INTERSECTIONS OF MENTAL HEALTH, PRE-SURGICAL MEASURES, AND POST-SURGICAL OUTCOMES

SYSTEMATIC REVIEW & META ANALYSIS

▪ Independently developed a written thesis and presentation investigating the effects of depression and anxiety on postoperative outcomes.

▪ Reviewed evidence of correlational and bidirectional relationships as well as their implications.

▪ Explored the use of psychological interventions as applied models to improve outcomes for postoperative patients.

“Mental and physical health concerns are currently addressed and treated as separate entities; however, they are not mutually exclusive. Postoperative depression is a frequent complication of surgery. Major depressive disorder produces cognitive, behavioral, and physical changes resulting in increased vulnerability to postoperative complications such as infection, chronic pain, and lower quality of life. Disclosure of psychiatric risks should be deemed necessary, as studies have shown that preoperative education significantly improves surgical outcomes, as well as patient satisfaction.

To approach these questions, I will conduct a systematic review of data and findings within previous research studies utilizing criteria based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis in order to provide thorough information and statistical evidence expatiating insight and exposition. In addressing the interactions between mental and physical health, the subtopics of stress impact and psychological modulation of immune function will be explored. In addressing the interactions of medical literacy and postsurgical outcomes, the subtopics of anxiety, depression, and postoperative pain will be investigated. Lastly, in addressing potential preoperative measures, the subtopics of current preoperative procedures, preoperative education, and psychological intervention will be examined.”

Patients who reported the presence of both preoperative and postoperative anxiety trended to have the highest reported DASH scores than those who did not have the presence of these symptoms.

Depression can significantly lower one’s threshold for pain and is an important predictor for experiencing chronic postoperative pain as a complication of surgery; especially considering pain has been identified as a potential trigger to cause an onset of depression in patients.