Assessing preoperative hope and expectations related to functional neurosurgery: a new questionnaire.

Deep brain stimulation; Epilepsy surgery; Hope; Preoperative expectations; Questionnaire; Humans; Motivation; Psychometrics; Reproducibility of Results; Surveys and Questionnaires; Neurosurgery; Quality of Life/psychology; Quality of Life; Psychology (all); General Psychology; General Medicine

Abstract :

[en] BACKGROUND: Despite successful functional neurosurgery, patients suffering from epilepsy or Parkinson's disease may experience postoperative psychological distress and social maladjustments. Difficulties in coping with postoperative changes, even positive ones, have shown to be related to patients' presurgery cognitive representations (i.e., expectations, hope). The aim of this study was to develop an instrument assessing various key features of surgery outcomes' representations, namely the Preoperative Hope and Expectations Questionnaire (PHEQ). METHODS: Participants were patients (n = 50) diagnosed with Parkinson's disease (n = 25) or epilepsy (n = 25), candidates for functional neurosurgery (i.e., Deep brain stimulation, anterior temporal lobectomy). Two to three weeks before the planned surgery, they were administrated items assessing their actual state, preoperative expectations, and hope regarding surgery outcomes. They also completed measures assessing optimism, quality of life and mood. RESULTS: Exploratory analysis resulted in a 14-item version of the PHEQ composed of two factors (abstract representations, including psychological well-being and concrete representations, such as direct surgery outcomes). The PHEQ demonstrated high internal consistency and good convergent validity. Patients were more prone to express postoperative improvements in terms of hope rather than expectations. They generally focused on concrete rather than abstract features, although patients with Parkinson's disease had higher abstract future-oriented representations. CONCLUSIONS: The PHEQ presents satisfactory psychometric properties and may be considered as a reliable instrument for research and clinical practice.

Disciplines :

Neurosciences & behavior
Theoretical & cognitive psychology

Author, co-author :

Radomska, Michalina; University of Geneva, Geneva, Switzerland. michalina.radomska@etu.unige.ch

Flores Alves Dos Santos, João; Geneva University Hospitals, Geneva, Switzerland

Weber, Kerstin; Geneva University Hospitals, Geneva, Switzerland

Baertschi, Marc; University of Lausanne, Lausanne, Switzerland

Burkhard, Pierre R; Geneva University Hospitals, Geneva, Switzerland

Herrmann, François; Geneva University Hospitals, Geneva, Switzerland

Belayachi, Sanaâ ; Université de Liège - ULiège

Favez, Nicolas; University of Geneva, Geneva, Switzerland

Canuto, Alessandra; Geneva University Hospitals, Geneva, Switzerland

Language :

English

Title :

Assessing preoperative hope and expectations related to functional neurosurgery: a new questionnaire.

Publication date :

04 March 2022

Journal title :

BMC Psychology

eISSN :

2050-7283

Publisher :

BioMed Central Ltd, England

Volume :

Issue :

Pages :

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://link.springer.com/content/pdf/10.1186/s40359-022-00766-z.pdf

Funding text :

This work was supported by the Swiss National Science Foundation under Grant number CR31I3_149578/1. The funding body did not affect the design of the study, the collection, analysis, and interpretation of data or the manuscript.

Available on ORBi :

since 14 August 2022

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