A prospective study of personality as a predictor of quality of life after pelvic pouch surgery

Weinryb, Robert M.; Gustavsson, J. P.; Liljeqvist, L; Poppen, B; Rössel, Robert J.

doi:10.1016/s0002-9610(96)00418-7

Cited by 52 publications

(42 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Using the Psychosocial Adjustment to Illness Scale and other measures, Weinryb et al showed that there was no further improvement in quality of life after closure of the ileostomy, but the postileostomy measurement was performed a median of 17 months after closure. 26 In the present study, the first time interval studied was 0 to 2 years, and the median interval between the pouch con-struction and the follow-up episode corresponding to this interval was 16 months (IQR 12 to 20). Our data show a significant improvement in quality of life after that time.…”

mentioning

confidence: 58%

Long-Term Functional Outcome and Quality of Life After Stapled Restorative Proctocolectomy

Fazio¹,

O’Ríordáin²,

Lavery³

et al. 1999

Annals of Surgery

426

286

View full text Add to dashboard Cite

ObjectiveTo evaluate prospectively long-term quality of life and functional outcome after restorative proctocolectomy (RPC) with ileal pouch-anal anastomosis, and to evaluate and validate a novel quality-of-life indicator in this group of patients. Summary Background DataRestorative proctocolectomy with ileal pouch-anal anastomosis is now the preferred option when total proctocolectomy is required for ulcerative colitis or familial adenomatous polyposis, but long-term data on functional outcome and quality of life after the procedure are lacking. MethodsPatients (n ϭ 977) who underwent RPC with stapled anastomosis for colitis or polyposis coli and who were followed for Ն12 months were included. Quality of life, fecal incontinence, and satisfaction with surgery were prospectively evaluated by structured interview or questionnaire for 1 to 12 years after surgery (median 5.0). Quality of life was scored using the Cleveland Global Quality of Life (CGQL) instrument (Fazio Score). This is a novel score developed over the past 15 years by the senior author. Quality of life was also evaluated in a subgroup of patients with the Short Form 36 (SF-36). The CGQL was validated by determining its reliability, responsiveness, and validity as well as its correlation with the SF-36 score. ResultsPostoperative quality of life as measured by SF-36 was excellent and compared well with published norms for the general U.S. population. The CGQL was found to be reliable, responsive, and valid, and there was a high correlation with the SF-36 scores. Using the CGQL, quality of life was shown to increase after the first 2 years after surgery, and there was no deterioration thereafter. The prevalence of perfect continence increased from 75.5% before surgery to 82.4% after surgery, and although this deteriorated somewhat Ͼ2 years after surgery, it was no worse than preoperative values. Ninety-eight percent of patients would recommend the surgery to others. ConclusionsLong-term quality of life after ileal pouch surgery is excellent and the level of continence is satisfactory. This surgery is an excellent long-term option in patients requiring total proctocolectomy. The CGQL is a simple, valid, and reliable measure of quality of life after pelvic pouch surgery and may well be applicable in many other clinical conditions.Reconstructive proctocolectomy (RPC) with formation of ileal pouch-anal anastomosis (IPAA) was introduced by Parks and Nicholls in 1978. 1 Panproctocolectomy with IPAA is considered the preferred option for the surgical treatment of inflammatory bowel disease because it removes the diseased bowel, reduces the risk of cancer, and preserves a natural route for defecation while maintaining fecal continence and avoiding the need for a permanent stoma. 2Restorative proctocolectomy is also recommended for the majority of patients with familial adenomatous polyposis, particularly where the rectum is significantly affected by adenomas. We and others have shown that the operation is safe and effective in the majority of patients. [3][4...

show abstract

mentioning

confidence: 58%

Long-Term Functional Outcome and Quality of Life After Stapled Restorative Proctocolectomy

Fazio¹,

O’Ríordáin²,

Lavery³

et al. 1999

Annals of Surgery

426

286

View full text Add to dashboard Cite

show abstract

“…Previous studies have suggested that a satisfactory outcome of surgery is not only related to objective aspects, but also to personality: indeed, various traits, such as poor frustration tolerance, anxiety and level of alexithymia, were shown to predict poor postoperative QoL in patients with ulcerative colitis following pelvic pouch surgery [3] .…”

