Presurgery expectations, postsurgery satisfaction, and psychosocial adjustment after XXXX surgery.

@entity1 @entity410 @entity302
PURPOSE: The medical benefits of @entity302 surgery are well documented, but the psychosocial consequences of surgery have received less attention. This is especially true of the roles of expectations and satisfaction in postsurgery functioning. The present study was designed to examine the relationships between expectation, satisfaction with surgery, and psychosocial functioning in @entity1 and their significant others before and after @entity302 surgery. METHODS: The neuropsychology findings of 79 @entity1 undergoing @entity302 surgery were examined from assessments made before, 2 months after, and 1 year after anterior temporal lobectomy (ATL) was performed. The Minnesota Multiphasic Personality Inventory (MMPI) and the @entity410 Inventory (WPSI) were used to assess psychosocial functioning. A subset of 32 @entity1 and their significant others were followed prospectively with an additional semistructured interview to assess expectations for and satisfaction with surgery outcome. RESULTS: Before surgery, @entity1 showed considerable problems with psychosocial adjustment. After surgery, @entity1 in the @entity410 -free group showed improvements on the psychosocial measures at both follow-ups, whereas @entity1 with continued @entity410 showed improvement at the 2-month follow-up and then a decline to baseline or worse at the time of the 1-year follow-up. Subjects who were studied prospectively had high presurgery expectations for @entity410 elimination. After surgery, subjects whose expectations were met reported high satisfaction whereas subjects whose expectations were not met reported low satisfaction. Satisfaction with surgery was associated with better psychosocial functioning. CONCLUSIONS: Such data help elucidate the ways in which successful @entity302 surgery results in improved psychosocial functioning. The results identify ways to increase the likelihood that both @entity1 who are @entity410 -free and those with reduced @entity410 frequency may benefit from surgery.
