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International Journal of Behavioral Medicine
Erschienen in: International Journal of Behavioral Medicine 6/2018

13.08.2018

Social Relationship Factors, Preoperative Depression, and Hospital Length of Stay in Surgical Patients

verfasst von: Henning Krampe, Anke Barth-Zoubairi, Tatjana Schnell, Anna-Lena Salz, Léonie F. Kerper, Claudia D. Spies

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 6/2018

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Abstract

Purpose

The interrelated associations of social relationship factors, depression, and outcomes of surgical patients are yet unexplored. The purpose of this study was to investigate whether depression mediates effects of general social support, loneliness, and living alone on hospital length of stay (LOS) of 2487 patients from diverse surgical fields.

Method

Social relationship factors and depression were assessed prior to surgery. The PROCESS macro for SPSS was used to conduct three simple mediation models that tested the indirect effects of social relationship factors on LOS mediated through depression. The models were adjusted for age, gender, preoperative physical health, surgical field, severity of medical comorbidity, and extent of surgical procedure.

Results

Social support and loneliness had significant indirect effects on LOS that were statistically mediated by preoperative depression. Lower social support and the feeling of loneliness were considerably related to higher depression which predicted longer LOS. While social support and loneliness had no direct effects on LOS, there was a small significant direct association of living alone with shorter LOS.

Conclusion

Data suggest that social support and loneliness are indirectly related with surgical outcomes by an association with depression which in turn is related to worse outcomes.

Trial Registration

NCT01357694
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Metadaten
Titel
Social Relationship Factors, Preoperative Depression, and Hospital Length of Stay in Surgical Patients
verfasst von
Henning Krampe
Anke Barth-Zoubairi
Tatjana Schnell
Anna-Lena Salz
Léonie F. Kerper
Claudia D. Spies
Publikationsdatum
13.08.2018
Verlag
Springer US
Erschienen in
International Journal of Behavioral Medicine / Ausgabe 6/2018
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-018-9738-8

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