Publication Name	World Journal of Psychiatry
Manuscript ID	118506
Country	China

Category	Psychiatry
Manuscript Type	Prospective Study
Article Title	Prospective study of preoperative anxiety and impact on postoperative pain perception and recovery quality in patients undergoing thyroidectomy
Manuscript Source	Unsolicited Manuscript
All Author List	Ji Zhang, Shi-Min Zhuang, Zi-Jie Su, Guo-Qing Li, Zhen-Hua Zhang and Tao Qin
Funding Agency and Grant Number
Corresponding Author	Tao Qin, MD, Department of Hepatobiliary and Pancreatic Surgery, Henan Provincial People’s Hospital/People’s Hospital of Zhengzhou University, No. 7, Weiwu Road, Jinshui District, Zhengzhou 450000, Henan Province, China. qthepatobiliary002@126.com
Key Words	Preoperative anxiety; Thyroidectomy; Postoperative pain; Recovery quality; Deep vein thrombosis; Neck disability
Core Tip	This prospective study demonstrated that preoperative anxiety is not merely a psychological state but also a clinically meaningful predictor of postoperative outcomes in patients undergoing thyroidectomy. Higher anxiety levels were associated with significantly greater postoperative pain, poorer short-term recovery quality, increased risk of lower extremity deep vein thrombosis, greater neck muscle stiffness, worse scar healing, and longer hospital stays, while oncological outcomes were unaffected. These findings highlight the necessity of incorporating routine psychological screening and targeted perioperative anxiety management into thyroid surgery care pathways to improve patient-centered outcomes, enhance recovery efficiency, and reduce the burden of complications.
Citation	Zhang J, Zhuang SM, Su ZJ, Li GQ, Zhang ZH, Qin T. Prospective study of preoperative anxiety and impact on postoperative pain perception and recovery quality in patients undergoing thyroidectomy. World J Psychiatry 2026; In press

Received	2026-02-03 09:56
Peer-Review Started	2026-02-03 09:56
First Decision by Editorial Office Director	2026-02-25 02:50
Return for Revision	2026-02-25 02:50
Revised	2026-03-05 07:31
Publication Fee Transferred
Second Decision by Editor	2026-03-31 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-31 09:03
Articles in Press	2026-03-31 09:03
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
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Copyright	©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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