Recovery from surgery, with and without preparatory instruction, for three coping styles.

Abstract

A stress-reduction method (information giving) was chosen as a possible method to improve recovery from surgery for one personality type-sensitizers -who typically do seek, learn, and use information in their intellcctualizing defenses. An opposite-extreme group-avoiders-who seldom use intelleclualizing defenses, was expected to improve little; while an intermediate group -neutrals-was expected to improve an intermediate amount. However, results showed learning was unimportant; and that the middle group improved most, recovering in less time and with fewer medications when instructed than when not instructed, while avoiders required more medications when instructed, though not longer time. Sensitizers, expected to show the greatest improvement, did not change. The unexpected results were interpreted in terms of adaptation.

Open-Heart Surgery from the Psychological Point of View and Resulting Therapeutic Considerations

“…In this connection an important aspect is the imparting of information to, or enlightening of, patients, i.e., the manner, the timing and extent of information about, for example, the post-operative course and the psychic risks entailed. Andrew (1970) was able to show that the subjec tive processing of pre-operative information about the nature of the illness and the operation was influenced by the extent of the patient's anxiety. It is un doubtedly not favourable to leave information about psychic events almost ex clusively to other patients.…”

AMEDD Clinical Psychology Short Course, 10 - 15 May 1992, Eisenhower Army Medical Center, Augusta, Georgia

“…As Andrews (1970), Shipley et al (1979), and others have reported, patient "avoiders" may evince increased stress in response to explicit, directive coping intervention efforts.…”

The Effect of Preoperative Administration of Antihistamine, Analgesic and Placebo on Postoperative Pain in Teeth with Symptomatic Apical Periodontitis: A Randomized Controlled Trial

“…A recent systematic review showed that between 3% and 58% of patients were reported to have experienced endodontic postoperative pain (5). The management of postoperative pain has been the subject of many research studies, including preoperative explanations and instructions (6), long-acting anesthesia (7), the glide path (8), occlusal reduction (9, 10), medication using salicylic acid (11), non-steroid anti-inflammatory drugs (NSAIDs) (12), combination of ibuprofen and acetaminophen (13), narcotic analgesics (14), a combination of narcotic analgesics with aspirin (15) or acetaminophen (16), and steroidal anti-inflammatory drugs (17,18).…”