{"paper_id":"43ee3a70-12be-481d-9c9e-d56a28334b6b","body_text":"Assessing Preoperative Hope and Expectations Related to Functional Neurosurgery: A New Questionnaire | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Assessing Preoperative Hope and Expectations Related to Functional Neurosurgery: A New Questionnaire Michalina Radomska, Joao Flores Alves dos Santos, Kerstin Weber, and 6 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-558755/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 04 Mar, 2022 Read the published version in BMC Psychology → Version 1 posted 10 You are reading this latest preprint version Abstract Background: Despite successful functional neurosurgery, patients suffering from epilepsy or Parkinson’s disease may experience postoperative psychological distress and social maladjustments. Difficulties in coping with postoperative changes, even positive ones, have shown to be related to patients’ presurgery cognitive representations (i.e., expectations, hope, abstract vs. concrete representations). The aim of this study was to develop an instrument assessing various key features of surgery outcomes’ representations, namely the Preoperative Hope and Expectations Questionnaire, PHEQ. Methods: Participants were patients (n = 50) diagnosed with Parkinson’s disease (n = 25) or epilepsy (n = 25), candidates for functional neurosurgery (i.e., Deep brain stimulation, anterior temporal lobectomy). At 2-3 weeks before the planned surgery, they were administrated items assessing their actual state, preoperative expectations, and hope regarding surgery outcomes. They also completed measures assessing optimism, quality of life and mood. Results: Exploratory analysis resulted in a 16-item version of the PHEQ composed of two factors (abstract representations, including psychological well-being and concrete representations, such as functional aspects of everyday functioning). The PHEQ demonstrated high internal consistency and good convergent validity. Patients were more prone to express postoperative improvements in terms of hope rather than expectations. They generally focused on concrete rather than abstract features, although patients with Parkinson’s disease had higher abstract future-oriented representations. Conclusions: The PHEQ presents satisfactory psychometric properties and may be considered as a reliable instrument for research and clinical practice. Psychology Epilepsy surgery Deep brain stimulation Preoperative expectations Hope Questionnaire. Full Text Due to technical limitations, full-text HTML conversion of this manuscript could not be completed. However, the manuscript can be downloaded and accessed as a PDF. Additional Declarations No competing interests reported. Cite Share Download PDF Status: Published Journal Publication published 04 Mar, 2022 Read the published version in BMC Psychology → Version 1 posted Editorial decision: Major revision 08 Oct, 2021 Reviews received at journal 08 Oct, 2021 Reviewers agreed at journal 27 Sep, 2021 Reviews received at journal 13 Jul, 2021 Reviewers agreed at journal 17 Jun, 2021 Reviewers invited by journal 15 Jun, 2021 Editor assigned by journal 07 Jun, 2021 Editor invited by journal 26 May, 2021 Submission checks completed at