Causal Attributions, Social Support and Psychological Morbidity in Patients Undergoing Thyroid Surgery

Nazmiye Kocaman Yıldırım; Beyza Özçınar; Selim Doğan; Nihat Aksakal; Nuri Alper Sahbaz; Fırat Tutal; Bahar Canday Torun; Mine Özkan; Yeşim Erbil

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자료유형: 학술저널

저자정보: Nazmiye Kocaman Yıldırım Beyza Özçınar Selim Doğan Nihat Aksakal Nuri Alper Sahbaz Fırat Tutal Bahar Canday Torun Mine Özkan Yeşim Erbil

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제18권 제4호

발행연도: 2018.1

수록면: 219 - 227 (9page)

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연구배경

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Purpose: The primary objective of the present study was to investigate the course of anxiety and depression in thyroidectomy. The second objective was to investigate the association between somatic symptoms and psychological symptoms, and the final objective was to identify the sociodemographic, clinical, and psychosocial factors that affect psychiatric morbidity. Methods: This prospective study, 101 patients who were admitted to the Endocrine Surgery Clinic of the Department of General Surgery, Istanbul Faculty of Medicine, University of Istanbul, with thyroid pathology were included in the study. Data were collected before surgery, and in the early, and late periods after surgery. Data were collected using a semi-structured interview form, a visual analogue scale, and the Hospital Anxiety and Depression Scale. Results: The average scores of anxiety and depression before surgery were statistically significantly higher compared with the early and late periods after surgery (P<0.001). Psychological morbidity was identified about 10% of patients before surgery and remained after thyroidectomy. A poor positive correlation founded between somatic symptoms and psychological condition in period surgery (P<0.05). Various sociodemographic features and psychosocial parameters affected anxiety and depression level (P<0.05). Conclusion: Anxiety and depression level in thyroid diseases decreased after thyroidectomy. These patients may express psychologic distress through somatic symptoms. Screening of psychological morbidity is suggested in patients planned thyroid surgery, especially in women, low-educated, inadequate social support, attributed to psychological causes.

참고문헌 (30)

참고문헌 신청

Yetim İ / 2011 / Our thyroid surgery clinic experience / J Clin Anal Med 2:43~45

Burmeister LA / 2001 / Hypothyroidism and cognition: preliminary evidence for a specific defect in memory / Thyroid 11:1177~1185

Samuels MH / 2014 / Psychiatric and cognitive manifestations of hypothyroidism / Curr Opin Endocrinol Diabetes Obes 21:377~383

Demet MM / 2002 / Depression and anxiety in hyperthyroidism / Arch Med Res 33:552~556

Gulseren S / 2006 / Depression, anxiety, health-related quality of life, and disability in patients with overt and subclinical thyroid dysfunction / Arch Med Res 37:133~139

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