Correlation Between Intolerance of Uncertainty and Post-Operative Regret in Otolaryngology Patients

Objective: To determine if intolerance of uncertainty, depression, anxiety, worry, or stress are related to post-op regret in otolaryngology patients. Methods: Adult patients or parents giving consent for pediatric patients meeting criteria for otolaryngologic surgery were recruited and completed th...

Full description

Saved in:
Bibliographic Details
Published in:Annals of otology, rhinology & laryngology rhinology & laryngology, 2023-06, Vol.132 (6), p.601-606
Main Authors: Cleveland, Chelsea N., Virgen, Celina, Steinman, Shari A., Callaham, Sarah, Wanstreet, Tyler, Carr, Michele M.
Format: Article
Language:English
Subjects:
Adult
Anxiety - diagnosis
Child
Emotions
Female
Humans
Male
Otolaryngology
Prospective Studies
Psychometrics
Uncertainty
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective: To determine if intolerance of uncertainty, depression, anxiety, worry, or stress are related to post-op regret in otolaryngology patients. Methods: Adult patients or parents giving consent for pediatric patients meeting criteria for otolaryngologic surgery were recruited and completed the Intolerance of Uncertainty Scale (IUS-12), Penn State Worry Questionnaire (PSWQ), and Depression, Anxiety and Stress Scale-21 (DASS-21) preop and the Decisional Regret (DR) scale 1-month post-op. Pearson correlations were calculated. Results: The cohort included 109 patients, 73 (67%) males and 36 (33.3%) females. 43 (39.5%) were college graduates and 66 (60.9%) were not. Mean IUS-12 score was 22.9 (95% CI 21.0-24.8), mean PSWQ score was 46.9 (95% CI 44.5-49.3). DASS-21 mean score was 11.9 (95% CI 9.6-14.3). Mean DR score was 11.1 (95% CI 8.6-13.6). IUS-12 subscales Prospective Anxiety mean score was 14.2 (95% CI 12.8-15.5) and Inhibitory Anxiety mean score was 16.5 (95% CI 14.5-18.6). The Pearson correlation coefficient for post-op DR and total preop IUS was .188 (P = .027) and the correlation coefficient for post-op DR and preop Prospective Anxiety subscale of IUS score was .174 (P = .037). Correlations with PSWQ and DASS-21 scores and DR were not statistically significant. Conclusion: Intolerance of uncertainty is a psychological construct that is associated with post-op DR. More work is needed to determine whether screening for IU and behavior modification directed at IU for those with high levels would improve post-op decisional regret.
ISSN:0003-4894
1943-572X
DOI:10.1177/00034894221098708