title: Effects of psychological interventions and patients' affect on short-term quality of life in patients undergoing colorectal surgery.
abstract: Psychological interventions can improve Quality of Life (QoL). Object of interest was if different psychological interventions influence short-term QoL after colonic resection for carcinoma. Furthermore, we wanted to see if there is a correlation between patients` preoperative affect and postoperative QoL. Sixty patients that underwent colorectal surgery were divided into three groups. Group one (n = 20) received Guided Imagery and group 2 (n = 22) Progressive Muscle Relaxation. The third group (Control, n = 18) had no intervention. Quality of Life (QoL) was measured using the EORTC QLQ-C30 and the Gastrointestinal Quality of life Index (GIQLI). Patients' affect was measured by the PANAS questionnaire. The higher the preoperative Negative Affect was, the lower were the scores for QoL on the 30th postoperative day. Patients' QoL was highest preoperatively and lowest on the third postoperative day. On the 30th postoperative day scores for QoL were almost as high as preoperative without difference between the three groups. Neither Guided Imagery nor Progressive Relaxation was influencing short-term QoL measured by the EORTC QLQ-C30 and the GIQLI questionnaire after colorectal surgery for cancer. Screening patients' with the PANAS questionnaire might help to identify individuals that are more likely to have a worse QoL postoperatively.
authors.affiliation: Department of General, Visceral, Vascular and Thoracic Surgery, Charité - University Medicine Berlin, Campus Mitte, Berlin, Germany.
authors.forename: Gerold
authors.initials: G
authors.lastname: Koplin
authors.affiliation: Department of General, Visceral, Vascular and Thoracic Surgery, Charité - University Medicine Berlin, Campus Mitte, Berlin, Germany.
authors.forename: Verena
authors.initials: V
authors.lastname: Müller
authors.affiliation: Department of General, Visceral, Vascular and Thoracic Surgery, Charité - University Medicine Berlin, Campus Mitte, Berlin, Germany.
authors.forename: Grit
authors.initials: G
authors.lastname: Heise
authors.affiliation: Department of General, Visceral, Vascular and Thoracic Surgery, Charité - University Medicine Berlin, Campus Mitte, Berlin, Germany.
authors.forename: Johann
authors.initials: J
authors.lastname: Pratschke
authors.affiliation: Department of General and Visceral Surgery, Asklepios Klinik Altona, Hamburg, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Schwenk
authors.affiliation: Department of General, Visceral, Vascular and Thoracic Surgery, Charité - University Medicine Berlin, Campus Mitte, Berlin, Germany.
authors.forename: Oliver
authors.initials: O
authors.lastname: Haase
mesh_terms: D000339:Affect; D000368:Aged; D016022:Case-Control Studies; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D059035:Perioperative Period; D011788:Quality of Life
keywords: Guided imagery; PANAS; progressive relaxation; quality of life; surgery