journal 26 May, 2021 First submitted to journal 25 May, 2021 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {\"props\":{\"pageProps\":{\"initialData\":{\"identity\":\"rs-558755\",\"acceptedTermsAndConditions\":true,\"allowDirectSubmit\":false,\"archivedVersions\":[],\"articleType\":\"Research Article\",\"associatedPublications\":[],\"authors\":[{\"id\":29117209,\"identity\":\"44c78e0c-aec7-4645-82d9-6e0ca3c2fda3\",\"order_by\":0,\"name\":\"Michalina Radomska\",\"email\":\"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABOUlEQVRIiWNgGAWjYDACZgY2BoYCCQiHB4glGJgPwKRA4AB2LQYoWtgSIOpwaWEAa2FA1sJjgKwOQ4tuO/OzBz8MLPL4G3gffnhTsc1esv3Mx8cf2xgSt7OzX3zAUHMHXYvZYTZzwx4DiWKJA+zGknPO3E6czZO72eAgUMvOZp5iA4ZjzzC18LBJ8BhIJDYcYGOQ5m27nSDHkLtNAqRlw2GeNAnGhsPYtEj+AWqZf4CN+TdQi70c/5vnP6Ba0n/g0CINsmXDATY2kC2MsyVy2BggWtiPMWDVwmYmLQPUsvEwG5slyC8zZzwzljhzTsIYaAuzRMIxTC3nDz+TfFNRlzjveBvzjTcVt+0lzic//FBRZiO74fzxhx8+1GBoQQBmVC4ocoERlIBbA1bA/oBEDaNgFIyCUTA8AQCj/HFAu8rIGQAAAABJRU5ErkJggg==\",\"orcid\":\"\",\"institution\":\"University of Geneva\",\"correspondingAuthor\":true,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Michalina\",\"middleName\":\"\",\"lastName\":\"Radomska\",\"suffix\":\"\"},{\"id\":29117210,\"identity\":\"31642dcb-6fac-4770-9cd5-e898532a13cc\",\"order_by\":1,\"name\":\"Joao Flores Alves dos Santos\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"Geneva University Hospitals\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Joao\",\"middleName\":\"Flores Alves dos\",\"lastName\":\"Santos\",\"suffix\":\"\"},{\"id\":29117211,\"identity\":\"5db3ad1e-0114-43f8-a912-4a9d96a9f810\",\"order_by\":2,\"name\":\"Kerstin Weber\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"Geneva University Hospitals\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Kerstin\",\"middleName\":\"\",\"lastName\":\"Weber\",\"suffix\":\"\"},{\"id\":29117212,\"identity\":\"07d504b6-7032-4932-a5e1-3a9f8a2cc8a5\",\"order_by\":3,\"name\":\"Marc Baertschi\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"University of Lausanne\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Marc\",\"middleName\":\"\",\"lastName\":\"Baertschi\",\"suffix\":\"\"},{\"id\":29117213,\"identity\":\"ed49c0e7-b558-4a17-8af6-0d8b617bf8b6\",\"order_by\":4,\"name\":\"Pierre R. Burkhard\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"Geneva University Hospitals\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Pierre\",\"middleName\":\"R.\",\"lastName\":\"Burkhard\",\"suffix\":\"\"},{\"id\":29117214,\"identity\":\"c6120de8-6f5f-4acc-97e2-7eb90ecfe3d2\",\"order_by\":5,\"name\":\"François Herrmann\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"Geneva University Hospitals\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"François\",\"middleName\":\"\",\"lastName\":\"Herrmann\",\"suffix\":\"\"},{\"id\":29117215,\"identity\":\"4fde81fe-741c-4d69-953f-2b07eba749d9\",\"order_by\":6,\"name\":\"Sanaâ Belayachi\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"University of Liège\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Sanaâ\",\"middleName\":\"\",\"lastName\":\"Belayachi\",\"suffix\":\"\"},{\"id\":29117216,\"identity\":\"65dc329e-1eca-4da7-ba46-7af52b83902f\",\"order_by\":7,\"name\":\"Nicolas