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Title: An exploration of PTSD symptoms and psychosocial adjustment following awake and asleep craniotomy
Author: Donohue, R. E.
ISNI:       0000 0004 6059 5974
Awarding Body: University of Liverpool
Current Institution: University of Liverpool
Date of Award: 2016
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Awake craniotomy is well-established as a safe and effective procedure for the removal of brain tumours within eloquent areas of the brain. However, little is known about the psychological impact of this procedure, despite literature highlighting negative psychological sequelae for patients following other forms of awake surgery. The aim of this systematic review is to identify and critically synthesise the current literature on patient's experiences of undergoing an awake craniotomy. A comprehensive database search was performed, using MEDLINE and PsychINFO with the search terms; 'awake craniotomy' OR 'awake surgery' AND 'experienc*'OR 'acceptance' OR 'tolerance' OR 'patient'. This search identified 327 articles; from this, 14 articles were accepted for inclusion within the review. The review adopts an integrative approach, including studies with quantitative and qualitative designs. The findings of the included studies were considered with particular emphasis on the psychological experiences of the participants. Whilst most studies reported the procedure to be acceptable and tolerable to patients, some participants reported to have experienced fear and anxiety prior to, and during the procedure. Post-operatively, one study reported the prevalence of post-traumatic stress symptomatology; however the literature regarding long term psychological consequences of this procedure is limited. The findings of the included studies are critically considered in the context of methodological weaknesses. Clinical implications and areas for future research are explored.
Supervisor: O'Carroll, P. ; Moore, P. Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral