Development of a brief psychological intervention for the management of pre-surgical anxiety before pancreatic surgery

Development of a brief psychological intervention for the management of pre-surgical anxiety before pancreatic surgery

Aims: A recent narrative review carried out on 115 studies by Powell et al. (2016) reported different and inconsistent findings on the relation between psychological interventions and surgery outcomes, due to the heterogeneity of these interventions, mainly based on information giving and patient ed...

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Bibliographic Details
Published in:Journal of psychosomatic research Vol. 109; p. 97
Main Authors: Danzi, O.P., Marinelli, V., Salvia, A., Bassi, C., Del Piccolo, L.
Format: Journal Article
Language:English
Published: London Elsevier Inc 01-06-2018
Elsevier Science Ltd
Subjects:
Anxiety
Brief interventions
Chi-square test
Clinical psychology
Clinical research
Clinical trials
Feasibility
Health education
Medical treatment
Pancreas
Pancreatitis
Patient education
Perceived control
Perioperative anxiety
Perioperative care
Psychological development
Psychological intervention
Self-efficacy
Surgery
Surgical outcomes
Trait anxiety
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Summary:Aims: A recent narrative review carried out on 115 studies by Powell et al. (2016) reported different and inconsistent findings on the relation between psychological interventions and surgery outcomes, due to the heterogeneity of these interventions, mainly based on information giving and patient education, and the very different samples of patients considered. The aim of our study is to verify the feasibility and the efficacy of a short individual psychological intervention devoted to increase perceived self-efficacy in managing preoperative anxiety, in a group of patients who will undergo major oncological pancreatic surgery. Methods: Randomized clinical trial. Half of participants (intervention group) attended a brief psychological intervention based on "the four elements protocol" elaborated by Elan Shapiro the day before surgery, while the other half followed usual care (control group). Perceived level of self-efficacy was measured on a visual analogue scale (range: 1-10). Preoperative anxiety level was measured with the State-Trait Anxiety Inventory Y1 (STAI-Y1), comparing the score before (baseline) and after the psychological intervention in the intervention group, and only at baseline in the control group. T-test, chi-square test and paired sample t-test were adopted where appropriate. Results: At baseline the two groups of patients (n=40) were comparable for age (F= 0.07 p= 0.799), gender (x^sup 2^ =1.60, p= 0.206), anxiety level (F=2,53, p=0.120) and perceived self-efficacy (F=0.195, p=0.662). After psychological intervention, perceived self-efficacy significantly (T^sub (19)^=-6.941; p<0.001) increased from a score of 7 (SD ± 1.97) to 8.55 (SD ± 1.39), and preoperative anxiety significantly (T^sub (19)^=6.132; p<0.001) decreased from 42 (SD ± 13.6) to 28 (SD ± 8.37). Conclusion: Findings support our hypothesis that a psychological intervention specifically devoted to support patients in their abilities to manage preoperative anxiety is feasible and effective.
ISSN:0022-3999
1879-1360
DOI:10.1016/j.jpsychores.2018.03.041