Psychological stress as a risk factor for postoperative keloid recurrence

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dc.contributor.author Furtado, Fabianne
dc.contributor.author Hochman, Bernardo [UNIFESP]
dc.contributor.author Farber, Paulo Luiz
dc.contributor.author Muller, Marisa Campio
dc.contributor.author Hayashi, Lilian Fukusima
dc.contributor.author Ferreira, Lydia Masako
dc.date.accessioned 2016-01-24T14:27:04Z
dc.date.available 2016-01-24T14:27:04Z
dc.date.issued 2012-04-01
dc.identifier http://dx.doi.org/10.1016/j.jpsychores.2011.12.010
dc.identifier.citation Journal of Psychosomatic Research. Oxford: Pergamon-Elsevier B.V., v. 72, n. 4, p. 282-287, 2012.
dc.identifier.issn 0022-3999
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/34762
dc.description.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. en
dc.format.extent 282-287
dc.language.iso eng
dc.publisher Elsevier B.V.
dc.relation.ispartof Journal of Psychosomatic Research
dc.rights Acesso restrito
dc.subject Galvanic skin response en
dc.subject Keloid en
dc.subject Prognosis en
dc.subject Psychological stress en
dc.subject Recurrence en
dc.title Psychological stress as a risk factor for postoperative keloid recurrence en
dc.type Artigo
dc.rights.license http://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Universidade Federal de São Paulo, Postgrad Program Plast Surg, Div Plast Surg, BR-04023002 São Paulo, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Postgrad Program Plast Surg, Div Plast Surg, BR-04023002 São Paulo, Brazil
dc.identifier.doi 10.1016/j.jpsychores.2011.12.010
dc.description.source Web of Science
dc.identifier.wos WOS:000301622000007



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