title: Culture and psychosocial function in british and Japanese people with an ostomy.
abstract: OBJECTIVE
  We compared social and psychological adjustment to surgery ending with an ostomy in British and Japanese patients.
  
  
  METHODS
  In response to a postal survey, 948 ostomy patients (464 British and 484 Japanese), selected at random from respective national databases, provided assessable data on the Ostomy Adjustment Inventory-23 (OAI-23), a validated scale for measurement of psychosocial adjustment to an ostomy.
  
  
  RESULTS
  Analysis of variance revealed that country of residence (F1,876 = 50.9, P < .001) and time since surgery (F3,876 = 9.9, P < .001) significantly influenced psychosocial adjustment to an ostomy. British persons with an ostomy experienced higher psychosocial adjustment to an ostomy than did Japanese respondents. Multivariate analysis based on acceptance, social engagement, anxious-preoccupation, and anger also found that country of residence and time since surgery influenced psychosocial adjustment (Pillai's Trace: V = 0.22, F = 67.15, P < 0.001, and V = 0.05, F = 3.6, P ≤ .001, respectively). Acceptance and social engagement (discriminant coefficient = 0.92 and 0.56, respectively) made the largest contribution.
  
  
  CONCLUSIONS
  Psychosocial functioning differed in British and Japanese persons with an ostomy, suggesting that culture influences psychosocial adjustment to life with an ostomy. These findings support the need for culturally informed ostomy care.
authors: University of Hertfordshire, Hatfield, Hertfordshire, UK. k.simmons@herts.ac.uk
authors: Kingsley L
authors: KL
authors: Simmons
authors: Atsuko
authors: A
authors: Maekawa
authors: Jane A
authors: JA
authors: Smith
mesh_terms: D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D000368:Aged; D044466:Asian People / Q000523:psychology*; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D016208:Databases, Factual; D004522:Educational Status; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010030:Ostomy / Q000523:psychology*; D011584:Psychology; D012648:Self Care; D011795:Surveys and Questionnaires; D006113:United Kingdom; D044465:White People / Q000523:psychology*