Advertisement

Surgery

  • John Kincey
Chapter

Abstract

In the comparatively harsh economic realities of current health care provision there is a significant risk that health service managers, surgeons and other clinicians might dismiss concerns about the psychological welfare of the surgical patient as something of a luxury, compared with the need to maximize throughput and reduce waiting lists. This phenomenon has become even more recognizable since the first edition of this book was published, exemplified by the clinical and managerial pressures to ensure that no patients wait more that 2 years for non-emergency hospital surgery, while costs are contained and clinical outcomes improved. A major aim of this chapter is to suggest that the concerns of the patient, surgeon, manager and health psychologist in fact overlap and interact in important ways.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Anderson, K.O. and Masur, F.T. (1983) Psychological preparation for invasive medical and dental procedures. Journal of Behavioural Medicine, 6(1), 1–41.CrossRefGoogle Scholar
  2. Andrew, J.M. (1970) Recovery from surgery, with and without preparatory instruction for three coping styles. Journal of Personality and Social Psychology, 15, 223–6.CrossRefGoogle Scholar
  3. Andrew, J.M. (1972) Delay of surgery. Psychosomatic Medicine, 34(4), 345–54.Google Scholar
  4. Bardsley M. and Coles J. (1992) Practical experiences in auditing patient outcomes. Quality in Health Care, 1, 124–30.CrossRefGoogle Scholar
  5. Boeke S., Duivenvoorden H, Verhage, F. and Zwaveling, A. (1991) Prediction of post-operative pain and duration of hospitalisation using two anxiety measures. Pain, 45, 293–7.CrossRefGoogle Scholar
  6. Boeke, S., Jelicic, M. and Bouke, B. (1992) Preoperative anxiety variables as possible predictors of postoperative stay in hospital. British Journal of Clinical Psychology, 31, 366–8.CrossRefGoogle Scholar
  7. Buxton, H., Ashby, J. and O’Hanlon, M. (1986) Valuation of Health States Using the Time-Trade-off Approach: Report of a Pilot Study Relating to Health States One Year After Treatment for Breast Cancer. Health Economics Research Group, Brunei University.Google Scholar
  8. Byrne, D. (1961) The repression-sensitisation scale: rationale, reliability and validity. Journal of Personality, 29, 334–49.CrossRefGoogle Scholar
  9. Eysenck, H.J. and Eysenck, S.B.G. (1986) Manual of the Eysenck Personality Inventory, Educational and Industrial Testing Service, San Diego, California.Google Scholar
  10. Funch, D.P. and Mettlin, C. (1982) The role of support in relation to recovery from breast surgery. Social Science and Medicine, 16, 91–8.CrossRefGoogle Scholar
  11. Gath, D. (1980) Psychiatric aspects of hysterectomy, in The Social Consequences of Psychiatric Illness, (eds L. Robins, P. Clayton and J. Wing), Brunner/Mazel, New York, pp. 33–45.Google Scholar
  12. Gil, K.M. (1984) Coping effectively with invasive medical procedures: a descriptive model. Clinical Psychology Review, 4, 339–62.CrossRefGoogle Scholar
  13. Griffiths, F.R. (1983) NHS Management Inquiry Report, DHSS, London.Google Scholar
  14. Haywood, J. (1975) Information — A Prescription Against Pain, The Study of Nursing Care Project Reports, Series 2, No. 2, No. 5, Royal College of Nursing, London.Google Scholar
  15. Johnson, J.E. (1984) Psychological interventions and coping with surgery, in Handbook of Psychology and Health, vol. 4, Social Psychological Aspects of Health (Eds A. Baum, S. Taylor and J. Singer), Lawrence Earlbaum Associates, Hillsdale, New Jersey, pp. 167–87.Google Scholar
  16. Johnson, J.E., Leventhal, H. and Dabbs, J.M. (1971) Contributions of emotional and instrumental response processes in adaptation to surgery. Journal of Personality and Social Psychology, 20 (55), 64.Google Scholar
