Thomas C, Madden F, Jehu D
J Psychosom Res. 1984;28(3):251-7. doi: 10.1016/0022-3999(84)90027-8.
One hundred and six consecutive subjects were seen in hospital a few days after undergoing surgery for bowel disease that necessitated the formation of a stoma. They consisted of patients with cancer (74), colitis (17) and diverticular disease (15). At this initial assessment details of psychological and social functioning were obtained for the preceding three months before operation. At 3 months post-operatively the subjects were interviewed in their own homes, 87 subjects were available (12 died, 7 refused) and again psychological and social assessments were made. Seventeen per cent of males and 19% of females had moderate or severe psychiatric disturbance and there was also a significant number of patients with various social disturbances. Physical diagnosis did not significantly affect psychiatric outcome. There was, however, high pre-operative psychiatric disturbance and the relevance of this in assessing post-operative symptoms is discussed.
106名连续接受肠道疾病手术且需要造口的患者在术后几天内入院。他们包括癌症患者（74例）、结肠炎患者（17例）和憩室病患者（15例）。在此次初始评估中，获取了手术前三个月的心理和社会功能细节。术后3个月，在患者家中对他们进行访谈，87名患者接受了访谈（12例死亡，7例拒绝），并再次进行了心理和社会评估。17%的男性和19%的女性有中度或重度精神障碍，还有相当数量的患者存在各种社会障碍。体格诊断对精神状态结果没有显著影响。然而，术前存在较高的精神障碍，本文讨论了其在评估术后症状方面的相关性。
