A prospective study of personality as a predictor of quality of life after pelvic pouch surgery.
BACKGROUND
Surgeons often "know" preoperatively which patients will achieve good postoperative quality of life (QOL). This intuition is probably based on impressions of the patient's personality. The present aim was to examine whether preoperative personality traits predict postoperative QOL.


METHODS
In 53 patients undergoing pelvic pouch surgery for ulcerative colitis the relationship between preoperative personality traits, and surgical functional outcome and QOL was examined at a median of 17 months postoperatively. Personality assessment instruments (KAPP and KSP), and specific measures of alexithymia were used. Postoperatively, the Psychosocial Adjustment to Illness Scale (PAIS), and surgical functional outcome scales were used.


RESULTS
Using multiple correlation/regression, analysis lack of alexithymia, poor frustration tolerance, anxiety proneness, and poor socialization (resentment over childhood and present life situation) were found to predict poor postoperative QOL.


CONCLUSIONS
The findings suggest personality traits, in addition to surgical functional outcome, to be important for the patient's postoperative QOL.
Weinryb
R M
RM
Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Gustavsson
J P
JP
Liljeqvist
L
L
Poppen
B
B
Rössel
R J
RJ
D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000523:psychology; D001294:Attitude to Health; D003082:Colectomy / Q000523:psychology*; D003093:Colitis, Ulcerative / Q000523:psychology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010551:Personality; D010556:Personality Tests; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011788:Quality of Life; D012044:Regression Analysis; D012917:Social Adjustment; D016896:Treatment Outcome