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Surgery

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Health Psychology

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.

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References

  • Anderson, K.O. and Masur, F.T. (1983) Psychological preparation for invasive medical and dental procedures. Journal of Behavioural Medicine, 6(1), 1–41.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Andrew, J.M. (1972) Delay of surgery. Psychosomatic Medicine, 34(4), 345–54.

    Google Scholar 

  • Bardsley M. and Coles J. (1992) Practical experiences in auditing patient outcomes. Quality in Health Care, 1, 124–30.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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 

  • Byrne, D. (1961) The repression-sensitisation scale: rationale, reliability and validity. Journal of Personality, 29, 334–49.

    Article  Google Scholar 

  • 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 

  • 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.

    Article  Google Scholar 

  • 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 

  • Gil, K.M. (1984) Coping effectively with invasive medical procedures: a descriptive model. Clinical Psychology Review, 4, 339–62.

    Article  Google Scholar 

  • Griffiths, F.R. (1983) NHS Management Inquiry Report, DHSS, London.

    Google Scholar 

  • 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 

  • 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 

  • 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 

  • 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.

    Article  Google Scholar 

  • Johnston, M. (1980) Anxiety in surgical patients. Psychological Medicine, 10, 145–52.

    Article  Google Scholar 

  • 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 

  • 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 

  • Kincey, J. and Benjamin, S. (1984) Desynchrony following the treatment of pain behaviour. Behaviour Research and Therapy, 22(1), 85–6.

    Article  Google Scholar 

  • 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 

  • 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 

  • 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 

  • 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 

  • 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.

    Chapter  Google Scholar 

  • Ley P. (1988) Communicating with Patients: Improving Communication, Satisfaction and Compliance, Croom Helm, London.

    Google Scholar 

  • 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 

  • Maguire, P. (1985) Psychological morbidity associated with cancer and cancer treatment. Clinics in Oncology, 4(3), 559–75.

    Google Scholar 

  • 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 

  • Mathews, A. and Ridgeway, V. (1981) Personality and surgical recovery: a review. British Journal of Clinical Psychology, 20, 243–60.

    Article  Google Scholar 

  • 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 

  • Melamed, B. (1977) Psychological Preparation for hospitalisation, in Contributions to Medical Psychology, vol. 1, (ed S. Rachman), Pergamon Press, Oxford, pp. 43–74.

    Chapter  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Morris, T., Greer, S.H. and White, P. (1977) Psychological and social adjustment to mastectomy. Cancer, 40,2381–7.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • O’Boyle, C., McGee, H., Hickey, A. et al. (1992) Individual quality of life in patients undergoing hip replacement. Lancet, 339, 1088–91.

    Article  Google Scholar 

  • 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 

  • 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 

  • Rachman, S. and Hodgson, R. (1974) Synchrony and desynchrony in fear and avoidance. Behaviour Research and Therapy, 12, 311–18.

    Article  Google Scholar 

  • 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 

  • 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 

  • 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.

    Article  Google Scholar 

  • Rotter, J.B. (1966) Generalised expectances for internal versus external control of reinforcement. Psychological Monographs, 80 (1, Whole no. 609).

    Google Scholar 

  • Salmon P. (1992) Psychological factors in surgical stress: implications for management. Clinical Psychology Review, 12, 681–704.

    Article  Google Scholar 

  • Schultheis, K., Peterson, L. and Selby, V. (1987) Preparation for stressful medical procedures and person-treatment interactions. Clinical Psychology Review, 7, 329–52

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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 

  • 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.

    Article  Google Scholar 

  • Wallace, L.M. (1987) Trait anxiety as a predictor of adjustment to and recovery from surgery. British Journal of Clinical Psychology, 26, 73–4.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Wilson, J.F. (1981) Behavioural preparation for surgery: benefit or harm? Journal of Behavioural Medicine, 4, 79–102.

    Article  Google Scholar 

  • Wilson-Barnett, J. (1984) Interventions to alleviate patients’ stress: a review. Journal of Psychosomatic Research, 28 (1), 63–72.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

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Authors
  1. John Kincey
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Editor information

Editors and Affiliations

  1. Annabel Broome Associates, Weymouth, UK

    Annabel Broome

  2. University of Edinburgh, Edinburgh, UK

    Sue Llewelyn

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© 1995 Springer Science+Business Media Dordrecht

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Kincey, J. (1995). Surgery. In: Broome, A., Llewelyn, S. (eds) Health Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3226-6_22

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  • DOI: https://doi.org/10.1007/978-1-4899-3226-6_22

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-56593-226-5

  • Online ISBN: 978-1-4899-3226-6

  • eBook Packages: Springer Book Archive

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