of the Study:
- To investigate the prevalence of psychological conditions post-colorectal surgery.
- To identify risk factors associated with adverse psychological outcomes in this patient group.
Main Methods:
- A cohort of 1150 patients undergoing colorectal resection were invited to complete validated screening questionnaires (GAD-7, PHQ-9, PCL-5) 12-48 months post-surgery.
- Multiple linear regression analysis was employed to identify significant risk factors for psychological distress.
Main Results:
- Out of 371 respondents (32.3% response rate), 28% screened positive for at least one psychological condition.
- Prevalence rates were 20% for anxiety, 22% for depression, and 14% for PTSD.
- Younger age and female gender were identified as significant risk factors for poorer psychological outcomes.
Conclusions:
- Colorectal surgery patients exhibit a high prevalence of anxiety, depression, and PTSD.
- Younger patients and women are identified as particularly vulnerable populations.
- Further research is recommended to develop effective prevention, detection, and treatment strategies for psychological distress post-colorectal surgery.
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