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Effects of Psychological Predictors and Interventions on Recovery from Surgery

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Behavioral Medicine

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Abstract

This is a very applied, though scientifically based, chapter, involving a very common clinical issue in medicine. After presenting the chapter’s “case,” we learn briefly the biology of wound healing and surgical recovery. This sets the ground to review evidence on whether psychological factors predict recovery from surgery. We then review studies related to the PNI of surgery. The last topic concerns empirical evidence on the effects of pre-surgical psychological interventions on recovery from surgery. The chapter ends by returning to its hypothetical case. The topic of predicting recovery from surgery and improving recovery by psychological means has vast implications, where behavioral medicine can make a real impact with brief interventions, in such highly stressful moments in health care.

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References

  • Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science & Medicine, 36(6), 725–733.

    Article  Google Scholar 

  • Baltayiannis, N., Michail, C., Lazaridis, G., Anagnostopoulos, D., Baka, S., Mpoukovinas, I., Karavasilis, V., Lampaki, S., Papaiwannou, A., Karavergou, A., Kioumis, I., Pitsiou, G., Katsikogiannis, N., Tsakiridis, K., Rapti, A., Trakada, G., Zissimopoulos, A., Zarogoulidis, K., & Zarogoulidis, P. (2015). Minimally invasive procedures. Annals of Translational Medicine, 3(4), 1–7.

    Google Scholar 

  • Barbul, A. (1990). Immune aspects of wound repair. Clinics in Plastic Surgery, 17(3), 433–442.

    Article  Google Scholar 

  • Borckardt, J. J., Reeves, S. T., Weinstein, M., Smith, A. R., Shelley, N., Kozel, F. A., Nahas, Z., Byrne, K. T., Morgan, K., & George, M. S. (2008). Significant analgesic effects of one session of postoperative left prefrontal cortex repetitive transcranial magnetic stimulation: A replication study. Brain Stimulation, 1(2), 122–127.

    Article  Google Scholar 

  • Chang, L. H., Ma, T. C., Tsay, S. L., & Jong, G. P. (2012). Relationships between pain intensity and heart rate variability in patients after abdominal surgery: A pilot study. Chinese Medical Journal, 125(11), 1964–1969.

    Google Scholar 

  • Chartrand, J., Tourigny, J., & MacCormick, J. (2017). The effect of an educational pre‐operative DVD on parents’ and children’s outcomes after a same‐day surgery: A randomized controlled trial. Journal of Advanced Nursing, 73(3), 599–611.

    Article  Google Scholar 

  • Ciszewski, P., Tyczka, J., Nadolski, J., Roszak, M., & Dyszkiewicz, W. (2013). Lower preoperative fluctuation of heart rate variability is an independent risk factor for postoperative atrial fibrillation in patients undergoing major pulmonary resection. Interactive Cardiovascular and Thoracic Surgery, 17(4), 680–686.

    Article  Google Scholar 

  • De Couck, M., Nijs, J., & Gidron, Y. (2014). You may need a nerve to treat pain: The neurobiological rationale for vagal nerve activation in pain management. The Clinical Journal of Pain, 30(12), 1099–1105.

    Article  Google Scholar 

  • Desborough, J. P. (2000). The stress response to trauma and surgery. British Journal of Anaesthesia, 85(1), 109–117.

    Article  Google Scholar 

  • Do, T. D., Lemogne, C., Journois, D., Safran, D., & Consoli, S. M. (2012). Low social support is associated with an increased risk of postoperative delirium. Journal of Clinical Anesthesia, 24(2), 126–132.

    Article  Google Scholar 

  • Everhart, J. S., Best, T. M., & Flanigan, D. C. (2015). Psychological predictors of anterior cruciate ligament reconstruction outcomes: A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy, 23(3), 752–762.

    Article  Google Scholar 

  • Faravelli, C., Lo Sauro, C., Lelli, L., Pietrini, F., Lazzeretti, L., Godini, L., Benni, L., Fioravanti, G., Talamba, G. A., Castellini, G., & Ricca, V. (2012). The role of life events and HPA axis in anxiety disorders: A review. Current Pharmaceutical Design, 18(35), 5663–5674.

    Article  Google Scholar 

  • Forsythe, C. J., & Compas, B. E. (1987). Interaction of cognitive appraisals of stressful events and coping: Testing the goodness of fit hypothesis. Cognitive Therapy and Research, 11(4), 473–485.

    Article  Google Scholar 

  • Gammon, J., & Mulholland, C. W. (1996). Effect of preparatory information prior to elective total hip replacement on post-operative physical coping outcomes. International Journal of Nursing Studies, 33(6), 589–604.

