Psychosomatics 39:30-37, February 1998
© 1998 The Academy of Psychosomatic Medine
Perioperative Anxiety and Depression in Open-Heart Surgery
Guy Vingerhoets, Ph.D.
Received September 17, 1996; revised February 5, 1997; accepted March 18, 1997. From the Department of Psychiatry and Neuropsychology, University Gent, Belgium. Address reprint requests to Dr. Vingerhoets, Department of Psychiatry and Neuropsychology, University Hospital Gent 4K3, De Pintelaan 185, B–9000, Gent, Belgium.
Eighty patients completed state-anxiety and depression inventories on the day before, 7 days after, and 6 months after open-heart surgery. The patients with high, moderate, or low anticipatory anxiety still had relatively high, moderate, and low anxiety, respectively, in the postoperative period, supporting the linear relationship between preoperative and postoperative arousal. Omitting the items on somatic-vegetative complaints from the global depression score reveals that cardiac surgical patients do not experience significant postoperative changes in depression related to cognitive-affective symptoms. The preoperative assessment of emotional arousal significantly predicts the level of emotional distress after surgery.
Key Words: Open-Heart Surgery • Heart Surgery • Anxiety • Depression • Cardiac Surgery • Stress • Surgery
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