Favez\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"University of Geneva\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Nicolas\",\"middleName\":\"\",\"lastName\":\"Favez\",\"suffix\":\"\"},{\"id\":29117217,\"identity\":\"0d7d7280-536f-4a0a-8a42-75395a8da376\",\"order_by\":8,\"name\":\"Alessandra Canuto\",\"email\":\"\",\"orcid\":\"\",\"institution\":\"Geneva University Hospitals\",\"correspondingAuthor\":false,\"submittingAuthor\":false,\"prefix\":\"\",\"firstName\":\"Alessandra\",\"middleName\":\"\",\"lastName\":\"Canuto\",\"suffix\":\"\"}],\"badges\":[],\"createdAt\":\"2021-05-25 13:29:03\",\"currentVersionCode\":1,\"declarations\":\"\",\"doi\":\"10.21203/rs.3.rs-558755/v1\",\"doiUrl\":\"https://doi.org/10.21203/rs.3.rs-558755/v1\",\"draftVersion\":[],\"editorialEvents\":[{\"content\":\"https://doi.org/10.1186/s40359-022-00766-z\",\"type\":\"published\",\"date\":\"2022-03-04T14:51:05+00:00\"}],\"editorialNote\":\"\",\"failedWorkflow\":false,\"files\":[{\"id\":18864570,\"identity\":\"a1ee1711-dcdd-4de8-939b-416fd685b653\",\"added_by\":\"auto\",\"created_at\":\"2022-03-04 14:51:16\",\"extension\":\"pdf\",\"order_by\":0,\"title\":\"\",\"display\":\"\",\"copyAsset\":false,\"role\":\"manuscript-pdf\",\"size\":451828,\"visible\":true,\"origin\":\"\",\"legend\":\"\",\"description\":\"\",\"filename\":\"MainDocument.pdf\",\"url\":\"https://assets-eu.researchsquare.com/files/rs-558755/v1_covered.pdf\"},{\"id\":13636388,\"identity\":\"1cc775a7-14e9-42a1-8cbf-7b2594ab8f72\",\"added_by\":\"auto\",\"created_at\":\"2021-09-17 08:41:36\",\"extension\":\"pdf\",\"order_by\":0,\"title\":\"\",\"display\":\"\",\"copyAsset\":false,\"role\":\"manuscript-pdf\",\"size\":446100,\"visible\":true,\"origin\":\"\",\"legend\":\"\",\"description\":\"\",\"filename\":\"MainDocument.pdf\",\"url\":\"https://assets-eu.researchsquare.com/files/rs-558755/v1_covered.pdf\"},{\"id\":9560475,\"identity\":\"29c2367b-0734-4969-9812-7a8abed291b9\",\"added_by\":\"auto\",\"created_at\":\"2021-05-25 15:43:50\",\"extension\":\"pdf\",\"order_by\":0,\"title\":\"\",\"display\":\"\",\"copyAsset\":false,\"role\":\"manuscript-pdf\",\"size\":442583,\"visible\":true,\"origin\":\"\",\"legend\":\"\",\"description\":\"\",\"filename\":\"MainDocument.pdf\",\"url\":\"https://assets-eu.researchsquare.com/files/rs-558755/v1_covered.pdf\"}],\"financialInterests\":\"No competing interests reported.\",\"formattedTitle\":\"Assessing Preoperative Hope and Expectations Related to Functional Neurosurgery: A New Questionnaire\",\"fulltext\":[{\"header\":\"Full Text\",\"content\":\"\\u003cp\\u003eDue to technical limitations, full-text HTML conversion of this manuscript could not be completed. However, the manuscript can be downloaded and accessed as a PDF.\\u003c/p\\u003e\"}],\"fulltextSource\":\"\",\"fullText\":\"\",\"funders\":[],\"hasAdminPriorityOnWorkflow\":false,\"hasManuscriptDocX\":false,\"hasOptedInToPreprint\":true,\"hasPassedJournalQc\":\"\",\"hasAnyPriority\":true,\"hideJournal\":false,\"highlight\":\"\",\"institution\":\"\",\"isAcceptedByJournal\":true,\"isAuthorSuppliedPdf\":true,\"isDeskRejected\":\"\",\"isHiddenFromSearch\":false,\"isInQc\":false,\"isInWorkflow\":false,\"isPdf\":false,\"isPdfUpToDate\":true,\"isWithdrawnOrRetracted\":false,\"journal\":{\"display\":true,\"email\":\"info@researchsquare.com\",\"identity\":\"bmc-psychology\",\"isNatureJournal\":false,\"hasQc\":true,\"allowDirectSubmit\":false,\"externalIdentity\":\"psyo\",\"sideBox\":\"Learn