Investigation of pre-operative ruminative thought styles and related factors in patients receiving inpatient treatment in the otorhinolaryngology clinic

Investigation of pre-operative ruminative thought styles and related factors in patients receiving inpatient treatment in the otorhinolaryngology clinic R umination includes passive and repetitive thoughts that arise after the individual experiences negative events. [1]Ruminative thoughts and the resulting anxiety activate the autonomic nervous system and constitute a risk factor for psychological distress. [2]Potential risk factors for anxiety and depression result from repetitive (ruminative) thoughts, which are an intru-sive and difficult-to-terminate way of thinking that focuses on one's problems, worries, or negative experiences. [3]Rumination develops and prolongs an existing negative mood and related negative thinking, interferes with effective problem-solving, reduces functionality, and exacerbates psychopathology by lowering sensitivity to changing circumstances and situations. [4]jectives: The aim of this study was to investigate the relationship between pre-operative ruminative thought style and anxiety level and sleep quality in patients receiving inpatient treatment in the Otorhinolaryngology Clinic.Methods: The descriptive, cross-sectional, and correlational study was conducted between May 01 and October 01, 2024, in the otolaryngology clinic of a public hospital.Sociodemographic data form, ruminative thinking style questionnaire (RTSQ), Beck Anxiety Inventory (BAI), and Richard-Campbell Sleep Questionnaire (RCSQ) were administered to the participants. Results:The mean age of the patients who participated in our study was 40.7516.26years.The mean score of the RTSQ was 77.2341.40, the mean score of BAI was 12.4240.61and the mean score of the RCSQ was 52.1041.44.RTSQ was found to have a positive relationship with the BAI (r=0.434,p<0.05) and a negative relationship with RCSQ (r=-0.201,p<0.05).A negative relationship was found between the BAI and RCSQ (r=-0.304,p<0.05).Among the patients who had negative thoughts about the surgery, 14.7% stated statements related to fear of death. Conclusion:This study revealed that as ruminative thinking increased, anxiety levels increased and sleep quality decreased in pre-operative patients in a surgical clinic.Future studies can be planned on the effect of rumination on the recovery process, demand for medical treatment for pain, and length of hospitalization of patients hospitalized in a surgical clinic.