Psychological stress as a risk factor for postoperative keloid recurrence

Psychological stress as a risk factor for postoperative keloid recurrence

Author Furtado, Fabianne Google Scholar
Hochman, Bernardo Autor UNIFESP Google Scholar
Farber, Paulo Luiz Google Scholar
Muller, Marisa Campio Google Scholar
Hayashi, Lilian Fukusima Google Scholar
Ferreira, Lydia Masako Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: To investigate psychological stress on the prognosis of the postoperative recurrence of keloids.Methods: Patients with keloids (n=25), candidates for surgical resection and postoperative radiotherapy, had their psychological stress evaluated on the day before the surgical procedure. the parameters evaluated were pain and itching (Visual Numerical Scale), quality of life (Questionnaire QualiFibro/Cirurgia Plastica-UNIFESP), perceived stress (Perceived Stress Scale), depression and anxiety (Hospital Depression and Anxiety Scale), salivary cortisol and minimum and maximum galvanic skin responses (GSR) at rest and under stress (i.e., while the questionnaires were being filled out). Patients were evaluated during the 3rd, 6th, 9th and 12th months of postoperative care. During each return visit, two experts classified the lesions as non-recurrent and recurrent.Results: the recurrence group presented the greatest values in GSR during a stressful situation. the chance of recurrence increased by 34% at each increase of 1000 arbitrary units in maximum GSR during stress.Conclusion: Psychological stress influenced the recurrence of keloids. (C) 2012 Elsevier Inc. All rights reserved.
Keywords Galvanic skin response
Keloid
Prognosis
Psychological stress
Recurrence
Language English
Date 2012-04-01
Published in Journal of Psychosomatic Research. Oxford: Pergamon-Elsevier B.V., v. 72, n. 4, p. 282-287, 2012.
ISSN 0022-3999 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 282-287
Origin http://dx.doi.org/10.1016/j.jpsychores.2011.12.010
Access rights Closed access
Type Article
Web of Science ID WOS:000301622000007
URI http://repositorio.unifesp.br/handle/11600/34762

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