Long-term outcomes of adult patients following surgery for congenital colorectal conditions: analysis of psychosocial functioning

Pediatr Surg Int. 2022 Dec;38(12):1685-1692. doi: 10.1007/s00383-022-05212-0. Epub 2022 Sep 21.

Abstract

Purpose: This study aimed to obtain information about the psychosocial functioning of adults with various congenital colorectal conditions (e.g., anorectal malformation, Hirschsprung disease).

Methods: A research registry of adult patients with colorectal conditions was developed. Items included demographics, medical diagnosis/treatment, and measures of anxiety and depression. Descriptive and inferential statistical approaches were applied to summarize data and determine significant differences in the average scores for depression and anxiety between various groupings of diagnoses, gender, race, and the use of psychotropic medication.

Results: Study measures were completed by 131 adults. Depression and anxiety scores were significantly higher for women than men and those self-identified as non-binary (p = 0.012, < 0.001, respectively). No significant differences in depression and anxiety scores were found due to colorectal diagnosis (p > 0.05). Participants who identified as Asian had significantly higher depression scores than participants of other races (p = 0.002); but no significant difference was noted for anxiety scores (p = 0.065).

Conclusions: Results suggest that depression and anxiety scores were significantly influenced by gender and race. However, colorectal diagnosis was not a predictor of depression or anxiety. It is important for colorectal providers to be aware of the psychosocial implications of congenital colorectal conditions and consider how to provide adequate support to address patients' psychosocial needs.

Keywords: Anorectal malformation; Anxiety; Depression; Hirschsprung disease; Psychosocial functioning.

MeSH terms

  • Adult
  • Anorectal Malformations* / surgery
  • Anxiety
  • Colorectal Neoplasms* / surgery
  • Depression / epidemiology
  • Female
  • Humans
  • Male
  • Psychosocial Functioning
  • Quality of Life / psychology