Chen ZL, Yang SH, Lin ZH, Xie XM. Incidence and influencing factors of post-traumatic stress symptoms in patients after surgery for acute intestinal obstruction. World J Psychiatry 2026; 16(11): 123105 [DOI: 10.5498/wjp.123105]
Corresponding Author of This Article
Xue-Meng Xie, Department of Colorectal and Anal Surgery, The First School of Medicine, School of Information and Engineering, The First Affiliated Hospital of Wenzhou Medical University, Nanbaixiang Subdistrict, Ouhai District, Wenzhou 325000, Zhejiang Province, China. xuemengxie@163.com
Research Domain of This Article
Psychology
Article-Type of This Article
research-article
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Chen ZL, Yang SH, Lin ZH, Xie XM. Incidence and influencing factors of post-traumatic stress symptoms in patients after surgery for acute intestinal obstruction. World J Psychiatry 2026; 16(11): 123105 [DOI: 10.5498/wjp.123105]
Zhi-Le Chen, Department of Critical Care Medicine, Pingyang Hospital of Wenzhou Medical University, Wenzhou 325400, Zhejiang Province, China
Shao-Hang Yang, Department of Infectious Diseases, Pingyang Hospital of Wenzhou Medical University, Wenzhou 325400, Zhejiang Province, China
Zi-Hang Lin, Department of Mental Health, The First School of Medicine, School of Information and Engineering, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China
Xue-Meng Xie, Department of Colorectal and Anal Surgery, The First School of Medicine, School of Information and Engineering, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang Province, China
Author contributions: Chen ZL and Yang SH contributed to data collection and manuscript drafting; Lin ZH administered psychological assessments and interpreted the psychometric data; Xie XM conceived and designed the study, performed statistical analysis, and critically revised the manuscript. All authors approved the final version.
AI contribution statement: The authors declare that no AI tools were used in the preparation of this manuscript, including study design, data collection, data analysis, interpretation of results, manuscript writing, or language editing. The authors assume full responsibility for the integrity, accuracy, originality, and scientific validity of the manuscript and all submitted materials.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of Pingyang Hospital of Wenzhou Medical University (Ethics approval No. LW-2025-010).
Informed consent statement: The requirement for informed consent was waived by the Ethics Committee of Pingyang Hospital of Wenzhou Medical University because this was a retrospective study involving anonymized clinical data.
Conflict-of-interest statement: All authors declare that they have no conflicts of interest to disclose.
Data sharing statement: The datasets generated and analyzed during the current study are available from the corresponding author upon reasonable request.
Corresponding author: Xue-Meng Xie, Department of Colorectal and Anal Surgery, The First School of Medicine, School of Information and Engineering, The First Affiliated Hospital of Wenzhou Medical University, Nanbaixiang Subdistrict, Ouhai District, Wenzhou 325000, Zhejiang Province, China. xuemengxie@163.com
Received: June 12, 2026 Revised: August 6, 2026 Accepted: September 22, 2026 Published online: November 19, 2026 Processing time: 138 Days and 22.7 Hours
Core Tip
Core Tip: Post-traumatic stress symptoms occurred in 28.6% of patients following surgery for acute intestinal obstruction, with 11.9% meeting the criteria for probable post-traumatic stress disorder. Multivariate logistic regression identified five independent risk factors: Strangulated obstruction, open surgical approach, stoma formation, postoperative complications, and higher 24-hour postoperative pain scores during activity. A predictive model incorporating these factors achieved an area under the curve of 0.782, with a sensitivity and specificity of 74.2% and 75.7%, respectively. These findings highlight the substantial psychological burden of emergency bowel surgery and support routine postoperative mental health screening with early targeted interventions for high-risk patients to improve recovery outcomes.
