ClinicalTrials.gg
Active, not recruitingNCT07755293Updated Aug 12, 2026

Self-Efficacy, Surgical Fear and Psychological Well-Being in Abdominal Surgery

An observational study in Surgical Fear and Worrying, Well-Being, Psychological and Nursing Care, sponsored by Aydin Adnan Menderes University. Active, not recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-12.

Sponsored by Aydin Adnan Menderes University · Observational

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Study type
Observational
Model
Other
Time perspective
Cross-sectional
Enrollment
300
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 163 studies in Psychological Well-Being with a site in Turkey — 37 open to participants now, 47 under way, none of them phase 3. Psychological Well-Being · Turkey.

Planned enrollment
5th of 13
300 · median 208
Started
2026
with 20 others
Observational
13 of 163
none open now
Primary completion
2026-08
later than 29 of 46 live
Registered
145th of 163
by date
Lead sponsor
3 of 163
Aydin Adnan Menderes University

Among the 163 studies in Psychological Well-Being with a site in Turkey, this one is the 5th largest by planned enrollment of the 13 observational ones that give a count, is one of 21 that started in 2026, is one of 13 observational ones, reaches primary completion later than 29 of the 46 other live ones, and was the 145th registered.

Psychological Well-Being

2,195 studies on the registry are indexed under Psychological Well-Being; 728 are open to participants now.

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Open to participants now

37 of the 163 studies in Psychological Well-Being with a site in Turkey are open now. Recruiting first, the newest first:

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All 37 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 401 Psychological Well-Being studies recruiting now, 218 (54%) set no upper age limit and 157 (39%) stop at 75 or younger; 120 take children under 18; 204 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Surgical fear is a common psychological response among patients undergoing abdominal surgery and may adversely affect psychological well-being during the perioperative period. Individual psychosocial characteristics, particularly self-efficacy, may influence how patients perceive and cope with surgical fear. This cross-sectional observational study aims to determine the moderating effect of self-efficacy on the relationship between surgical fear and psychological well-being in patients undergoing abdominal surgery within the framework of Bandura's Social Cognitive Theory. Data will be collected preoperatively using validated questionnaires from 300 adult patients. The findings are expected to contribute to the identification of patients at risk for poor psychological outcomes and support the development of individualized nursing interventions.

Read the detailed description

Abdominal surgery is associated with considerable psychological stress before the operation. Patients frequently experience fear related to anesthesia, postoperative pain, surgical complications, uncertainty regarding recovery, and changes in daily functioning. Elevated levels of surgical fear have been associated with poorer psychological outcomes and may negatively affect perioperative adaptation.

Psychological well-being reflects an individual's positive psychological functioning and ability to maintain emotional balance during stressful life events. However, not all patients experiencing surgical fear demonstrate the same level of psychological well-being, suggesting that personal characteristics may influence this relationship.

Bandura's Social Cognitive Theory provides a theoretical framework for understanding these individual differences. According to the theory, self-efficacy refers to an individual's belief in their capability to successfully perform behaviors required to manage challenging situations. Patients with higher self-efficacy are expected to perceive surgical stress as more manageable, use more effective coping strategies, and maintain better psychological well-being despite experiencing surgical fear.

Although previous studies have separately investigated surgical fear, self-efficacy, and psychological well-being, evidence regarding the moderating role of self-efficacy in the relationship between surgical fear and psychological well-being among patients undergoing abdominal surgery is limited.

This single-center analytical cross-sectional study will be conducted in the General Surgery Clinic of Aydın Adnan Menderes University Research and Application Hospital. Adult patients scheduled for abdominal surgery will be recruited consecutively before surgery. Data will be collected using a Patient Information Form, the Surgical Fear Questionnaire, the Psychological Well-Being Scale, and the Self-Efficacy Scale.

The primary objective of the study is to determine whether self-efficacy moderates the relationship between surgical fear and psychological well-being. The results are expected to contribute to theory-based nursing care by improving the identification of patients at risk for poor psychological adaptation and supporting the development of individualized psychosocial interventions.

03

Conditions studied

  • Surgical Fear and Worrying
  • Well-Being, Psychological
  • Nursing Care
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients scheduled to undergo elective abdominal surgery at the General Surgery Clinic of Aydın Adnan Menderes University Research and Application Hospital who meet the eligibility criteria and provide informed consent will be consecutively enrolled in the study.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adults aged 18 years or older
  • Scheduled to undergo elective abdominal surgery
  • Able to read, speak, and understand Turkish
  • Conscious and able to complete the questionnaires
  • Willing to participate and provide

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of dementia
  • Visual or hearing impairment preventing questionnaire completion
  • Undergoing abdominal surgery due to cancer
  • Refusal or withdrawal of participation at any stage of the study
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Other
Time perspective
Cross-sectional
Enrollment
300 participants (estimated)
Target follow-up
1 Day
Patient registry
Yes
06

What researchers measure

Primary outcomes

  1. Psychological Well-Being

    The scale consists of a single sub-dimension and 8 items. The items are Likert-type, ranging from 1 (Strongly disagree) to 7 (Strongly agree). The lowest possible score is 8 and the highest is 56. Higher scores on the scale are interpreted as an increase in psychological well-being.

    Time frame: Preoperative assessment (within 24 hours before surgery)

Secondary outcomes

  1. Surgical Fear

    The Surgical Fear Scale will be used for assessment. The scale consists of 8 items and is an 11-point Likert-type scale, scored from 0 to 10. Each item is scored from 0, meaning "not afraid at all," to 10, meaning "very afraid." The scale measures fear of the short-term and long-term outcomes of surgery. The minimum possible score is 0, and the maximum is 40. A higher score indicates a high level of surgical fear.

    Time frame: Preoperative assessment (within 24 hours before surgery)

  2. Self-Efficacy

    The Self-Efficacy Scale consists of 23 items on a 5-point Likert scale. It is used to measure general self-efficacy perception, not specific to any particular area. It has four sub-dimensions: initiating behavior, maintaining behavior, completing behavior, and overcoming obstacles. The minimum possible score on the scale is 23, and the maximum is 115. A higher score indicates a higher perception of self-efficacy.

    Time frame: Preoperative assessment (within 24 hours before surgery)

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Yes — The data sets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

Supporting information: Study protocol

Time frame: 12 months after publication

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2026 (actual). Primary completion is estimated for Aug 2026, 3 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 5, 2026
First posted
Aug 10, 2026
StartActual
May 15, 2026
Primary completionEst.
Aug 30, 2026
CompletionEst.
Sep 30, 2026
Last update
Aug 12, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07755293
Responsible party
Ezgi Arslan (PhD, Research Assisstant (Principal Investigator), Aydin Adnan Menderes University) — Principal investigator
First posted
Aug 10, 2026
Start date
May 15, 2026
Primary completion
Aug 30, 2026 (estimated)
Completion
Sep 30, 2026 (estimated)
Last update
Aug 12, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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