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Emotional Distress Associated with Surgical Treatment and its Relationship with Coping Profiles Among Chronically ill Older Patients

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Abstract

The study determines the patterns of coping styles among older patients with hip osteoarthritis and assesses the derived profiles in terms of perceived stress and anxiety before and after arthroplasty. Sixty-one hospital patients (mean age 70.3 years) were analysed one day before arthroplasty and three months after. The participants were assessed with the Brief-COPE (coping style), PSS-10 (perceived stress) and STAI (anxiety) psychometric tests. Four coping patterns were yielded using data clustering: rational, enterprising (resourceful), potentially maladaptive and flexible. Repeated measures ANOVA indicated a main effect within subjects but did not indicate that decreases of stress and anxiety varied differently between groups. Cluster 1 (a coping profile characterised by high helplessness, low active coping, high avoidance) reported significantly greater stress and anxiety than all other groups before and after hip replacement, while clusters 2 (flexible), 3 (resourceful) and 4 (rational) were characterised by similar levels of anxiety and stress. Older patients with osteoarthritis might differ in terms of emotional response to surgical treatment. Screening for coping styles at admission to hospital may indicate more vulnerable individuals.

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Acknowledgments

The authors would like to sincerely thank those people who helped in this project, including Prof. Józef Kocur.

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Authors and Affiliations

  1. Department of Psychosocial Rehabilitation, Medical University of Lodz, Lodz, Poland

    Patryk Stecz, Magdalena Wrzesińska & Klaudia Tabała

  2. Department of Cognitive Science Institute of Psychology, Faculty of Educational Sciences, University of Lodz, Lodz, Poland

    Katarzyna Nowakowska-Domagała

Authors
  1. Patryk Stecz
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  2. Magdalena Wrzesińska
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  3. Klaudia Tabała
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  4. Katarzyna Nowakowska-Domagała
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Correspondence to Patryk Stecz.

Ethics declarations

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Funding

This study was funded by a Medical University of Lodz Grant (grant no. 502–03/7–128-03/502–54-094) awarded by the Polish Minister of Science and Higher Education.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

Author Patryk Stecz declares that he has no conflict of interest.

Author Magdalena Wrzesińska declares that she has no conflict of interest.

Author Klaudia Tabała declares that she has no conflict of interest.

Author Katarzyna Nowakowska-Domagała declares that she has no conflict of interest.

Additional information

This research was supported by the Medical University of Lodz Grant no. 502–03/7–128-03/502–54-094, awarded by the Polish Minister of Science and Higher Education.

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Stecz, P., Wrzesińska, M., Tabała, K. et al. Emotional Distress Associated with Surgical Treatment and its Relationship with Coping Profiles Among Chronically ill Older Patients. Curr Psychol 36, 174–183 (2017). https://doi.org/10.1007/s12144-015-9398-7

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