Do preoperative depressive symptoms predict quality of life after laparoscopic cholecystectomy: A longitudinal prospective study.
OBJECTIVE:The impact of preoperative depressive symptoms on quality of life (QOL) after laparoscopic cholecystectomy (LC) remains unclear. The purpose of this study was to develop a benchmark for capturing the burden of depressive symptoms on QOL after LC and for supporting evidence-based clinical i...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2018-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC6116980?pdf=render |
| _version_ | 1819231502301396992 |
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| author | Hao-Hsien Lee Chong-Chi Chiu King-Teh Lee Jhi-Joung Wang Jin-Jia Lin Chien-Ming Chao Hon-Yi Shi |
| author_facet | Hao-Hsien Lee Chong-Chi Chiu King-Teh Lee Jhi-Joung Wang Jin-Jia Lin Chien-Ming Chao Hon-Yi Shi |
| author_sort | Hao-Hsien Lee |
| collection | DOAJ |
| description | OBJECTIVE:The impact of preoperative depressive symptoms on quality of life (QOL) after laparoscopic cholecystectomy (LC) remains unclear. The purpose of this study was to develop a benchmark for capturing the burden of depressive symptoms on QOL after LC and for supporting evidence-based clinical interventions for remediating these effects. METHODS:Patients diagnosed with depressive symptoms (Beck Depression Inventory score > 13) after LC (n = 336) were classified into a depressive symptoms group. Propensity score matching was then used to match them with 336 patients in a non-depressive symptoms group for all potential confounding factors. All patients completed the 36-item Short Form Health Survey (SF-36) and the Gastrointestinal Quality of Life Index (GIQLI) at baseline and at 2 years postoperatively. The 95% confidence intervals (CIs) for differences in responsiveness estimates were derived by bootstrap estimation. RESULTS:The GIQLI results revealed that the non-depressive symptoms group had relatively stronger responses for emotional impairment (4.10, 95% CI 2.81 to 5.39) and social impairment (4.06, 95% CI 2.65 to 5.46) in comparison with the depressive symptoms group. In the SF-36, the non-depressive symptoms group also had stronger responses for role emotional (12.63, 95% CI 10.73 to 14.54), social functioning (11.25, 95% CI 9.85 to 12.65), vitality (3.81, 95% CI 2.82 to 4.81), mental health (11.97, 95% CI 10.36 to 13.56) and general health (3.84, 95% CI 2.95 to 4.75). CONCLUSIONS:Depressive symptoms complicate the management of LC patients and are associated with poorer outcomes. Because depressive symptoms are very common, further studies are needed to evaluate integrated and comprehensive approaches for assessing and treating these symptoms. |
| first_indexed | 2024-12-23T11:45:59Z |
| format | Article |
| id | doaj.art-280d71626ee848eba1881311ca21613d |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-23T11:45:59Z |
| publishDate | 2018-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-280d71626ee848eba1881311ca21613d2022-12-21T17:48:20ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01138e020226610.1371/journal.pone.0202266Do preoperative depressive symptoms predict quality of life after laparoscopic cholecystectomy: A longitudinal prospective study.Hao-Hsien LeeChong-Chi ChiuKing-Teh LeeJhi-Joung WangJin-Jia LinChien-Ming ChaoHon-Yi ShiOBJECTIVE:The impact of preoperative depressive symptoms on quality of life (QOL) after laparoscopic cholecystectomy (LC) remains unclear. The purpose of this study was to develop a benchmark for capturing the burden of depressive symptoms on QOL after LC and for supporting evidence-based clinical interventions for remediating these effects. METHODS:Patients diagnosed with depressive symptoms (Beck Depression Inventory score > 13) after LC (n = 336) were classified into a depressive symptoms group. Propensity score matching was then used to match them with 336 patients in a non-depressive symptoms group for all potential confounding factors. All patients completed the 36-item Short Form Health Survey (SF-36) and the Gastrointestinal Quality of Life Index (GIQLI) at baseline and at 2 years postoperatively. The 95% confidence intervals (CIs) for differences in responsiveness estimates were derived by bootstrap estimation. RESULTS:The GIQLI results revealed that the non-depressive symptoms group had relatively stronger responses for emotional impairment (4.10, 95% CI 2.81 to 5.39) and social impairment (4.06, 95% CI 2.65 to 5.46) in comparison with the depressive symptoms group. In the SF-36, the non-depressive symptoms group also had stronger responses for role emotional (12.63, 95% CI 10.73 to 14.54), social functioning (11.25, 95% CI 9.85 to 12.65), vitality (3.81, 95% CI 2.82 to 4.81), mental health (11.97, 95% CI 10.36 to 13.56) and general health (3.84, 95% CI 2.95 to 4.75). CONCLUSIONS:Depressive symptoms complicate the management of LC patients and are associated with poorer outcomes. Because depressive symptoms are very common, further studies are needed to evaluate integrated and comprehensive approaches for assessing and treating these symptoms.http://europepmc.org/articles/PMC6116980?pdf=render |
| spellingShingle | Hao-Hsien Lee Chong-Chi Chiu King-Teh Lee Jhi-Joung Wang Jin-Jia Lin Chien-Ming Chao Hon-Yi Shi Do preoperative depressive symptoms predict quality of life after laparoscopic cholecystectomy: A longitudinal prospective study. PLoS ONE |
| title | Do preoperative depressive symptoms predict quality of life after laparoscopic cholecystectomy: A longitudinal prospective study. |
| title_full | Do preoperative depressive symptoms predict quality of life after laparoscopic cholecystectomy: A longitudinal prospective study. |
| title_fullStr | Do preoperative depressive symptoms predict quality of life after laparoscopic cholecystectomy: A longitudinal prospective study. |
| title_full_unstemmed | Do preoperative depressive symptoms predict quality of life after laparoscopic cholecystectomy: A longitudinal prospective study. |
| title_short | Do preoperative depressive symptoms predict quality of life after laparoscopic cholecystectomy: A longitudinal prospective study. |
| title_sort | do preoperative depressive symptoms predict quality of life after laparoscopic cholecystectomy a longitudinal prospective study |
| url | http://europepmc.org/articles/PMC6116980?pdf=render |
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