Psychological Adaptation to Post-Thyroidectomy Complications: A Life Course Case Study of Communication and Swallowing Impairments

Abstract

Post-thyroidectomy complications may significantly affect both physical function and psychological well-being, particularly when patients experience swallowing and communication impairments. This case study aimed to explore the psychological adaptation process of a patient experiencing communication and swallowing impairment following total thyroidectomy due to thyroid cancer from a life course psychology perspective. This study employed a qualitative case study design involving one patient as the main participant. Data were collected through in-depth semi-structured interviews, observation, and clinical documentation, and were analyzed using thematic analysis. The findings revealed that the patient experienced emotional distress, including anxiety, fear, and frustration, particularly due to communication limitations and functional changes. The patient also demonstrated alterations in self-concept and a tendency toward social withdrawal. Over time, psychological adaptation occurred gradually through coping strategies such as non-verbal communication, emotional regulation, and family support. This study highlights that communication impairment should be understood not only as a physical limitation but also as a significant psychological stressor. The findings emphasize the importance of integrating psychological care into postoperative management to support holistic recovery and improve patient well-being.