Journal of Endocrine Surgery

Korean Association of Thyroid and Endocrine Surgeons (대한갑상선내분비외과학회)
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Causal Attributions, Social Support and Psychological Morbidity in Patients Undergoing Thyroid Surgery

  • Yildirim, Nazmiye Kocaman (Department of Consultation Liaison Psychiatry, Istanbul Faculty of Medicine, University of Istanbul) ;
  • Ozcinar, Beyza (Department of General Surgery, Istanbul Faculty of Medicine, University of Istanbul) ;
  • Dogan, Selim (Department of General Surgery, Istanbul Faculty of Medicine, University of Istanbul) ;
  • Aksakal, Nihat (Department of General Surgery, Istanbul Faculty of Medicine, University of Istanbul) ;
  • Sahbaz, Nuri Alper (Department of General Surgery, Bakirkoy Dr. Sadi Konuk Training and Research Hospital) ;
  • Tutal, Firat (Department of General Surgery, Kolan Hospital) ;
  • Torun, Bahar Canday (Department of General Surgery, Istanbul Faculty of Medicine, University of Istanbul) ;
  • Ozkan, Mine (Department of Consultation Liaison Psychiatry, Istanbul Faculty of Medicine, University of Istanbul) ;
  • Erbil, Yesim (Department of General Surgery, Istanbul Faculty of Medicine, University of Istanbul)
  • Received : 2018.06.25
  • Accepted : 2018.10.12
  • Published : 2018.12.31
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Abstract

Purpose: The primary objective of the present study was to investigate the course of anxiety and depression in thyroidectomy. The second objective was to investigate the association between somatic symptoms and psychological symptoms, and the final objective was to identify the sociodemographic, clinical, and psychosocial factors that affect psychiatric morbidity. Methods: This prospective study, 101 patients who were admitted to the Endocrine Surgery Clinic of the Department of General Surgery, Istanbul Faculty of Medicine, University of Istanbul, with thyroid pathology were included in the study. Data were collected before surgery, and in the early, and late periods after surgery. Data were collected using a semi-structured interview form, a visual analogue scale, and the Hospital Anxiety and Depression Scale. Results: The average scores of anxiety and depression before surgery were statistically significantly higher compared with the early and late periods after surgery (P<0.001). Psychological morbidity was identified about 10% of patients before surgery and remained after thyroidectomy. A poor positive correlation founded between somatic symptoms and psychological condition in period surgery (P<0.05). Various sociodemographic features and psychosocial parameters affected anxiety and depression level (P<0.05). Conclusion: Anxiety and depression level in thyroid diseases decreased after thyroidectomy. These patients may express psychologic distress through somatic symptoms. Screening of psychological morbidity is suggested in patients planned thyroid surgery, especially in women, low-educated, inadequate social support, attributed to psychological causes.

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