title: Emotional state and coping style among gynecologic patients undergoing surgery.
abstract: The aim of the present study was to investigate changes in emotional state and the relationship between emotional state and demographic/clinical factors and coping style among gynecologic patients undergoing surgery. Using the Japanese version of the Profile of Mood States (POMS), 90 patients (benign disease: 32, malignancy: 58) were examined on three occasions: before surgery, before discharge, and 3 months after discharge. They were also examined using the Coping Inventory for Stressful Situations (CISS) on one occasion before discharge. The scores for the subscales depression, anger, and confusion were the highest after discharge while those for anxiety were the highest before surgery. The average scores of the POMS subscales for all subjects were within the normal range. With regard to the relationship between these emotional states and other factors, multiple regressions showed that the principal determinants of anxiety before surgery were religious belief, psychological symptoms during hospitalization and emotion-oriented (E) coping style; further, it was found that depression after discharge could be explained by chemotherapy, duration of hospitalization, and E coping style. The principal determinants of anger after discharge and vigor before surgery were length of education and E coping style, and severity of disease, chemotherapy, E coping style and task-oriented coping style, respectively. Those of post-discharge fatigue and confusion were length of education, psychological symptoms, and E coping style. In summary it is suggested that the following should be taken into account in patients undergoing gynecologic surgery: anxiety before surgery, depression, anger, and confusion after surgery, including coping styles.
authors.affiliation: Section of Liaison Psychiatry and Palliative Medicine, Graduate School, Tokyo Medical and Dental University, Tokyo, Japan. tmatsu@iuhw.ac.jp
authors.forename: Toshiko
authors.initials: T
authors.lastname: Matsushita
authors.forename: Hinako
authors.initials: H
authors.lastname: Murata
authors.forename: Eisuke
authors.initials: E
authors.lastname: Matsushima
authors.forename: Yu
authors.initials: Y
authors.lastname: Sakata
authors.forename: Naoyuki
authors.initials: N
authors.lastname: Miyasaka
authors.forename: Takeshi
authors.initials: T
authors.lastname: Aso
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology*; D000328:Adult; D000339:Affect; D000368:Aged; D000786:Anger / Q000502:physiology; D000970:Antineoplastic Agents / Q000009:adverse effects / Q000627:therapeutic use; D004644:Emotions; D005221:Fatigue / Q000523:psychology; D005260:Female; D005831:Genital Diseases, Female / Q000523:psychology / Q000601:surgery; D005833:Genital Neoplasms, Female / Q000523:psychology / Q000601:surgery; D013509:Gynecologic Surgical Procedures / Q000523:psychology*; D006801:Humans; D007902:Length of Stay; D008137:Longitudinal Studies; D008875:Middle Aged; D011581:Psychological Tests; D012044:Regression Analysis; D012959:Socioeconomic Factors
chemical_list: D000970:Antineoplastic Agents