Research Article
Personality traits predicting long-term adjustment after surgery for ulcerative colitis
Robert M. Weinryb,
J. Petter Gustavsson, Jacques P. Barber,
Corresponding Author
Robert M. Weinryb
Karolinska Institutet, Stockholm, Sweden
Department of Clinical Neuroscience, Psychotherapy Section, Karolinska Institutet, Björngårdsgatan 25, SE-118 52 Stockholm, Sweden; e-mail: [email protected]Search for more papers by this authorRobert M. Weinryb,
J. Petter Gustavsson, Jacques P. Barber,
Corresponding Author
Robert M. Weinryb
Karolinska Institutet, Stockholm, Sweden
Department of Clinical Neuroscience, Psychotherapy Section, Karolinska Institutet, Björngårdsgatan 25, SE-118 52 Stockholm, Sweden; e-mail: [email protected]Search for more papers by this authorAbstract
Very few studies have examined the relationship between personality traits and long-term postoperative psychosocial adjustment. In a sample of 46 patients, we examined the relation between personality traits before pelvic pouch surgery for ulcerative colitis and psychosocial adjustment seven years postoperatively, controlling for the effects of surgical functional outcome. The Karolinska Psychodynamic Profile (KAPP) was used for personality assessment. Surgical functional outcome scales and the Psychosocial Adjustment to Illness Scale were also used. As assessed by the KAPP, poor frustration tolerance, long-standing preoperative problems in sexual functioning, perfectionistic body ideals, and lack of alexithymia predicted poorer postoperative long-term psychosocial adjustment in the areas of health concerns, sexuality, family relations, and psychological distress. Surgical functional outcome itself was a poor predictor of long-term adjustment. The results indicate that it may be beneficial to take personality factors into account in preoperative assessment. © 2003 Wiley Periodicals, Inc. J Clin Psychol.
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