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Preoperative state anxiety predicts postoperative health-related quality of life: A prospective observational study on patients undergoing lung cancer surgery
OBJECTIVE: Improving quality of life (QOL) after surgery is very important. Recently, preoperative anxiety has been suggested to predict postoperative health-related (HR) QOL, however the accuracy of anxiety measurement remains problematic. We examined the relationship between preoperative anxiety l...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126259/ https://www.ncbi.nlm.nih.gov/pubmed/37113119 http://dx.doi.org/10.3389/fpsyg.2023.1161333 |
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author | Takamiya, Shinnosuke Honma, Motoyasu Masaoka, Yuri Okada, Momoka Ohashi, Shinichi Tanaka, Yoko Suzuki, Kosuke Uematsu, Shugo Kitami, Akihiko Izumizaki, Masahiko |
author_facet | Takamiya, Shinnosuke Honma, Motoyasu Masaoka, Yuri Okada, Momoka Ohashi, Shinichi Tanaka, Yoko Suzuki, Kosuke Uematsu, Shugo Kitami, Akihiko Izumizaki, Masahiko |
author_sort | Takamiya, Shinnosuke |
collection | PubMed |
description | OBJECTIVE: Improving quality of life (QOL) after surgery is very important. Recently, preoperative anxiety has been suggested to predict postoperative health-related (HR) QOL, however the accuracy of anxiety measurement remains problematic. We examined the relationship between preoperative anxiety level and postoperative HRQOL using qualitative and quantitative assessment of anxiety. METHOD: We used a detailed anxiety assessment to quantitatively investigate preoperative anxiety as a predictor of postoperative HRQOL in lung cancer patients. Fifty one patients who underwent surgery for lung cancer were included. They were assessed four times: on admission, on discharge, 1 month after surgery, and 3 months after surgery. Anxiety was measured separately as “state anxiety” and “trait anxiety” using the State–Trait Anxiety Inventory, and HRQOL was measured using the EuroQol 5 dimension 5-level. RESULTS: The HRQOL decreased at discharge and gradually recovered over time, reaching the same level at 3 months after surgery as at admission. HRQOL score was lower at discharge than at pre-surgery and 3 months after the surgery (p < 0.0001 each), and the score at 1 month after the surgery was lower than at pre-surgery (p = 0.007). In addition, multiple regression analysis showed that HRQOL at discharge was associated with “state anxiety” rather than “trait anxiety” at admission (p = 0.004). CONCLUSION: This study identifies the types of anxiety that affect postoperative HRQOL. We suggest that postoperative HRQOL on discharge may be improved by interventions such as psychological or medication treatment for preoperative state anxiety if identified preoperative state anxiety can be managed appropriately. |
format | Online Article Text |
id | pubmed-10126259 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-101262592023-04-26 Preoperative state anxiety predicts postoperative health-related quality of life: A prospective observational study on patients undergoing lung cancer surgery Takamiya, Shinnosuke Honma, Motoyasu Masaoka, Yuri Okada, Momoka Ohashi, Shinichi Tanaka, Yoko Suzuki, Kosuke Uematsu, Shugo Kitami, Akihiko Izumizaki, Masahiko Front Psychol Psychology OBJECTIVE: Improving quality of life (QOL) after surgery is very important. Recently, preoperative anxiety has been suggested to predict postoperative health-related (HR) QOL, however the accuracy of anxiety measurement remains problematic. We examined the relationship between preoperative anxiety level and postoperative HRQOL using qualitative and quantitative assessment of anxiety. METHOD: We used a detailed anxiety assessment to quantitatively investigate preoperative anxiety as a predictor of postoperative HRQOL in lung cancer patients. Fifty one patients who underwent surgery for lung cancer were included. They were assessed four times: on admission, on discharge, 1 month after surgery, and 3 months after surgery. Anxiety was measured separately as “state anxiety” and “trait anxiety” using the State–Trait Anxiety Inventory, and HRQOL was measured using the EuroQol 5 dimension 5-level. RESULTS: The HRQOL decreased at discharge and gradually recovered over time, reaching the same level at 3 months after surgery as at admission. HRQOL score was lower at discharge than at pre-surgery and 3 months after the surgery (p < 0.0001 each), and the score at 1 month after the surgery was lower than at pre-surgery (p = 0.007). In addition, multiple regression analysis showed that HRQOL at discharge was associated with “state anxiety” rather than “trait anxiety” at admission (p = 0.004). CONCLUSION: This study identifies the types of anxiety that affect postoperative HRQOL. We suggest that postoperative HRQOL on discharge may be improved by interventions such as psychological or medication treatment for preoperative state anxiety if identified preoperative state anxiety can be managed appropriately. Frontiers Media S.A. 2023-04-11 /pmc/articles/PMC10126259/ /pubmed/37113119 http://dx.doi.org/10.3389/fpsyg.2023.1161333 Text en Copyright © 2023 Takamiya, Honma, Masaoka, Okada, Ohashi, Tanaka, Suzuki, Uematsu, Kitami and Izumizaki. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychology Takamiya, Shinnosuke Honma, Motoyasu Masaoka, Yuri Okada, Momoka Ohashi, Shinichi Tanaka, Yoko Suzuki, Kosuke Uematsu, Shugo Kitami, Akihiko Izumizaki, Masahiko Preoperative state anxiety predicts postoperative health-related quality of life: A prospective observational study on patients undergoing lung cancer surgery |
title | Preoperative state anxiety predicts postoperative health-related quality of life: A prospective observational study on patients undergoing lung cancer surgery |
title_full | Preoperative state anxiety predicts postoperative health-related quality of life: A prospective observational study on patients undergoing lung cancer surgery |
title_fullStr | Preoperative state anxiety predicts postoperative health-related quality of life: A prospective observational study on patients undergoing lung cancer surgery |
title_full_unstemmed | Preoperative state anxiety predicts postoperative health-related quality of life: A prospective observational study on patients undergoing lung cancer surgery |
title_short | Preoperative state anxiety predicts postoperative health-related quality of life: A prospective observational study on patients undergoing lung cancer surgery |
title_sort | preoperative state anxiety predicts postoperative health-related quality of life: a prospective observational study on patients undergoing lung cancer surgery |
topic | Psychology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10126259/ https://www.ncbi.nlm.nih.gov/pubmed/37113119 http://dx.doi.org/10.3389/fpsyg.2023.1161333 |
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