Evidence map›Paper›PMID 39182519›Full record

SynthesisJournal of affective disorders2024

The impact of compassion-based interventions on perioperative anxiety and depression: A systematic review and meta-analysis.

Katherine J Holzer, Harshavardhan Bollepalli, Jennifer Carron, Lauren H Yaeger, Michael S Avidan, Eric J Lenze, Joanna Abraham

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of affective disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Katherine J HolzerDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: kholzer@wustl.edu.
Harshavardhan BollepalliMedical College of Wisconsin, Milwaukee, WI, USA.
Jennifer CarronBJC Healthcare, St. Louis, MO, USA.
Lauren H YaegerBecker Medical Library, Washington University School of Medicine, St. Louis, MO, USA.
Michael S AvidanDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.
Eric J LenzeDepartment of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.
Joanna AbrahamDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA; Institute for Informatics, Data Science and Biostatistics, Washington University School of Medicine, St. Louis, MO, USA.

Funding

PHARMacist and Community Health Support to Optimize Medications After Trauma Surgery (PHARM-C)P50MH122351 · NIMH · WASHINGTON UNIVERSITY · PI Eric J Lenze · 2021 to 2026
$10.8M
NIMH NIH HHS P50 MH122351
6 · The paper itself

Abstract

backgroundThe perioperative period can be a stressful time for many patients. Concerns for the procedure or fearing potential complications contribute to perioperative anxiety and depression, which significantly impact patient wellbeing and recovery. Understanding the psychological impact of the perioperative period can inform individualized care focused on each patient's unique stressors. Compassion-based interventions are limited but have shown benefits in non-surgical healthcare settings, and can provide support by prioritizing empathy and understanding in the perioperative period. This review evaluates the impact of compassion-based interventions on anxiety and depression among adult surgical patients.

methodsA systematic review of 25 randomized controlled trials was conducted with a meta-analysis of 14 studies for anxiety and 9 studies for depression that provided sufficient information.

resultsThe included studies tested compassion-based interventions that focused on enhanced communication, emotional support, and individualized attention from healthcare professionals. In 72 % of the studies, the interventions decreased anxiety and depression, compared to control groups. These interventions improved health-related outcomes such patient satisfaction and postoperative complications. The meta-analysis indicated a large effect of the compassion-based interventions for anxiety (g = -0.95) and depressive symptoms (g = -0.82). The findings were consistent among various surgeries and patient populations. LIMITATIONS: Many of the included studies lacked clarity in their methods and only 14 studies provided sufficient information for the meta-analysis.

conclusionsGiven the growing evidence suggesting that compassion-based psychological interventions are feasible and applicable in the perioperative setting, their inclusion in routine care could reduce depression and anxiety around surgery and improve patient outcomes and experiences.

Indexed as

AnxietyDepressionEmpathyPerioperative CareHumansPerioperative PeriodRandomized Controlled Trials as TopicAnxietyCompassionDepressionMeta-analysisPerioperativeSystematic review

Identifiers

PMID39182519
PMCPMC12094173

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.