  17. Johnson, J.E., Rice, V.H., Fuller, S.S. and Endress, M.P. (1978) Sensory information, instruction in a coping strategy and recovery from surgery. Research in Nursing and Health, 1, 4–17.CrossRefGoogle Scholar
  18. Johnston, M. (1980) Anxiety in surgical patients. Psychological Medicine, 10, 145–52.CrossRefGoogle Scholar
  19. Kendall, P.C. and Watson, D. (1981) Psychological preparation for stressful medical procedures, in Medical Psychology: Contributions to Behavioural Medicine, (eds C.K. Prokop and L.A. Bradley), Academic Press, New York, pp. 198–223.Google Scholar
  20. Kincey J. (1988) A case of anxiety management in a general hospital surgical setting, in Clinical Psychology in Action, (eds J. West and P. Spinks), John Wright and Sons, Bristol, pp. 206–10.Google Scholar
  21. Kincey, J. and Benjamin, S. (1984) Desynchrony following the treatment of pain behaviour. Behaviour Research and Therapy, 22(1), 85–6.CrossRefGoogle Scholar
  22. Kincey J. and McFarlane, T. (1984) Psychological aspects of hysterectomy, in Psychology and Gynaecological Problems, (eds A.K. Broome and L.M. Wallace), Tavistock Publications, London, pp. 142–61.Google Scholar
  23. Kincey, J. and Saltmore, S. (1990) Stress and surgical treatments, in Stress and Medical Procedures, (eds M. Johnston and L. Wallace), Oxford University Press, Oxford, pp. 120–37.Google Scholar
  24. Krantz, D., Arabian, J., Davia, J. and Parker, J.S. (1982) Type A behaviour and coronary artery bypass surgery: intraoperative blood pressure and perioperative complications. Psychosomatic Medicine, 44(3), 273–84.Google Scholar
  25. Levesque, L. and Charlebois, M. (1977) Anxiety, locus of control and the effect of pre-operative teaching on patients’ physical and emotional state. Nursing Papers, 8, 11–26.Google Scholar
  26. Ley, P. (1977) Psychological studies of doctor-patient communication, in Contributions to Medical Psychology, vol. 1, (ed S. Rachman), Pergamon Press, Oxford, pp. 9–41.CrossRefGoogle Scholar
  27. Ley P. (1988) Communicating with Patients: Improving Communication, Satisfaction and Compliance, Croom Helm, London.Google Scholar
  28. MacLachlan R. (1992) Out and art success? Would outcomes management make doctors accountable to patients and purchasers? Health Service Journal, 19 November, 26–27.Google Scholar
  29. Maguire, P. (1985) Psychological morbidity associated with cancer and cancer treatment. Clinics in Oncology, 4(3), 559–75.Google Scholar
  30. Manyande, A., Chayen, S., Priyakumar, et al. (1992) Anxiety and endocrine responses to surgery: paradoxical effects of preventative relaxation training. Psychosomatic Medicine, 54, 225–87.Google Scholar
  31. Mathews, A. and Ridgeway, V. (1981) Personality and surgical recovery: a review. British Journal of Clinical Psychology, 20, 243–60.CrossRefGoogle Scholar
  32. Mathews, A. and Ridgeway, V. (1984) Psychological preparation for surgery, in Health Care and Human Behaviour, (eds A. Steptoe and A. Mathews), Academic Press, London, pp. 231–59.Google Scholar
  33. Melamed, B. (1977) Psychological Preparation for hospitalisation, in Contributions to Medical Psychology, vol. 1, (ed S. Rachman), Pergamon Press, Oxford, pp. 43–74.CrossRefGoogle Scholar
  34. Miller S.M. (1987) Monitoring and blunting: validation of a questionnaire to assess styles of information seeking under threat. Journal of Personality and Social Psychology, 52, 345–53.CrossRefGoogle Scholar
  35. Morris, T., Greer, S.H. and White, P. (1977) Psychological and social adjustment to mastectomy. Cancer, 40,2381–7.CrossRefGoogle Scholar
  36. Mumford, E., Schlesinger, H.J. and Glass, G.V. (1982) The effects of psychological intervention of recovery from surgery and hearty attacks: an analysis of the literature. American Journal of Public Health, 2, 141–51.CrossRefGoogle Scholar
