The journal of obstetrics and gynaecology research
September 1, 2026 · via Europe PMC
Preoperative Anxiety and Early Postoperative Recovery Among Women Undergoing Gynecologic Surgery in Vietnam: A Prospective Longitudinal Observational Study.
Van NTB, Chung NTT, Hai NNM, Huy TQ.
AI summary — for doctors, generated from the abstract only
One-third of Vietnamese women having gynecologic surgery screened positive for preoperative anxiety, which was linked to more postoperative pain and insomnia.
What was studied
A prospective observational study of 394 women undergoing gynecologic surgery in Hanoi (2024) assessing preoperative anxiety (GAD-7) and its association with pain, sleep, and function 48 hours after surgery.
Key findings
- 131 (33.2%) screened positive for anxiety (GAD-7 ≥5): mild 25.6%, moderate 4.6%, severe 3.0%
- Preexisting mental health conditions, poorer preoperative counseling, and lower social support were associated with higher anxiety
- Higher anxiety associated with greater postoperative pain and higher insomnia scores
- No association with early functional status
Clinical relevance
Suggests anxiety screening and better preoperative communication could be explored, though observational associations do not prove that reducing anxiety improves recovery.
Who should care
Limitations
Single-center observational design; the insomnia measure's 2-week recall partly overlaps the preoperative period.
Preoperative anxiety was common and associated with worse early pain and sleep after gynecologic surgery.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
Abstract
Aim
To determine the prevalence of preoperative anxiety among women undergoing gynecologic surgery in Vietnam and evaluate its association with early postoperative pain, sleep disturbance, and functional status.
Methods
This prospective longitudinal observational study included 394 women scheduled for gynecologic surgery at a tertiary hospital in Hanoi, Vietnam, from May to December 2024. Preoperative anxiety was assessed using the Generalized Anxiety Disorder-7 scale. Preoperative information and counseling, perceived social support, and clinical characteristics were evaluated before surgery. Pain and functional status were assessed 48 h after surgery using the Numeric Rating Scale and Barthel Index, respectively, while the Insomnia Severity Index (ISI) was administered at the same assessment using its standard 2-week recall period. Multivariable linear and logistic regression models were performed to identify factors associated with preoperative anxiety and postoperative outcomes.
Results
One hundred thirty-one participants (33.2%) screened positive for anxiety symptoms (GAD-7 ≥ 5), with mild, moderate, and severe anxiety observed in 25.6%, 4.6%, and 3.0% of the cohort, respectively. Preexisting mental health conditions, lower perceived quality of preoperative information and counseling, and lower perceived support from significant others and friends were associated with higher preoperative anxiety scores. Higher preoperative anxiety was associated with greater postoperative pain intensity and higher ISI scores, but not with early functional status.
Conclusions
Preoperative anxiety was highly prevalent among women undergoing gynecologic surgery and was associated with poorer early postoperative pain and sleep outcomes. Routine anxiety screening, improved preoperative communication, and targeted psychosocial support may contribute to more patient-centered perioperative care.
DOI
10.1111/jog.70501
PMID
42768408
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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