Enhancing perianal disease management with integrated physical and psychological approaches

World J Clin Cases. 2025 Jan 16;13(2):101470. doi: 10.12998/wjcc.v13.i2.101470.

Abstract

This article provides a comprehensive analysis of the study by Hou et al, focusing on the complex interplay between psychological and physical factors in the post-operative recovery (POR) of patients with perianal diseases. The study sheds light on how illness perception, anxiety, and depression significantly influence recovery outcomes. Hou et al developed a predictive model that demonstrated high accuracy in identifying patients at risk of poor recovery. The article explores the critical role of pre-operative psychological assessment, highlighting the need for mental health support and personalized recovery plans in enhancing POR quality. A multidisciplinary approach, integrating mental health professionals with surgeons, anesthesiologists, and other specialists, is emphasized to ensure comprehensive care for patients. The study's findings serve as a call to integrate psychological care into surgical practice to optimize outcomes for patients with perianal diseases.

Keywords: Anxiety; Depression; Emotional well-being; Multidisciplinary approach; Pain management; Perianal disease; Post-operative recovery.