more about [BMC Psychology](http://bmcpsychology.biomedcentral.com/)\",\"snPcode\":\"\",\"submissionUrl\":\"\",\"title\":\"BMC Psychology\",\"twitterHandle\":\"BMC_series\",\"acdcEnabled\":true,\"dfaEnabled\":true,\"editorialSystem\":\"stoa\",\"reportingPortfolio\":\"BMC Series\",\"inReviewEnabled\":true,\"inReviewRevisionsEnabled\":true},\"keywords\":\"Epilepsy surgery, Deep brain stimulation, Preoperative expectations, Hope, Questionnaire.\",\"lastPublishedDoi\":\"10.21203/rs.3.rs-558755/v1\",\"lastPublishedDoiUrl\":\"https://doi.org/10.21203/rs.3.rs-558755/v1\",\"license\":{\"name\":\"CC BY 4.0\",\"url\":\"https://creativecommons.org/licenses/by/4.0/\"},\"manuscriptAbstract\":\"\\u003cp\\u003e\\u003cstrong\\u003eBackground: \\u003c/strong\\u003eDespite successful functional neurosurgery, patients suffering from epilepsy or Parkinson’s disease may experience postoperative psychological distress and social maladjustments. Difficulties in coping with postoperative changes, even positive ones, have shown to be related to patients’ presurgery cognitive representations (i.e., expectations, hope, abstract vs. concrete representations). The aim of this study was to develop an instrument assessing various key features of surgery outcomes’ representations, namely the Preoperative Hope and Expectations Questionnaire, PHEQ. \\u003c/p\\u003e\\u003cp\\u003e\\u003cstrong\\u003eMethods: \\u003c/strong\\u003eParticipants were patients (n = 50) diagnosed with Parkinson’s disease (n = 25) or epilepsy (n = 25), candidates for functional neurosurgery (i.e., Deep brain stimulation, anterior temporal lobectomy). At 2-3 weeks before the planned surgery, they were administrated items assessing their actual state, preoperative expectations, and hope regarding surgery outcomes. They also completed measures assessing optimism, quality of life and mood. \\u003c/p\\u003e\\u003cp\\u003e\\u003cstrong\\u003eResults:\\u003c/strong\\u003e Exploratory analysis resulted in a 16-item version of the PHEQ composed of two factors (abstract representations, including psychological well-being and concrete representations, such as functional aspects of everyday functioning). The PHEQ demonstrated high internal consistency and good convergent validity. Patients were more prone to express postoperative improvements in terms of hope rather than expectations. They generally focused on concrete rather than abstract features, although patients with Parkinson’s disease had higher abstract future-oriented representations.\\u003cstrong\\u003e \\u003c/strong\\u003e\\u003c/p\\u003e\\u003cp\\u003e\\u003cstrong\\u003eConclusions:\\u003c/strong\\u003e The PHEQ presents satisfactory psychometric properties and may be considered as a reliable instrument for research and clinical practice.