Boer, Anniek de (2024) The Role of Preoperative Psychological Factors in Postoperative Recovery in Adult Patients. Master thesis, Psychology.
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Abstract
Objective: This systematic review aims to investigate the role of preoperative psychological factors in postoperative recovery following major elective surgical procedures in adult patients. Methods: A systematic search was conducted in PsycINFO, Medline and Eric databases. We included articles published in the last 10 years that included patients aged 18 years and older who underwent major elective surgical procedures. Data extracted from the studies include each study’s author(s), publication year, study design, key psychological factor, postoperative outcome(s), and significant findings. Results: 1930 articles were screened for title and abstract relevance. After initial screening and full-text analysis, 32 articles were included in the systematic review. Articles examined 4 preoperative psychological factors in relation to postoperative recovery, namely: depression (n = 17), anxiety, (n = 17), personality-related factors (n = 7), and resilience (n = 9). Depression and anxiety were consistently associated with adverse postoperative outcomes, including increased pain, compromised functional recovery, longer hospital stays, and poorer quality of life. Personality-related factors were found to influence surgical recovery, complications, patient engagement in rehabilitation, and overall quality of life, with some personality traits positively affecting these outcomes and others having a more negative impact. Additionally, resilience emerged as a critical factor in promoting positive postoperative recovery trajectories. Conclusions: Addressing preoperative psychological factors, including depression, anxiety, personality-related factors, and resilience, is essential in prehabilitation interventions to optimize patient satisfaction, well-being, and recovery outcomes. Further research is recommended to develop personalized interventions tailored to individual patient needs.
| Item Type: | Thesis (Master) |
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| Supervisor name: | Pijnenborg, G.H.M. |
| Degree programme: | Psychology |
| Differentiation route: | Clinical Neuropsychology (CN) [Master Psychology] |
| Date Deposited: | 07 Aug 2024 08:11 |
| Last Modified: | 07 Aug 2024 08:11 |
| URI: | http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/4241 |
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