Perceptions and emotions in postoperative recovery of patients with perianal diseases.

IF 3.9 4区 医学 Q1 PSYCHIATRY World Journal of Psychiatry Pub Date : 2025-01-19 DOI:10.5498/wjp.v15.i1.101563
Bryan Adrian Priego-Parra, Jose Maria Remes-Troche
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Abstract

This article examines the complex relationship between disease perception, negative emotions, and their impact on postoperative recovery in patients with perianal diseases. These conditions not only cause physical discomfort, but also carry a significant emotional burden, often exacerbated by social stigma. Psychological factors, including stress, anxiety, and depression, activate neuroendocrine pathways, such as the hypothalamic-pituitary-adrenal axis, disrupting the gut microbiota and leading to dysbiosis. This disruption can delay wound healing, prolong hospital stay, and intensify pain. Drawing on the findings of Hou et al, our article highlights the critical role of illness perception and negative emotions in shaping recovery outcomes. It advocates for a holistic approach that integrates psychological support and gut microbiota modulation, to enhance healing and improve overall patient outcomes.

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感知与情绪在肛周疾病患者术后恢复中的作用。
本文探讨疾病感知、负面情绪及其对肛周疾病患者术后恢复的影响之间的复杂关系。这些疾病不仅会导致身体不适,还会带来沉重的情感负担,而社会耻辱感往往会加剧这种负担。心理因素,包括压力、焦虑和抑郁,激活神经内分泌通路,如下丘脑-垂体-肾上腺轴,破坏肠道微生物群,导致生态失调。这种破坏会延迟伤口愈合,延长住院时间,并加剧疼痛。根据侯等人的研究结果,我们的文章强调了疾病感知和负面情绪在塑造康复结果中的关键作用。它提倡一种综合心理支持和肠道菌群调节的整体方法,以增强愈合和改善患者的整体结果。
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来源期刊
自引率
6.50%
发文量
110
期刊介绍: The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.
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