    Article  Google Scholar 

  • Gidron, Y., McGrath, P. J., & Goodday, R. (1995). The physical and psychosocial predictors of adolescents’ recovery from oral surgery. Journal of Behavioral Medicine, 18(4), 385–399.

    Article  Google Scholar 

  • Gidron, Y., Barak, T., Henik, A., Gurman, G., & Stiener, O. (2002). Implicit learning of emotional information under anesthesia. Neuroreport, 13(1), 139–142.

    Article  Google Scholar 

  • Goldstein, D. S., Dionne, R., Sweet, J., Gracely, R., Brewer, H. B., Gregg, R., & Keiser, H. R. (1982). Circulatory, plasma catecholamine, cortisol, lipid, and psychological responses to a real-life stress (third molar extractions): Effects of diazepam sedation and of inclusion of epinephrine with the local anesthetic. Psychosomatic Medicine, 44(3), 259–272.

    Article  Google Scholar 

  • Hoyer, J., Eifert, G. H., Einsle, F., Zimmermann, K., Krauss, S., Knaut, M., Matschke, K., & Köllner, V. (2008). Heart-focused anxiety before and after cardiac surgery. Journal of Psychosomatic Research, 64(3), 291–297.

    Article  Google Scholar 

  • Johnston, M., & Vögele, C. (1993). Benefits of psychological preparation for surgery: A meta-analysis. Annals of Behavioral Medicine, 15(4), 245–256.

    Google Scholar 

  • Kiecolt-Glaser, J. K., Marucha, P. T., Mercado, A. M., Malarkey, W. B., & Glaser, R. (1995). Slowing of wound healing by psychological stress. The Lancet, 346(8984), 1194–1196.

    Article  Google Scholar 

  • Kim, E. Y., Yim, H. W., Park, C. H., & Song, K. Y. (2017). C-reactive protein can be an early predictor of postoperative complications after gastrectomy for gastric cancer. Surgical Endoscopy, 31(1), 445–454.

    Article  Google Scholar 

  • King, A. P., Abelson, J. L., Gholami, B., Upchurch, G. R., Jr., Henke, P., Graham, L., & Liberzon, I. (2015). Pre-surgical psychological and neuroendocrine predictors of psychiatric morbidity following major vascular surgery: A Prospective Longitudinal Study. Psychosomatic Medicine, 77(9), 993–1005.

    Article  Google Scholar 

  • Kuhry, E., Schwenk, W., Gaupset, R., Romild, U., & Bonjer, J. (2008). Long-term outcome of laparoscopic surgery for colorectal cancer: A cochrane systematic review of randomised controlled trials. Cancer Treatment Reviews, 34(6), 498–504.

    Article  Google Scholar 

  • Kulik, J. A., & Mahler, H. I. (1989). Social support and recovery from surgery. Health Psychology, 8(2), 221–238.

    Article  Google Scholar 

  • Kulik, J. A., Moore, P. J., & Mahler, H. I. (1993). Stress and affiliation: Hospital roommate effects on preoperative anxiety and social interaction. Health Psychology, 12(2), 118–124.

    Article  Google Scholar 

  • Magklara, E., Burton, C. R., & Morrison, V. (2014). Does self-efficacy influence recovery and well-being in osteoarthritis patients undergoing joint replacement? A systematic review. Clinical Rehabilitation, 28(9), 835–846.

    Article  Google Scholar 

  • Mashour, G. A., & Avidan, M. S. (2015). Intraoperative awareness: Controversies and non-controversies. British Journal of Anaesthesia, 115(suppl_1), i20–i26.

    Article  Google Scholar 

  • Mavros, M. N., Athanasiou, S., Gkegkes, I. D., Polyzos, K. A., Peppas, G., & Falagas, M. E. (2011). Do psychological variables affect early surgical recovery? PLoS One, 6(5), 1–6.

    Article  Google Scholar 

  • Nelson, E. A., Dowsey, M. M., Knowles, S. R., Castle, D. J., Salzberg, M. R., Monshat, K., Dunin, A. J., & Choong, P. F. (2013). Systematic review of the efficacy of pre-surgical mind-body based therapies on post-operative outcome measures. Complementary Therapies in Medicine, 21(6), 697–711.

    Article  Google Scholar 

  • Pakarinen, M., Sinikallio, S., Koivumaa-Honkanen, H., Aalto, T., Airaksinen, O., Lehto, S. M., & Viinamäki, H. (2017). Low sense of coherence during postoperative recovery is associated with a poorer lumbar spinal stenosis–surgical outcome: A 5-year follow-up study. Journal of Health Psychology, 22(3), 347–355.

