Changes in Mood States After Coronary Artery Bypass Graft Surgery

Abstract

Few studies have investigated the change in mood states, such as anger, fatigue and confusion, after coronary artery bypass graft surgery (CABGS). The aim of this study was to describe the progression of these mood states over time and to determine the factors associated with these trajectories. The Profile of Mood States (POMS) was administered to 182 CABGS patients prior to surgery and at two and six months post-operatively. Socio-demographic and medical data were collected before surgery. Growth curve modelling was used to describe the POMS subscale trajectories. Four POMS subscales (tension-anxiety, fatigue-inertia, confusion-bewilderment, and vigour-activity) showed rapid improvement over the first two months after CABGS followed by a lesser improvement. There was no significant change over time for the depression-dejection and anger-hostility subscales. Being younger, male, having a manual occupation, and smoking were factors associated with poorer pre-operative mood states. Those at risk of persistent mood disturbance after CABGS were younger, unpartnered, female and those with diabetes. These patients can be identified prior to hospital admission.

Including psychosocial factors in screening for surgery: A preliminary literature review from a social work perspective (Preprint)

“…Surgery was noted as a major stressor [23], linked with anxiety and fear [14], which substantially affects mood [24]. The process of surgical treatment was described by reviewed articles as affecting a person's sense of control over their internal psychological environment and their subjective wellbeing [25,26].…”

“…Specifically, psychosocial wellbeing, mood state and related factors have a major influence over hospitalisation, healing and surgical outcomes [14,24]. Pre surgery fear and anxiety have also been linked with post-operative depression, pain and poorer recovery [14,22].…”

Including Psychosocial Factors in Screening for Surgery: A Preliminary Literature Review from a Social Work Perspective

“…Specifically, the patient's health and wellbeing, mood state and social factors, such as the patient's home environment and formal and informal supports, can have a major influence over hospitalisation, healing and surgical outcomes (Elliott et al, 2010;Shahmansouri et al, 2014). Pre-surgery fear and anxiety have also been linked with post-operative depression, pain and poorer recovery (Contrada et al, 2004;Shahmansouri et al, 2014).…”

“…Surgery was noted as a major stressor (Rice et al, 1992), linked with anxiety and fear (Shahmansouri et al, 2014), which substantially affects mood (Elliott et al, 2010). The process of surgical treatment was described by reviewed articles as affecting a person's sense of control over their internal psychological environment and their subjective wellbeing (Halfens, 1995;Sørlie & Sexton, 2004).…”

Características da fadiga no pré e pós-operatórios de cirurgia de revascularização do miocárdio

“…Autores que investigaram fadiga em pacientes com DAC apresentam dados semelhantes ao presente estudo, sendo que apenas 28,5% e 33% dos participantes encontravam-se economicamente ativos (14,195) . Em contrapartida, outros estudos verificaram que 50% e 44% dos participantes, respectivamente, encontravam-se trabalhando no momento da avaliação (17,18) .…”