Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy

Mahmut Özden

Makale detayları

Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy

Yazarlar:

Mahmut Özden

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 20, pp.444-451

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001294033

pISSN:

2536-4499

Anahtar kelimeler:

Özet:

 Aim: Studies examining the effect of microdiscectomy and surgical treatment on the psychiatric complaints of patients with lumbar disc herniation are new and few. Although the international literature reports that depression and anxiety decrease in the long term after microdiscectomy, we observed that these complaints were resolved much earlier in our clinical practice. We aimed to determine depression, anxiety, and pain levels in the preoperative period and in the first month postoperatively with validated scales for the documentation of these observations. Method: After eliminating patients with comorbid pathologies that may affect pain and psychiatric factors, pain levels in 31 patients with lumbar disc herniation were evaluated with the Visual Analog Scale VAS and depression and anxiety levels were evaluated with the Hospital Anxiety and Depression HAD scale. Statistical comparisons were made with the Student-T test in NCSS 2020, Utah, USA. Results: It was observed that the low back and leg pain scores improved significantly after microdiscectomy, and the preoperative anxiety and depression scores were widely distributed, but both were significantly reduced in the postoperative period. Conclusion: The decrease in depression and anxiety levels after microdiscectomy earlier than international observations can be explained by the higher surgical anxiety in the Turkish population and the higher correlation between mood and pain levels. Since pain and psychiatric complaints have the feature of increasing each other, more successful management of these factors by clinicians will contribute to more effective treatments.

 Aim: Studies examining the effect of microdiscectomy and surgical treatment on the psychiatric complaints of patients with lumbar disc herniation are new and few. Although the international literature reports that depression and anxiety decrease in the long term after microdiscectomy, we observed that these complaints were resolved much earlier in our clinical practice. We aimed to determine depression, anxiety, and pain levels in the preoperative period and in the first month postoperatively with validated scales for the documentation of these observations. Method: After eliminating patients with comorbid pathologies that may affect pain and psychiatric factors, pain levels in 31 patients with lumbar disc herniation were evaluated with the Visual Analog Scale VAS and depression and anxiety levels were evaluated with the Hospital Anxiety and Depression HAD scale. Statistical comparisons were made with the Student-T test in NCSS 2020, Utah, USA. Results: It was observed that the low back and leg pain scores improved significantly after microdiscectomy, and the preoperative anxiety and depression scores were widely distributed, but both were significantly reduced in the postoperative period. Conclusion: The decrease in depression and anxiety levels after microdiscectomy earlier than international observations can be explained by the higher surgical anxiety in the Turkish population and the higher correlation between mood and pain levels. Since pain and psychiatric complaints have the feature of increasing each other, more successful management of these factors by clinicians will contribute to more effective treatments.

 Aim: Studies examining the effect of microdiscectomy and surgical treatment on the psychiatric complaints of patients with lumbar disc herniation are new and few. Although the international literature reports that depression and anxiety decrease in the long term after microdiscectomy, we observed that these complaints were resolved much earlier in our clinical practice. We aimed to determine depression, anxiety, and pain levels in the preoperative period and in the first month postoperatively with validated scales for the documentation of these observations. Method: After eliminating patients with comorbid pathologies that may affect pain and psychiatric factors, pain levels in 31 patients with lumbar disc herniation were evaluated with the Visual Analog Scale VAS and depression and anxiety levels were evaluated with the Hospital Anxiety and Depression HAD scale. Statistical comparisons were made with the Student-T test in NCSS 2020, Utah, USA. Results: It was observed that the low back and leg pain scores improved significantly after microdiscectomy, and the preoperative anxiety and depression scores were widely distributed, but both were significantly reduced in the postoperative period. Conclusion: The decrease in depression and anxiety levels after microdiscectomy earlier than international observations can be explained by the higher surgical anxiety in the Turkish population and the higher correlation between mood and pain levels. Since pain and psychiatric complaints have the feature of increasing each other, more successful management of these factors by clinicians will contribute to more effective treatments.

 Amaç: Lomber disk hernisi olan hastalarda mikrodiskektomi ve cerrahi tedavinin psikiyatrik şikayetler üzerine etkisini inceleyen çalışmalar yeni ve az sayıdadır. Uluslararası literatürde mikrodiskektomi sonrası depresyon ve anksiyetenin uzun dönemde azaldığı bildirilse de biz klinik pratiğimizde bu şikayetlerin çok daha erken düzeldiğini gözlemledik. Bu gözlemlerin bilimsel dokümantasyonu için preoperatif dönemde ve postoperatif birinci ayda depresyon, anksiyete ve ağrı düzeylerinin valide edilmiş ölçeklerle belirlenmesi amaçlandı. Yöntem: Ağrıyı etkileyebilecek komorbid patolojiler ve psikiyatrik faktörler elendikten sonra lomber disk hernisi olan 31 hastanın ağrı düzeyleri Visual Analog Scale VAS ile depresyon ve anksiyete düzeyleri Hospital Anxiety and Depression HAD ölçeği ile değerlendirildi. İstatistiksel analizler NCSS programında 2020, Utah, ABD Student-T testi ile uygulandı. Bulgular: Mikrodiskektomi sonrası bel ve bacak ağrısı skorlarının anlamlı olarak düzeldiği, preoperatif anksiyete ve depresyon skorlarının geniş dağılım gösterdiği ancak postoperatif dönemde her ikisinin de anlamlı olarak azaldığı görüldü. Sonuç: Mikrodiskektomi sonrası depresyon ve anksiyete düzeyindeki düşüşün uluslararası gözlemlerden daha erken olması, Türk popülasyonunda cerrahi kaygının daha yüksek olması ve ruh hali ile ağrı düzeyleri arasındaki ilişkinin daha yüksek olması ile açıklanabilir. Ağrı ve psikiyatrik şikayetler birbirini artırma özelliğine sahip olduğundan bu faktörlerin klinisyenler tarafından daha başarılı yönetilmesi daha etkili tedavilere katkı sağlayacaktır.

Makale detayları

Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy

Yazarlar:

Mahmut Özden

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 20, pp.444-451

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001294033

pISSN:

2536-4499

Lumbar disc herniation

microdiscectomy

depression

anxiety

painLomber disk hernisi

mikrodiskektomi

depresyon

anksiyete

ağrı

Sayı

Makale detayları

Yazarlar: Mahmut Özden

Yayıncı: İstanbul Gelisim University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 20, pp.444-451

Belge Tipi: Makale

Yayın Tarihi: 9/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001294033

pISSN: 2536-4499

Sayı

Yazarlar:

Mahmut Özden

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 20, pp.444-451

Belge Tipi:

Makale

Yayın Tarihi:

9/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001294033

pISSN:

2536-4499