The relationship between preoperative depression and anxiety and postoperative recovery in patients undergoing gastrointestinal cancer surgery: a prospective cohort study

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dc.contributor.authorAldemir Atmaca, Kadriye
dc.contributor.authorUnver, Zeynep
dc.date.accessioned2026-04-04T13:33:33Z
dc.date.available2026-04-04T13:33:33Z
dc.date.issued2026
dc.departmentİnönü Üniversitesi
dc.description.abstractPsychological distress, particularly anxiety and depression, is common among patients undergoing cancer surgery and may adversely affect recovery. However, the relationship between these factors and early postoperative outcomes in gastrointestinal (GI) cancer surgery has not been sufficiently investigated. This study aimed to examine the association of preoperative depression and anxiety symptoms with early postoperative recovery in patients undergoing oncological GI surgery. A prospective cohort study was conducted at a university hospital in Eastern T & uuml;rkiye between February 2023 and January 2025. A total of 162 patients scheduled for GI cancer surgery participated. Preoperative psychological status was assessed using the Hospital Anxiety and Depression Scale (HADS). On postoperative day three, recovery was evaluated using the Quality of Recovery-40 (QoR-40), pain with the Numeric Rating Scale (NRS), and data on gastrointestinal function and ambulation were collected. Patients who experienced depressive symptoms before surgery demonstrated poorer overall recovery, reduced physical independence, lower perceived psychological support, reduced emotional status, and limited ambulation compared to those without such symptoms. Similarly, individuals with anxiety reported reduced physical functioning and emotional support, along with more severe pain in the early postoperative phase. No meaningful differences were observed in gastrointestinal function between groups. Additionally, higher body mass index was generally associated with better perceived recovery. Preoperative anxiety and depression are associated with impaired early postoperative recovery among patients undergoing GI cancer surgery. Integrating routine psychological screening and targeted psychosocial interventions into preoperative nursing care may help identify vulnerable patients and improve recovery outcomes No patient or public contribution.
dc.identifier.doi10.1080/13548506.2026.2632396
dc.identifier.issn1354-8506
dc.identifier.issn1465-3966
dc.identifier.pmid41709785
dc.identifier.scopus2-s2.0-105030726974
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1080/13548506.2026.2632396
dc.identifier.urihttps://hdl.handle.net/11616/109242
dc.identifier.wosWOS:001695743700001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherRoutledge Journals, Taylor & Francis Ltd
dc.relation.ispartofPsychology Health & Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WOS_20250329
dc.subjectGastrointestinal cancer
dc.subjectdepression
dc.subjectanxiety
dc.subjectpostoperative recovery
dc.subjectsurgery
dc.subjectnursing
dc.subjectpsychosocial assessment
dc.titleThe relationship between preoperative depression and anxiety and postoperative recovery in patients undergoing gastrointestinal cancer surgery: a prospective cohort study
dc.typeArticle

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