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Prof. Dr. Mustafa Özdoğan · Medical Oncologist

What Is Postoperative Depression, and How Can It Be Overcome?

What Is Postoperative Depression, and How Can It Be Overcome?
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Postoperative Depression: What You Should Know About Psychological Recovery

Modern medicine measures surgical success not only by technical perfection but by the patient's overall health during recovery. Postoperative depression appears in the first weeks after surgery or as a marked increase in existing psychological distress.

Surgical stress, anesthesia effects, pain and restricted movement can directly affect mood. Symptoms such as lack of motivation, difficulty deciding and severe fatigue may reduce motivation to recover, making early recognition critical.

Patient Guide: Basic Concepts
Surgical Stress: Physical and hormonal responses surgery causes in the body.
Anesthesia Response: The effect on mood of the body's response to anesthesia.
Social Support: Emotional and practical help from family and friends during recovery.
New-Onset Depression: Depressed mood absent before surgery but triggered afterward.

Scientific Findings: Which Operations Carry Higher Risk?

Research shows operation type and severity significantly affect depression risk. Studies have demonstrated it is more frequent after vital surgeries with prolonged recovery.

For example, depression is reported in one in three coronary bypass patients. After major orthopedic surgery, rates may reach %50. Preoperative anxiety also substantially increases postoperative depression risk.

Frequency of Postoperative Depression

Major Orthopedic Operations ~%50
Coronary Bypass (Heart) ~%33
Obesity Surgery %15+
*Average rates reported in scientific studies.

Guide to Coping with Mental Health After Surgery

Although coping may be challenging, appropriate strategies can speed recovery:

  • Get Informed: Ask your doctor what to expect before and after surgery; this reduces uncertainty-related anxiety.
  • Monitor Symptoms: Note sudden mood changes and share them with your doctor; early intervention eases recovery.
  • Use Social Support: Communicate with loved ones and share feelings; social support accelerates recuperation.
  • Regular Physical Activity: Do light exercises according to medical advice; simple activities such as walking may be as effective as medication .
  • Quality Sleep Routine: Create a suitable sleep environment and try to sleep at the same times daily.
  • Express Your Feelings: Express negative emotions through journaling or hobbies rather than suppressing them.
  • Eat Healthily: Eat foods rich in vitamins and minerals; avoid smoking, alcohol and excess caffeine.
  • Set Small Goals: Set realistic goals for returning to daily life, such as walking a little farther each day.
  • Be Patient: Recovery takes time; mood not improving immediately is normal. Try to accept your situation.

The Patient's Perspective: How Do These Findings Affect My Recovery?

  • Scenario 1: When Motivation Declines If you notice withdrawal from normally enjoyable activities, remember this has a biological basis. Try to maintain morale by setting small, achievable goals.
  • Scenario 2: Prolonged Emotional Symptoms If hopelessness or intense fatigue affects daily life, professional support will speed recovery. Patience is part of healing.
DROZDOGAN Academy Commentary

Our central emphasis is that postoperative depression is temporary. The heavier surgery's physical burden, the more marked its psychological impact may be.

Research shows patients receiving psychological support before and after surgery recover much faster. Accepting social support and allowing yourself the "time" the body needs to recover are your strongest medicine.

Remember: restoring psychological balance while physical wounds heal is essential for complete recovery.

Academic References:
  1. Aguayo, E., et al. (2019). Impact of postoperative depression on readmission outcomes. Journal of Surgical Research, 233, 50–56.
  2. Ghoneim, M. M., & O’Hara, M. W. (2016). Depression and postoperative complications. BMC Surgery, 16, 5.
  3. O’Gara, B., et al. (2023). New onset postoperative depression after major surgery. BJA Open, 8, 100223.
  4. Wilson, B. R., et al. (2017). Depression after spinal surgery. Mayo Clinic Proceedings, 92(1), 88–97.
  5. Zhou, D., et al. (2024). Postoperative depression following orthognathic surgery. BMC Anesthesiology, 24, 338.

Sources

Mohamed M. Ghoneim and Michael W. O’Hara.
Depression and postoperative complications: an overview.
BMC Surg. 2016
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