Do Psychological Variables Affect Early Surgical Recovery 英文参考文献.docVIP

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Do Psychological Variables Affect Early Surgical Recovery 英文参考文献.doc

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Do Psychological Variables Affect Early Surgical Recovery 英文参考文献

DoPsychologicalVariablesAffectEarlySurgical Recovery? MichaelN.Mavros1,StavrosAthanasiou1,2,IoannisD.Gkegkes1,KonstantinosA.Polyzos1 ,George Peppas1,3,MatthewE.Falagas1,4,5 * 1Alfa Institute of Biomedical Sciences (AIBS), Athens, Greece, 2Department of Obstetrics and Gynecology, Athens University School of Medicine, Athens, Greece, 3DepartmentofSurgery,HenryDunantHospital,Athens,Greece,4DepartmentofMedicine,HenryDunantHospital,Athens,Greece,5DepartmentofMedicine,Tufts UniversitySchoolofMedicine,Boston,Massachusetts,UnitedStatesofAmerica Abstract Background:Numerousstudieshaveexaminedtheeffectofpsychologicalvariablesonsurgicalrecovery,butnodefinite conclusionhasbeenreachedyet.Wesoughttoexaminewhetherpsychologicalfactorsinfluenceearlysurgicalrecovery. Methods:WeperformedasystematicsearchinPubMed,ScopusandPsycINFOdatabasestoidentifystudiesexaminingthe associationofpreoperativepsychologicalvariablesorinterventionswithobjectivelymeasured,earlysurgicaloutcomes. Results:Weidentified16eligiblestudies,15ofwhichreportedasignificantassociationbetweenatleastonepsychological variableorinterventionandanearlypostoperativeoutcome.However,moststudiesalsoreportedpsychologicalfactorsnot influencingsurgicalrecoveryandtherewassignificantheterogeneityacrossthestudies.Overall,traitandstateanxiety,state anger,activecoping,subclinicaldepression,andintramaritalhostilityappearedtocomplicaterecovery,whiledispositional optimism, religiousness,angercontrol,lowpainexpectations,andexternallocusofcontrol seemedtopromotehealing. Psychological interventions (guided relaxation, couple support visit, and psychiatric interview) also appeared to favor recovery. Psychological factors unrelated to surgical outcomes included loneliness, perceived social support, anger expression,andtraitanger. Conclusion:Althoughtheheterogeneityoftheavailableevidenceprecludesanysafeconclusions,psychologicalvariables appeartobeassociatedwithearlysurgicalrecovery;thisassociationcouldbearimportantimplicationsforclinical