Profiles of psychosocial outcome after XXXX surgery: the role of personality.

@entity1 @entity410 @entity1625 @entity308 @entity302 @entity663
PURPOSE: We have previously found that the developmental time frame of @entity302 onset influences adult personality traits and subsequent adjustment to intractable @entity410 . In the same cohort of @entity1 we now investigate the influence of these factors on psychosocial outcome after surgical treatment. METHODS: Fifty-seven adult @entity1 with @entity1625 were prospectively assessed before and after surgery. Measures of psychosocial outcome included mood, health-related quality of life (HRQOL), and psychosocial adjustment, collected longitudinally at 1-, 3-, and 12-months after surgery. RESULTS: @entity1 with high @entity663 and low extraversion were predisposed to greater @entity308 after surgery. More than 70% of @entity1 with high @entity663 also reported disrupted family dynamics and difficulties adjusting to @entity410 freedom. The latter was associated with changes in self-identity that increased over time. @entity1 with @entity302 onset before or during the self-defining period of adolescence reported the greatest perceived self-change after surgery that had positive effects for HRQOL. DISCUSSION: Psychosocial outcome after @entity302 surgery appears intrinsically linked to a change in self and a transition from chronically sick to well. The development of personality traits and self-identity in the context of habitual @entity410 can impact psychosocial outcome and the extent of self-change reported after surgery, and paradoxically, can concur more beneficial effects.
