What question did this study set out to answer?

To evaluate prospective literature identifying psychological and psychosocial predictors of quality of life and emotional adjustment following coronary artery bypass graft surgery.

January 1, 1997Psychosomatic Medicine

Prediction of Quality of Life after Coronary Artery Bypass Graft Surgery

Q: What is the clinical evidence from this study?

Study design: Review. Population: Coronary artery bypass graft surgery (CABG). Intervention: Preoperative psychological factors (anxiety, depression, social support, optimism, denial). Primary outcome: Postoperative psychological adjustment or maladjustment.

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Key result

Preoperative psychological factors, particularly anxiety and depression, predicted postoperative psychological maladjustment after coronary artery bypass graft surgery.

Why the study?

Do preoperative psychological factors predict psychosocial outcomes after coronary artery bypass graft surgery?

Population

Patients undergoing coronary artery bypass graft surgery (CABG) (17 prospective studies reviewed)

Design

Systematic_review

Authors

ADAnnelien DuitsRadboud University Nijmegen SBSaskia BoekeErasmus University Rotterdam MTMeindert A. TaamsErasmus MC

Discussion

Member takes

Implication

Supports preoperative psychological screening before CABG; confirms predictors of postoperative maladjustment in Level 1 evidence.

Key Points

To evaluate prospective literature identifying psychological and psychosocial predictors of quality of life and emotional adjustment following coronary artery bypass graft surgery.
Reviewed 17 prospective studies published between 1986 and 1996 identified through MEDLINE and PsycLIT databases.
Assessed study designs, methodological quality, predictive findings, and clinical relevance regarding postoperative psychological adjustment.
Preoperative anxiety and depression consistently predicted postoperative psychological maladjustment across the reviewed studies.
Higher preoperative levels of social support, perceived control, optimism, and denial predicted favorable postoperative psychological adjustment.

Structured PICO

Do preoperative psychological factors predict psychosocial outcomes after coronary artery bypass graft surgery?

Population

17 prospective studies published between 1986 and 1996 predicting psychosocial outcome after coronary artery bypass graft surgery.

Exposure

Preoperative psychological assessment of factors including anxiety, depression, social support, feelings of control, denial, and optimism

Outcome

Psychosocial outcome and postoperative psychological adjustmentpatient reported

Preoperative psychological factors, particularly anxiety, depression, and personality traits, are significant predictors of psychosocial outcomes following CABG surgery.

Cite This Study

Duits et al. (1997) conducted a review in Coronary artery bypass graft surgery (CABG). Preoperative psychological factors (anxiety, depression, social support, optimism, denial) was evaluated on Postoperative psychological adjustment or maladjustment. Preoperative psychological factors, particularly anxiety and depression, predicted postoperative psychological maladjustment after coronary artery bypass graft surgery.

synapsesocial.com/papers/6a1efbd4f3fddb4fc6b30327 https://doi.org/10.1097/00006842-199705000-00009

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Prediction of Quality of Life after Coronary Artery Bypass Graft Surgery

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Prediction of Quality of Life after Coronary Artery Bypass Graft Surgery

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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Also Consider