Skip to main content

Cognitive Behavior Counseling: Preoperative Preparation in ERAS

  • Chapter
  • First Online:
Enhanced Recovery After Surgery

Abstract

Preoperative anxiety and lower self-efficacy are often associated with poor surgical outcomes. Although preoperative counseling is considered to be an essential element of enhanced recovery after surgery (ERAS), there is little evidence to indicate the application of formal behavioral therapy, such as cognitive behavioral therapy (CBT). However, CBT can be an effective instrument in changing patient behavior toward their long-term health patterns and habits. Within prehabilitation, patient counseling to address their emotional needs and self-efficacy is an integral part to enhance compliance with multimodal interventions to improve their whole wellbeing prior to surgery. CBT should involve a collaborative approach that is problem-oriented and time-limited and that is directed toward recovery. This drives the effectiveness of CBT within ERAS.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Forsmo H, Pfeffer F, Rasdal A, Østgaard G, Mohn A, Körner H, Erichsen C. Compliance with enhanced recovery after surgery criteria and preoperative and postoperative counselling reduces length of hospital stay in colorectal surgery: results of a randomized controlled trial. Color Dis. 2016;18(6):603–11.

    Article  CAS  Google Scholar 

  2. Lindbäck Y, Tropp H, Enthoven P, Abbott A, Öberg B. PREPARE: presurgery physiotherapy for patients with degenerative lumbar spine disorder: a randomized controlled trial. Spine J. 2018;18(8):1347–55.

    Article  Google Scholar 

  3. Louw A, Diener I, Landers M, Zimney K, Puentedura E. Three-year follow-up of a randomized controlled trial comparing preoperative neuroscience education for patients undergoing surgery for lumbar radiculopathy. J Spine Surg. 2016;2(4):289–98.

    Article  Google Scholar 

  4. nhs.uk. Cognitive behavioural therapy (CBT). 2019. Available at: https://www.nhs.uk/conditions/cognitive-behavioural-therapy-cbt/. Accessed 18 July 2019.

  5. Bandura A. Human agency in social cognitive theory. Am Psychol. 1989;44(9):1175–84.

    Article  CAS  Google Scholar 

  6. Maddux JE. Expectancies and the social-cognitive perspective: basic principles, processes, and variables. In: Kirsch I, editor. How expectancies shape behavior. Washington, DC: American Psychological Association; 1999. p. 17–40.

    Chapter  Google Scholar 

  7. Bandura A, Cervone D. Self-evaluative and self-efficacy mechanisms governing the motivational effects of goal systems. J Pers Soc Psychol. 1983;45(5):1017–28.

    Article  Google Scholar 

  8. Sun JCY, Rueda R. Situational interest, computer self-efficacy and self-regulation: their impact on student engagement in distance education. Br J Educ Technol. 2012;43(2):191–204.

    Article  Google Scholar 

  9. Zinken KM, Cradock S, Skinner TC. Analysis System for Self-Efficacy Training (ASSET). Assessing treatment fidelity of self-management interventions. Patient Educ Couns. 2008;72(2):186–93.

    Article  Google Scholar 

  10. Carli F, Zavorsky GS. Optimizing functional exercise capacity in the elderly surgical population. Curr Opin Clin Nutr Metab Care. 2005;8:23–32.

    Article  Google Scholar 

  11. Santa Mina D, Matthew A, Hilton W, Au D, Awasthi R, Alibhai S, et al. Prehabilitation for men undergoing radical prostatectomy: a multi-centre, pilot randomized controlled trial. BMC Surg. 2014;14:89.

    Article  Google Scholar 

  12. Luther A, Gabriel J, Watson R, Francis N. The impact of total body prehabilitation on post-operative outcomes after major abdominal surgery: a systematic review. World J Surg. 2018;42(9):2781–91.

    Article  Google Scholar 

  13. Wright J. Cognitive behavior therapy: basic principles and recent advances. Focus. 2006;4(2):173–8.

    Article  Google Scholar 

  14. Tinetti M, Naik A, Dodson J. Moving from disease-centered to patient goals–directed care for patients with multiple chronic conditions. JAMA Cardiol. 2016;1(1):9.

    Article  Google Scholar 

  15. Kabat-Zinn J. Wherever you go, there you are: mindfulness meditation in everyday life. Hyperion: New York; 1994.

    Google Scholar 

  16. Kabat-Zinn J. Mindfulness-based interventions in context: past, present and future. Clin Psychol: Sci Pract. 2003;10(1):144–56.

    Google Scholar 

  17. Hayes SC, Follette VM, Lineham MM, editors. Mindfulness and acceptance: expanding the cognitive-behavioural tradition. New York: Guilford Press; 2011.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Catherine L. Spencer .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Spencer, C.L., Court, E.L., Francis, N.K. (2020). Cognitive Behavior Counseling: Preoperative Preparation in ERAS. In: Ljungqvist, O., Francis, N., Urman, R. (eds) Enhanced Recovery After Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-33443-7_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-33443-7_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-33442-0

  • Online ISBN: 978-3-030-33443-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics