title: Differential health effects of written processing of the experience of a surgical operation in high- and low-risk conditions.
abstract: The aim of this study was to assess the effects of the writing technique on postoperative course in interaction with different levels of risk. Participants were 40 urologic inpatients waiting to undergo transurethral resection of the prostate, with different levels of surgical risk as assessed with the Goldman Preoperative Risk Index (L. Goldman et al., 1978). Only 20 participants wrote for 3 days about the experience of being in the hospital. Measures were days of stay in the hospital after the operation, the Symptom Check List (SCL-90; L. R. Derogatis, 1977; Italian version: G. Magni, C. Messina, D. De Leo, A. Mosconi, & M. Carli, 1983) scores, and a medical evaluation of postoperative course. A significant positive effect of writing on all three dependent variables emerged only in low-risk participants. High-risk writing participants showed a nonsignificantly worse postoperative course on all parameters than did high-risk nonwriting participants. In highly stressful conditions, writing therefore should be employed only with caution.
authors.affiliation: Dipartimento di Psicologia Dinamicae Clinica, Università di Roma La Sapienza, via dei Marsi 78, 00185 Roma, Italy. luigi.solano@uniroma1.it
authors.forename: Luigi
authors.initials: L
authors.lastname: Solano
authors.forename: Luisa
authors.initials: L
authors.lastname: Pepe
authors.forename: Valentina
authors.initials: V
authors.lastname: Donati
authors.forename: Stefano
authors.initials: S
authors.lastname: Persichetti
authors.forename: Guido
authors.initials: G
authors.lastname: Laudani
authors.forename: Andrea
authors.initials: A
authors.lastname: Colaci
mesh_terms: D000368:Aged; D001007:Anxiety / Q000523:psychology; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011184:Postoperative Period; D012306:Risk; D013315:Stress, Psychological / Q000523:psychology; D013521:Urologic Surgical Procedures, Male / Q000523:psychology*; D014956:Writing