Einige psychologische Prädiktoren für psychische Auffälligkeiten nach Herzoperationen

Abstract

In a study of postoperative psychosis after open heart surgery three psychopathological syndromes were identified which had different psychological predictors. Predictors of postoperative emotional disturbances are family problems and the lack of plans for the future, whereas patients with postoperative disorientations seem to have difficulties in their jobs and therefore feel distressed preoperatively. Predictors of the paranoid syndrome after the operation are: a high degree of fear in awaiting the operation and little confidence in the doctors. The social surroundings of these patients are often unstable and although they have no precise plans for the future they object to start working again after operation.

Open-Heart Surgery: Somatic Predictors of Postoperative Psychopathology

“…According to several authors (8,1,14,20) the frequency of postoperative psychic disturbances increases with age. Some of them also find a relationship between age and degree of severity of the disturbances (6,8). In our sample we were only able to demonstrate this for the group with aortic lesions.…”

“…For all observations and information, three degrees of psychic changes were defined according to the degree of loss of reality: slight, moderate and severe. With the aid of factor analysis of the AMP findings, the psychic symptoms could be divided into 3 categories: "emotional disturbances", "psycho-organic symptoms" and "paranoid-hallucinatory symptoms" (2, 3,6,9). Duration of the symptoms correlated strongly with their degree.…”