\\u003c/p\\u003e\",\"manuscriptTitle\":\"Assessing Preoperative Hope and Expectations Related to Functional Neurosurgery: A New Questionnaire\",\"msid\":\"\",\"msnumber\":\"\",\"nonDraftVersions\":[{\"code\":1,\"date\":\"2021-05-25 15:43:44\",\"doi\":\"10.21203/rs.3.rs-558755/v1\",\"editorialEvents\":[{\"type\":\"communityComments\",\"content\":0},{\"type\":\"decision\",\"content\":\"Major revision\",\"date\":\"2021-10-08T07:19:03+00:00\",\"index\":\"\",\"fulltext\":\"\"},{\"type\":\"editorInvitedReview\",\"content\":\"\",\"date\":\"2021-10-08T05:48:46+00:00\",\"index\":\"hide\",\"fulltext\":\"\"},{\"type\":\"reviewerAgreed\",\"content\":\"4ddbb20a-7133-40ea-a89f-f6566eee338d\",\"date\":\"2021-09-27T16:33:21+00:00\",\"index\":\"hide\",\"fulltext\":\"\"},{\"type\":\"editorInvitedReview\",\"content\":\"\",\"date\":\"2021-07-13T13:53:09+00:00\",\"index\":\"hide\",\"fulltext\":\"\"},{\"type\":\"reviewerAgreed\",\"content\":\"b6611252-7cdc-4f02-bb55-4c4f2c9d7a8a\",\"date\":\"2021-06-17T06:24:49+00:00\",\"index\":\"hide\",\"fulltext\":\"\"},{\"type\":\"reviewersInvited\",\"content\":\"\",\"date\":\"2021-06-15T07:18:47+00:00\",\"index\":\"\",\"fulltext\":\"\"},{\"type\":\"editorAssigned\",\"content\":\"\",\"date\":\"2021-06-07T06:40:04+00:00\",\"index\":\"\",\"fulltext\":\"\"},{\"type\":\"editorInvited\",\"content\":\"\",\"date\":\"2021-05-26T15:11:46+00:00\",\"index\":\"\",\"fulltext\":\"\"},{\"type\":\"checksComplete\",\"content\":\"\",\"date\":\"2021-05-26T15:06:57+00:00\",\"index\":\"\",\"fulltext\":\"\"},{\"type\":\"submitted\",\"content\":\"BMC Psychology\",\"date\":\"2021-05-25T13:14:50+00:00\",\"index\":\"\",\"fulltext\":\"\"}],\"status\":\"published\",\"journal\":{\"display\":true,\"email\":\"info@researchsquare.com\",\"identity\":\"bmc-psychology\",\"isNatureJournal\":false,\"hasQc\":true,\"allowDirectSubmit\":false,\"externalIdentity\":\"psyo\",\"sideBox\":\"Learn more about [BMC Psychology](http://bmcpsychology.biomedcentral.com/)\",\"snPcode\":\"\",\"submissionUrl\":\"\",\"title\":\"BMC Psychology\",\"twitterHandle\":\"BMC_series\",\"acdcEnabled\":true,\"dfaEnabled\":true,\"editorialSystem\":\"stoa\",\"reportingPortfolio\":\"BMC Series\",\"inReviewEnabled\":true,\"inReviewRevisionsEnabled\":true}}],\"origin\":\"\",\"ownerIdentity\":\"5389d7e3-73e0-4f3f-b9e3-3941f3208408\",\"owner\":[],\"postedDate\":\"May 25th, 2021\",\"published\":true,\"recentEditorialEvents\":[],\"rejectedJournal\":[],\"revision\":\"\",\"amendment\":\"\",\"status\":\"published-in-journal\",\"subjectAreas\":[{\"id\":4568623,\"name\":\"Psychology\"}],\"tags\":[],\"updatedAt\":\"2022-03-04T14:51:05+00:00\",\"versionOfRecord\":{\"articleIdentity\":\"rs-558755\",\"link\":\"https://doi.org/10.1186/s40359-022-00766-z\",\"journal\":{\"identity\":\"bmc-psychology\",\"isVorOnly\":false,\"title\":\"BMC Psychology\"},\"publishedOn\":\"2022-03-04 14:51:05\",\"publishedOnDateReadable\":\"March 4th, 2022\"},\"versionCreatedAt\":\"2021-05-25 15:43:44\",\"video\":\"\",\"vorDoi\":\"10.1186/s40359-022-00766-z\",\"vorDoiUrl\":\"https://doi.org/10.1186/s40359-022-00766-z\",\"workflowStages\":[]},\"version\":\"v1\",\"identity\":\"rs-558755\",\"journalConfig\":\"researchsquare\"},\"__N_SSP\":true},\"page\":\"/article/[identity]/[[...version]]\",\"query\":{\"redirect\":\"/article/rs-558755\",\"identity\":\"rs-558755\",\"version\":[\"v1\"]},\"buildId\":\"WrCJVZZCHTDjtuVLN7oU0\",\"isFallback\":false,\"isExperimentalCompile\":false,\"dynamicIds\":[84888],\"gssp\":true,\"scriptLoader\":[]}","source_license":"CC-BY-4.0","license_restricted":false}