  37. O’Boyle, C., McGee, H., Hickey, A. et al. (1992) Individual quality of life in patients undergoing hip replacement. Lancet, 339, 1088–91.CrossRefGoogle Scholar
  38. O’Brien, B./Office of Health Economics (1986) What Are My Chances Doctor? A Review of Clinical Risks, Health Economics Research Group, Brunei University.Google Scholar
  39. Philips, B.U. and Bee, D.E. (1980) Determinants of post-operative recovery in elective orthopaedic surgery. Social Science and Medicine, 14, 325–30.Google Scholar
  40. Rachman, S. and Hodgson, R. (1974) Synchrony and desynchrony in fear and avoidance. Behaviour Research and Therapy, 12, 311–18.CrossRefGoogle Scholar
  41. Ray, C. (1982) The surgical patient: psychological stress and coping resources, in Social Psychology and Behavioural Medicine, (ed J.R. Eiser), John Wiley and Sons, Chichester, pp. 483–508.Google Scholar
  42. Ray, C. and Fitzgibbon, C. (1979) The socially mediated reduction of stress in surgical patients, in Research in Psychology and Medicine, vol. 2, (eds D.J. Osborne, M.M. Gruneberg and J.R. Eiser), Academic Press, London, pp. 321–7.Google Scholar
  43. Redman, C., McFarlane, T., Cottrell, D. and Kincey, J. (1986) Improving communication between doctors and patients having a hysterectomy. Journal of Obstetrics and Gynaecology, 6, 275–6.CrossRefGoogle Scholar
  44. Rotter, J.B. (1966) Generalised expectances for internal versus external control of reinforcement. Psychological Monographs, 80 (1, Whole no. 609).Google Scholar
  45. Salmon P. (1992) Psychological factors in surgical stress: implications for management. Clinical Psychology Review, 12, 681–704.CrossRefGoogle Scholar
  46. Schultheis, K., Peterson, L. and Selby, V. (1987) Preparation for stressful medical procedures and person-treatment interactions. Clinical Psychology Review, 7, 329–52CrossRefGoogle Scholar
  47. Steptoe, A. and O’Sullivan, J. (1986) Monitoring and blunting coping styles in women prior to surgery. British Journal of Clinical Psychology, 25, 143–4.CrossRefGoogle Scholar
  48. Wallace, L.M. (1984) Psychological preparation for gynaecological surgery, in Psychology and Gynaecological Problems, (eds A.K. Broome and L.M. Wallace), Tavistock Publications, London, pp. 162–88.Google Scholar
  49. Wallace, L.M. (1986) Pre-operative state anxiety as a mediator of psychological adjustment to and recovery from surgery. British Journal of Medical Psychology, 59, 253–61.CrossRefGoogle Scholar
  50. Wallace, L.M. (1987) Trait anxiety as a predictor of adjustment to and recovery from surgery. British Journal of Clinical Psychology, 26, 73–4.CrossRefGoogle Scholar
  51. Wallston, B.S., Wallston, K.A., Kaplan, G.D. and Mades, S.A. (1976) Development and validation of the health locus of control scale. Journal of Consulting and Clinical Psychology, 44, 580–5.CrossRefGoogle Scholar
  52. Williams, J.L., Jones, J.R., Workhoven, M.N. and Williams, B. (1975) The psychological control of pre-operative anxiety. Psychophysiology, 12(1), 50–4.CrossRefGoogle Scholar
  53. Wilson, J.F. (1981) Behavioural preparation for surgery: benefit or harm? Journal of Behavioural Medicine, 4, 79–102.CrossRefGoogle Scholar
  54. Wilson-Barnett, J. (1984) Interventions to alleviate patients’ stress: a review. Journal of Psychosomatic Research, 28 (1), 63–72.CrossRefGoogle Scholar
  55. Wise, T.N., Hall, W.A. and Wong, O. (1978) The relationship of cognitive styles and affective status to post-operative analgesic utilisation. Journal of Psychosomatic Research, 22, 513–18.CrossRefGoogle Scholar
  56. Young, L. and Humphrey, M. (1985) Cognitive methods of preparing women for hysterectomy: does a booklet help? British Journal of Clinical Psychology, 24, 303–4.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1995

Authors and Affiliations

  • John Kincey

There are no affiliations available

Personalised recommendations