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2011 | 83 | 5 | 258-263
Article title

Impact of Menthal Representation of Disease and Wound-Related Subjective Perception of Disease on Convalescence After Surgical Treatment

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EN
Abstracts
EN
Compared to open surgery, laparoscopic treatment has been shown to have several advantages, including lower levels of postoperative pain, faster recovery, and better cosmetic results. Nevertheless, the advantages of laparoscopy are being debated as possibly not being merely related to biomedical factors.Material and methods. The study consisted of two sub-studies. In the first study, 150 healthy, previously unoperated volunteers, not employed in the health services, were included. Healthy volunteers, from the latter study, were given questionnaires that presented different sizes of post-operative wounds and examined their perception of the severity of the illnesses that were treated by surgery leading to these wounds. In the second study, data was collected from 65 laparoscopic cholecystectomy patients and 35 patients treated by the open approach cholecystectomy. Patients from the second study were examined prior to operation and 1 month after surgery with a questionnaire evaluating their subjective perception of the disease.Results. Subjective perception of the severity of disease (SPSD) was similar between the laparoscopy and the open approach cholecystectomy patients before the operation (respectively, 6.25±1.7 and 6.06±2.2; ns). At the follow-up, a significant decrease of SPSD among laparoscopy patients was observed (post-op score = 3.28±0.8, p<0.05 in paired t-Student test), but not in the open approach patients (6.42±1.7, ns in paired t-Student test). The volunteers perceived that the disease of the laparoscopically treated patients was less serious than the disease of those treated with open surgery.Conclusions. The authors would like to emphasize that the study presents a new approach to the explanation of the so called "laparoscopy phenomenon", i.e. much faster and smoother recovery after relatively larger and more serious surgical procedures. We believe that the benefits observed among the videoscopy patients might be, apart from immunological and pain-related factors, attributed to the psychological influence of cognitive representations of the disease severity on pain, analgetics use, and recovery.
Publisher
Year
Volume
83
Issue
5
Pages
258-263
Physical description
Dates
published
1 - 5 - 2011
online
24 - 6 - 2011
References
  • Unger SW, Rosenbaum G, Unger HM et al.: A comparison of laparoscopic and open treatment of acute cholecystitis. Surg Endosc 1993; 5: 408-11.[Crossref]
  • Mihail AA, Tolhurst SR, Orvieto MA et al.: Open versus laparoscopic simultaneous bilateral adrenalectomy. Urology 2006; 4: 693-96.[Crossref]
  • Reyes CD, Weber KJ, Gagner M et al.: Laparoscopic versus open gastrectomy. A retrospective review. Surg Endosc 2001; 9: 928-31.[Crossref]
  • Alponat A, Kum KC, Koh CB et al.: Predictive factors for conversion of laparoscopic cholecystectomy. World J Surg 1997; 21: 629-33.[Crossref]
  • Atabekoglu C, Sonmezer M, Gungor M et al.: Tissue trauma in abdominal and laparoscopicassisted vaginal hysterectomy. J Amer Assoc Gyn Lap 2004; 11(4): 467-72.[Crossref]
  • Jaime A, Hernandez-Favela P, Zamora R et al.: Assessment of nociceptive suppression in laparoscopic postoperative status: prospective, randomized, and comparative study with a control group. Ginec Obstet Mex 2001; 69: 315-21.
  • Skelton JA, Croyle RT: Mental representations of illness danger. New York, Springer 1991.
  • Lau RR, Hartman KA: Common-sense representations of illness danger. In: Rachman S. Medical psychology II. New York: Guilford Press, pp. 7-30; 1980.
  • Stefaniak T, Vingerhoets A, Babinska D et al.: Psychological Factors influencing results of cholecystectomy. Scand J Gastroent 2004; 39 (2): 127-32.[Crossref]
  • Thune-Boyle I, Mysers LB, Newman SP: The role of illness beliefs, treatment beliefs and perceived severity of symptoms in explaining distress in cancer patients during chemotherapy treatment. Behav Med 2006; 32: 19-29.[Crossref]
  • Kiecolt-Glaser JK, Page GG, Marucha P et al.: Psychological Influences on Surgical Recovery Perspectives From Psychoneuroimmunology. Am Psych 1998; 53(11): 1209-18.[Crossref]
  • Bishop G: Health Psychology: integrating body and mind. Wydawnictwo Astrum, Poznań 2007.
  • Heszen-Niejodek I: Psychologia medyczna. Główne kierunki badań. Portal Wydawnictwa Lekarskiego, Warszawa 1990.
  • Hagger MS, Orbell S: A meta-analitic review of the common sense model of illness representations. Psychology and Health 2003; 18: 141-84.[Crossref]
  • Ray O: How the mind hurts and heals the body. Am Psychol 2004; 59: 29-40.[PubMed][Crossref]
  • Petrie K, Weinman J, Sharpe N et al.: Role of patient's view of their illness in predicting return to work and functioning after myocardial infarction. BMJ 1996; 312: 1191-94.[Crossref]
  • Leventhal H, Cameron LD: The self-regulation of health and illness behaviour. Routledge, London and New York 2003.
  • Hirani SP, Pugsley WB, Newman SP: Illness representations of coronary artery disease: an empirical examination of the Illness Perceptions Questionnaire (IPQ) in patients undergoing surgery, angioplasty and medication. Br J Health Psychol 2006; 11(Pt 2): 199-220.[Crossref][PubMed]
  • Zotti AM, Balestroni G, Cerutti P et al.: Application of the General Perceived Self-Efficacy Scale in cardiovascular rehabilitation. Monaldi Arch Chest Dis 2007; 68(3): 178-83.
  • Hermele S, Olivo EL, Namerow P et al.: Illness representations and psychological distress in patients undergoing coronary artery bypass graft surgery. Psychol Health Med 2007; 12(5): 580-91.[Crossref]
Document Type
Publication order reference
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-011-0040-6
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