    Article  Google Scholar 

  • Parent, N., & Fortin, F. (2000). A randomized, controlled trial of vicarious experience through peer support for male first-time cardiac surgery patients: Impact on anxiety, self-efficacy expectation, and self-reported activity. Heart & Lung: The Journal of Acute and Critical Care, 29(6), 389–400.

    Article  Google Scholar 

  • Pearson, S., Maddern, G. J., & Fitridge, R. (2005). The role of pre‐operative state‐anxiety in the determination of intra‐operative neuroendocrine responses and recovery. British Journal of Health Psychology, 10(2), 299–310.

    Article  Google Scholar 

  • Powell, R., Scott, N. W., Manyande, A., Bruce, J., Vögele, C., Byrne‐Davis, L. M., Unsworth, M., Osmer, C., & Johnston, M. (2016). Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia. The Cochrane Library, 26(5), 1–280.

    Google Scholar 

  • Roh, Y. H., Noh, J. H., Oh, J. H., Gong, H. S., & Baek, G. H. (2015). To what degree do pain-coping strategies affect joint stiffness and functional outcomes in patients with hand fractures? Clinical Orthopaedics and Related Research®, 473(11), 3484–3490.

    Article  Google Scholar 

  • Rosenberger, P. H., Jokl, P., & Ickovics, J. (2006). Psychosocial factors and surgical outcomes: An evidence-based literature review. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 14(7), 397–405.

    Article  Google Scholar 

  • Rosenberger, P. H., Ickovics, J. R., Epel, E., Nadler, E., Jokl, P., Fulkerson, J. P., Tillie, J. M., & Dhabhar, F. S. (2009). Surgical stress-induced immune cell redistribution profiles predict short-term and long-term postsurgical recovery: A prospective study. The Journal of Bone and Joint Surgery. American volume, 91(12), 2783–2794.

    Article  Google Scholar 

  • Scheier, M. F., & Carver, C. S. (1985). Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4(3), 219–247.

    Article  Google Scholar 

  • Scheier, M. F., Matthews, K. A., Owens, J. F., Magovern, G. J., Lefebvre, R. C., Abbott, R. A., & Carver, C. S. (1989). Dispositional optimism and recovery from coronary artery bypass surgery: The beneficial effects on physical and psychological well-being. Journal of Personality and Social Psychology, 57(6), 1024–1040.

    Article  Google Scholar 

  • Sheeran, P., & Hall, G. M. (1997). Cytokines in anaesthesia. British Journal of Anaesthesia, 78, 201–219.

    Article  Google Scholar 

  • Starkweather, A. R., Witek-Janusek, L., Nockels, R. P., Peterson, J., & Mathews, H. L. (2006). Immune function, pain, and psychological stress in patients undergoing spinal surgery. Spine, 31(18), E641–E647.

    Article  Google Scholar 

  • Taylor, S. E. (1995). Health psychology (3rd ed.). Singapore: McGraw-Hill.

    Google Scholar 

  • Tracey, K. J. (2009). Reflex control of immunity. Nature Reviews Immunology, 9(6), 418–428.

    Article  Google Scholar 

  • Twiss, E., Seaver, J., & McCaffrey, R. (2006). The effect of music listening on older adults undergoing cardiovascular surgery. Nursing in Critical Care, 11(5), 224–231.

    Article  Google Scholar 

  • Ulrich, R. S. (1984). View through a window may influence recovery from surgery. Science, 224(4647), 420–421.

    Article  Google Scholar 

  • Viswanathan, K., & Dhabhar, F. S. (2005). Stress-induced enhancement of leukocyte trafficking into sites of surgery or immune activation. Proceedings of the National Academy of Sciences, 102(16), 5808–5813.

    Article  Google Scholar 

  • Watson, T. (2012). Soft tissue repair and healing review. Tissue Repair. http://www.electrotherapy.org.

  • Yirmiya, R., Goshen, I., Bajayo, A., Kreisel, T., Feldman, S., Tam, J., Trembovler, V., Csernus, V., Shohami, E., & Bab, I. (2006). Depression induces bone loss through stimulation of the sympathetic nervous system. Proceedings of the National Academy of Sciences, 103(45), 16876–16881.

    Article  Google Scholar 

  • Yoon, J. P., Oh, J. H., Min, W. K., Kim, J. W., Jeong, W. J., & Lee, H. J. (2012). What do the patients want and worry in Korean patients who undergo arthroscopic rotator cuff surgery? Clinics in Orthopedic Surgery, 4(4), 278–283.

    Article  Google Scholar 

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Authors and Affiliations

  1. SCALab, University of Lille, Lille, France

    Yori Gidron

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  1. Yori Gidron
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Gidron, Y. (2019). Effects of Psychological Predictors and Interventions on Recovery from Surgery. In: Behavioral Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-18893-1_9

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