title: Psychosocial functioning of patients after endoscopic thoracic sympathectomy.
abstract: OBJECTIVE
  Endoscopic thoracic sympathectomy is considered the treatment modality of choice for patients with disabling hyperhidrosis. However, the psychosocial impact of the intervention has not been systematically studied in American samples before and after sympathectomy. It is expected that the reduction of symptoms is associated with improved psychosocial functioning and quality of life. The aim of this study was to examine psychosocial functioning in patients with hyperhidrosis undergoing thoracic sympathectomy.
  
  
  METHODS
  Patients with hyperhidrosis undergoing evaluation for sympathectomy were recruited from Shands Hospital at the University of Florida. Fifty-one patients completed individual psychological assessment batteries prior to undergoing sympathectomy and at 1-month follow-up, measuring the constructs of health-related quality of life, anxiety, and depression.
  
  
  RESULTS
  Repeated-measures analyses of variance revealed that 1 month after sympathectomy, patients reported significant improvements across the domains of physical quality of life (p=0.01), mental quality of life (p=0.005), trait anxiety (p<0.001), and depression (p=0.007).
  
  
  CONCLUSIONS
  Sympathectomy resulted in increases in health-related quality of life, and decreases in anxiety and depression within 1 month post procedure. Results suggest that sympathectomy exists as an effective treatment choice for both medical and psychosocial outcomes in patients with hyperhidrosis.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, FL 32610, USA.
authors.forename: Lauren D
authors.initials: LD
authors.lastname: Vazquez
authors.forename: Nancy L
authors.initials: NL
authors.lastname: Staples
authors.forename: Samuel F
authors.initials: SF
authors.lastname: Sears
authors.forename: Charles T
authors.initials: CT
authors.lastname: Klodell
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000209:etiology; D003863:Depression / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006945:Hyperhidrosis / Q000523:psychology* / Q000601:surgery*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D011788:Quality of Life; D013562:Sympathectomy / Q000379:methods*; D013906:Thoracoscopy / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult