Two-thirds of the studies found that patients who suffered surgical complications had significantly worse postoperative psychosocial outcomes even after controlling for preoperative psychosocial outcomes , clinical and demographic factors .
Surgical complications appear to be a significant and often long-term predictor of patient postoperative psychosocial outcomes .
The results highlight the importance of attending to patients ' psychological needs in the aftermath of surgical complications
OBJECTIVE Surgical complications may affect patients psychologically due to challenges such as prolonged recovery or long-lasting disability .
Psychological distress could further delay patients ' recovery as stress delays wound healing and compromises immunity .
This review investigates whether surgical complications adversely affect patients ' postoperative well-being and the duration of this impact .
Cognitive representations of illness and functional and affective adjustment following surgery for osteoarthritis.
A prospect i ve investigation is described which sought to test the role of illness cognitions in determining patient responses to a  surgical intervention for osteoarthritis .  Illness cognitions were assessed amongst a consecutive sample of patients with osteoarthritis of the knee or hip prior to undergoing joint replacement surgery .  Functional activity and depression were assessed pre-operatively , and at 3 and 9 months post surgery . At pre-operative assessment , functional activity and depression were univariately associated with the perceived consequences of osteoarthritis . Path analyses using longitudinal data demonstrated that illness cognitions had predictive value in explaining outcomes . Depression at 3 months was associated with higher pre-operative perceived control beliefs suggesting that patients who have high control pre-operatively may be at risk for temporary depressed mood in the immediate aftermath of surgery . This effect was not maintained at 9 months . Depression at 9 months was lower amongst patients who were more active at 3 months , who did not attribute their condition to wear and tear and who had higher expectations of surgery . Functional activity at 9 months was higher amongst those who did not attribute their condition to growing older and who perceived more control over symptoms . Socio-demographic variables were not associated with change in functional activity or depression over the course of surgery . The results provide support for an illness cognition approach in explaining functional activity and depression outcomes following surgery
Two-thirds of the studies found that patients who suffered surgical complications had significantly worse postoperative psychosocial outcomes even after controlling for preoperative psychosocial outcomes , clinical and demographic factors .
Surgical complications appear to be a significant and often long-term predictor of patient postoperative psychosocial outcomes .
The results highlight the importance of attending to patients ' psychological needs in the aftermath of surgical complications
OBJECTIVE Surgical complications may affect patients psychologically due to challenges such as prolonged recovery or long-lasting disability .
Psychological distress could further delay patients ' recovery as stress delays wound healing and compromises immunity .
This review investigates whether surgical complications adversely affect patients ' postoperative well-being and the duration of this impact .