Section: Discussionmentioning

confidence: 99%

“…Questionnaires including subjective perception of QoL were used in all studies concerning QoL evaluation after surgical or medical treatment. Few studies described the variability related to personality factors [2] , although the description and perception of QoL might be severely affected by personality and might lead to differences in outcome [3] . Perception of QoL largely depends on the individual cognitive and affective function and this dependence could be enhanced by health problems, potentially leading to a significant difference between the real therapeutic effect and the QoL experienced.…”

Section: Introductionmentioning

confidence: 99%

Quality of Life following Colorectal Cancer Surgery: The Role of Alexithymia

et al. 2008

View full text Add to dashboard Cite

Background: Alexithymia refers to a set of cognitive and emotional deficits. Its effect on surgical outcome has been demonstrated but no studies have been published on colorectal cancer patients. Study Design: A series of 60 consecutive colorectal cancer patients were enrolled in a 3-year prospective study on quality of life by using the SF-36 test and Toronto Alexithymia Scale questionnaires. Patients were investigated pre- and postoperatively (before discharge and then 1 and 3 months thereafter). The control group consisted of patients undergoing laparoscopic cholecystectomy for cholelithiasis. These two groups were divided into two subsets: high-level alexithymia (HA) and low-level alexithymia (LA). The prevalence of HA was 34% in colorectal patients and 35% in cholelithiasis patients. Results: During the postoperative period, in the colorectal group the SF-36 score was significantly higher in HA than in LA subsets. This result was confirmed in the cholelithiasis group. During follow-up, a progressive reduction of the SF-36 score was observed in both HA populations. Discussion: Results emerging from this investigation demonstrate that surgery significantly improves the quality of life in HA patients. These findings suggest that alexithymia might be advantageous in evaluating the adaptation after surgery in the short follow-up period.

show abstract

“…KAPP studies have found that the coping with aggressive affects subscale is relevant for the study of both somatic and mental illnesses (albeit this is an artificial distinction). In 2 studies Weinryb and coworkers [24,25] studied the relationship between the KAPP and somatic functioning and quality of life after pelvic pouch surgery. The authors found that patients with poorer functioning on frustration tolerance and coping with aggressive affects had poorer somatic postsurgery function.…”

Section: The Kapp Methodsmentioning

confidence: 99%

Anxiety, Aggression, and Body Ideal in Adult Atopic Dermatitis Patients

Linnet¹,

Jemec²

2001

Dermatol Psychosom

View full text Add to dashboard Cite

Background: Aggression and body ideal hold important implications for the anxiety level associated with atopic dermatitis (AD). Most studies of aggression in AD have relied on self-evaluation measures or case descriptions. Methods: This study investigates the relationship between anxiety and management of aggression and body ideal, using the Karolinska Psychodynamic Profile (KAPP), a semi-structured interview quantifying clinical behavior. In KAPP body ideal, consists of 3 subscales: Bodily appearance (BA), bodily functioning (BF), and body image (BI). Results: Thirty-one adult AD patients were compared on KAPP, trait anxiety (STAI), the anxiety index on the SCL-90, and skin condition (SCORAD). Aggression was significantly correlated with STAI (r = 0.42, p < 0.05) and SCL-90 (r = 0.48, p < 0.01). STAI, but not SCL-90, was correlated with BA (r = 0.39, p < 0.05), BF (r = 0.51, p < 0.01) and BI (r = 0.36, p < 0.05). A post hoc analysis suggested that the SCL-90 depression index rather than anxiety is associated with BI. There was no relationship between SCORAD and KAPP or SCORAD and anxiety level. Conclusion: It is concluded that aggression and body ideal are important indicators for managing anxiety in AD, and that KAPP is a relevant inventory in the assessment of AD.

show abstract

A prospective study of personality as a predictor of quality of life after pelvic pouch surgery

Cited by 52 publications

References 16 publications

Long-Term Functional Outcome and Quality of Life After Stapled Restorative Proctocolectomy

Long-Term Functional Outcome and Quality of Life After Stapled Restorative Proctocolectomy

Quality of Life following Colorectal Cancer Surgery: The Role of Alexithymia

Anxiety, Aggression, and Body Ideal in Adult Atopic Dermatitis Patients

Contact Info

Product

Resources

About