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This prospective longitudinal study investigated how coping strategies and preoperative patient education influence satisfaction with surgical outcomes. Two self-developed questionnaires assessed expectations, perceived illness burden, patient education quality, hospital experience, postoperative recovery, and overall satisfaction after surgery. Coping strategies were evaluated using the validated\n                    <jats:italic>Essen Coping Questionnaire<\/jats:italic>\n                    . Data from 277 patients were analyzed, stratified by surgical complexity. No significant difference in patient education quality was found between complexity groups (mean difference 0.62, 95% CI [\u20131.65, 0.41];\u00a0\n                    <jats:italic>t<\/jats:italic>\n                    (221)\u2009=\u2009\u20131.19,\u00a0\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.237). Patients undergoing less complex procedures reported higher preoperative burden (mean difference 1.72, 95% CI [\u20133.33, \u20130.10];\u00a0\n                    <jats:italic>t<\/jats:italic>\n                    (231)\u2009=\u2009\u20132.09,\u00a0\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u2009.038). Linear regression revealed that the quality of preoperative education, postoperative burden, and coping strategies\u00a0\n                    <jats:italic>trust in medical art<\/jats:italic>\n                    \u00a0and\u00a0\n                    <jats:italic>willingness to accept help<\/jats:italic>\n                    significantly predicted satisfaction (\n                    <jats:italic>F<\/jats:italic>\n                    (10,79)\u2009=\u20093.41,\u00a0\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001). These findings highlight the importance of patient-doctor communication, tailored education, and psychological preparedness in shaping patient-reported outcomes. Enhancing preoperative support and fostering adaptive coping may improve satisfaction and postoperative adjustment, advocating for a more personalized approach to neurosurgical care.\n                  <\/jats:p>","DOI":"10.1038\/s41598-026-43341-x","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T18:05:42Z","timestamp":1773165942000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trust in medical art is the most effective coping mechanism for predicting treatment satisfaction in elective neurosurgery"],"prefix":"10.1038","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0615-5752","authenticated-orcid":false,"given":"Lisa","family":"Schock","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilith Philomena","family":"Lafl\u00f6r","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D\u017eiugas","family":"Me\u0161ka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrian","family":"Engel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanah Hadice","family":"Karadachi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emad","family":"Mohajerani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laur\u00e8l","family":"Rauschenbach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marvin Darkwah","family":"Oppong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramazan","family":"Jabbarli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Dammann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonja","family":"Siegel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilonka","family":"Kreitschmann-Andermahr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Sure","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yahya","family":"Ahmadipour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"43341_CR1","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1186\/s40359-022-00766-z","volume":"10","author":"M Radomska","year":"2022","unstructured":"Radomska, M. et al. 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