Bokhari SFH, Waseem AB, Raza H, Javaid S, Idrees B, Saad KAD, Iqbal A, Bakht D, Dost W. Impact of psychiatric disorders on surgical outcomes: A comprehensive review of preoperative screening and interventions. World J Surg Proced 2025; 15(1): 104178 [DOI: 10.5412/wjsp.v15.i1.104178]
Corresponding Author of This Article
Wahidullah Dost, Researcher, Department of Curative Medicine, Kabul University of Medical Sciences, Karte-e-sakhi, Kabul 10001, Afghanistan.wahidullahdost96@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Surg Proced. Jun 20, 2025; 15(1): 104178 Published online Jun 20, 2025. doi: 10.5412/wjsp.v15.i1.104178
Impact of psychiatric disorders on surgical outcomes: A comprehensive review of preoperative screening and interventions
Syed Faqeer Hussain Bokhari, Ali Bin Waseem, Hassan Raza, Saad Javaid, Beya Idrees, Khawaja Allah Ditta Saad, Asma Iqbal, Danyal Bakht, Wahidullah Dost
Syed Faqeer Hussain Bokhari, Asma Iqbal, Danyal Bakht, Department of Medicine and Surgery, King Edward Medical University, Lahore 54000, Punjab, Pakistan
Ali Bin Waseem, Hassan Raza, Saad Javaid, Beya Idrees, Khawaja Allah Ditta Saad, Department of Medicine and Surgery, Lahore Medical & Dental College, Lahore 5340, Punjab, Pakistan
Wahidullah Dost, Department of Curative Medicine, Kabul University of Medical Sciences, Kabul 10001, Afghanistan
Author contributions: The authors collectively contributed to the development of this comprehensive review; Bokhari SFH played a pivotal role in conceptualizing the study and overseeing its direction; Waseem AB and Raza H were instrumental in conducting an extensive literature review, ensuring the inclusion of the most relevant and up-to-date studies; Javaid S and Idrees B contributed significantly to data synthesis and the critical analysis of psychiatric conditions in relation to perioperative care; Saad KAD and Iqbal A provided expertise in psychiatric assessment and its implications for surgical patients, strengthening the discussion on preoperative screening and intervention strategies; Bakht D contributed to manuscript drafting, ensuring clarity and coherence in the presentation of key findings; Dost W played a crucial role in revising the manuscript, integrating feedback from reviewers, and refining the overall structure. All authors combined efforts have resulted in a thorough and clinically relevant review aimed at improving interdisciplinary collaboration and patient care in surgical settings.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wahidullah Dost, Researcher, Department of Curative Medicine, Kabul University of Medical Sciences, Karte-e-sakhi, Kabul 10001, Afghanistan.wahidullahdost96@gmail.com
Received: December 16, 2024 Revised: March 16, 2025 Accepted: May 30, 2025 Published online: June 20, 2025 Processing time: 188 Days and 1.4 Hours
Abstract
Psychiatric disorders significantly impact surgical outcomes, presenting unique challenges in perioperative care. The intricate relationship between preoperative psychiatric conditions and surgical complications involves complex mechanisms, including altered coagulation, cardiovascular function, and pain perception. Common psychiatric disorders in surgical patients, such as anxiety, depression, and substance use disorders, vary in prevalence and manifestation. Demographic factors, comorbidities, and psychotropic medications further modulate these effects on surgical outcomes. Effective screening and assessment strategies are crucial, yet they present both opportunities and limitations in the preoperative setting. Preoperative psychological interventions, including cognitive-behavioral therapy, supportive care, and mind-body techniques, show promise in mitigating psychological distress and improving surgical outcomes. Multidisciplinary approaches, involving collaborative efforts between psychiatric and surgical teams, are essential to provide comprehensive patient care. Emerging interventions, technological innovations, and personalized medicine approaches offer exciting possibilities to advance preoperative psychiatric care. By understanding the complex interplay between psychiatric disorders and surgical outcomes, healthcare professionals can implement integrated, patient-centered approaches to optimize perioperative care and improve overall patient outcomes.
Core Tip: Psychiatric disorders significantly influence surgical outcomes through mechanisms affecting coagulation, cardiovascular function, and pain perception. Effective preoperative screening and psychological interventions, such as cognitive-behavioral therapy and mind-body techniques, can reduce psychological distress and improve outcomes. Multidisciplinary collaboration between psychiatric and surgical teams, along with emerging personalized medicine approaches, is key to optimizing perioperative care and enhancing patient outcomes.
