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Mikrodiskektomi ile Opere Edilen Lomber Disk Hernili Hastalarda Anksiyete ve Depresyon Düzeylerinin Değerlendirilmesi

Year 2023, Issue: 20, 444 - 451, 09.09.2023
https://doi.org/10.38079/igusabder.1300511

Abstract

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.

References

  • Lebow R, Parker SL, Adogwa O, et al. Microdiscectomy improves pain-associated depression, somatic anxiety, and mental well-being in patients with herniated lumbar disc. Neurosurgery. 2012;70(2):306-11.
  • Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70.
  • Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane anksiyete ve depresyon ölçeği Türkçe formunun geçerlilik ve güvenilirlik çalışması. Türk Psikiyatri Dergisi. 1997;8(4):280-87.
  • Farzanegan G, Alghasi M, Safari S, Ahmadi SA. Effects of lumbar discectomy on disability and depression in patients with chronic low back pain. Anesth Pain Med. 2011;1(1):20-4.
  • Jabłońska R, Ślusarz R, Królikowska A, Haor B, Antczak A, Szewczyk M. Depression, social factors, and pain perception before and after surgery for lumbar and cervical degenerative vertebral disc disease. J Pain Res. 2017;10:89-99.
  • Tharin S, Mayer E, Krishnaney A. Lumbar microdiscectomy and lumbar decompression improve functional outcomes and depression scores. Evid Based Spine Care J. 2012;3(4):65-6.
  • Löbner M, Luppa M, Matschinger H, et al. The course of depression and anxiety in patients undergoing disc surgery: A longitudinal observational study. J Psychosom Res. 2012;72(3):185-94.
  • Ozkara GO, Ozgen M, Ozkara E, Armagan O, Arslantas A, Atasoy MA. Effectiveness of physical therapy and rehabilitation programs starting immediately after lumbar disc surgery. Turk Neurosurg. 2015;25(3):372-9.
  • Koerner JD, Glaser J, Radcliff K. Which variables are associated with patient-reported outcomes after discectomy? Review of SPORT disc herniation studies. Clin Orthop Relat Res. 2015;473(6):2000-6.
  • Shi S, Zhou Z, Ni HJ, et al. Does anxiety influence the prognosis of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniation? A preliminary propensity score matching analysis. Int Orthop. 2020;44(11):2357-2363.

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

Year 2023, Issue: 20, 444 - 451, 09.09.2023
https://doi.org/10.38079/igusabder.1300511

Abstract

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.

References

  • Lebow R, Parker SL, Adogwa O, et al. Microdiscectomy improves pain-associated depression, somatic anxiety, and mental well-being in patients with herniated lumbar disc. Neurosurgery. 2012;70(2):306-11.
  • Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70.
  • Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane anksiyete ve depresyon ölçeği Türkçe formunun geçerlilik ve güvenilirlik çalışması. Türk Psikiyatri Dergisi. 1997;8(4):280-87.
  • Farzanegan G, Alghasi M, Safari S, Ahmadi SA. Effects of lumbar discectomy on disability and depression in patients with chronic low back pain. Anesth Pain Med. 2011;1(1):20-4.
  • Jabłońska R, Ślusarz R, Królikowska A, Haor B, Antczak A, Szewczyk M. Depression, social factors, and pain perception before and after surgery for lumbar and cervical degenerative vertebral disc disease. J Pain Res. 2017;10:89-99.
  • Tharin S, Mayer E, Krishnaney A. Lumbar microdiscectomy and lumbar decompression improve functional outcomes and depression scores. Evid Based Spine Care J. 2012;3(4):65-6.
  • Löbner M, Luppa M, Matschinger H, et al. The course of depression and anxiety in patients undergoing disc surgery: A longitudinal observational study. J Psychosom Res. 2012;72(3):185-94.
  • Ozkara GO, Ozgen M, Ozkara E, Armagan O, Arslantas A, Atasoy MA. Effectiveness of physical therapy and rehabilitation programs starting immediately after lumbar disc surgery. Turk Neurosurg. 2015;25(3):372-9.
  • Koerner JD, Glaser J, Radcliff K. Which variables are associated with patient-reported outcomes after discectomy? Review of SPORT disc herniation studies. Clin Orthop Relat Res. 2015;473(6):2000-6.
  • Shi S, Zhou Z, Ni HJ, et al. Does anxiety influence the prognosis of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniation? A preliminary propensity score matching analysis. Int Orthop. 2020;44(11):2357-2363.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Articles
Authors

Mahmut ÖZDEN
Memorial Bahçelievler Hastanesi
0000-0003-2441-0015
Türkiye

Early Pub Date August 31, 2023
Publication Date September 9, 2023
Published in Issue Year 2023 Issue: 20

Cite

Bibtex @research article { igusabder1300511, journal = {İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi}, issn = {2536-4499}, eissn = {2602-2605}, address = {İstanbul Gelişim Üniversitesi Sağlık Bilimleri Yüksekokulu - Cihangir Mah. Şehit Jandarma Komando Er Hakan Öner Sk. No: 1 Avcılar / İstanbul / Türkiye}, publisher = {İstanbul Gelisim University}, year = {2023}, number = {20}, pages = {444 - 451}, doi = {10.38079/igusabder.1300511}, title = {Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy}, key = {cite}, author = {Özden, Mahmut} }
APA Özden, M. (2023). Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy . İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi , (20) , 444-451 . DOI: 10.38079/igusabder.1300511
MLA Özden, M. "Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy" . İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi (2023 ): 444-451 <https://dergipark.org.tr/en/pub/igusabder/issue/79490/1300511>
Chicago Özden, M. "Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy". İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi (2023 ): 444-451
RIS TY - JOUR T1 - Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy AU - MahmutÖzden Y1 - 2023 PY - 2023 N1 - doi: 10.38079/igusabder.1300511 DO - 10.38079/igusabder.1300511 T2 - İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi JF - Journal JO - JOR SP - 444 EP - 451 VL - IS - 20 SN - 2536-4499-2602-2605 M3 - doi: 10.38079/igusabder.1300511 UR - https://doi.org/10.38079/igusabder.1300511 Y2 - 2023 ER -
EndNote %0 Istanbul Gelisim University Journal of Health Sciences Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy %A Mahmut Özden %T Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy %D 2023 %J İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi %P 2536-4499-2602-2605 %V %N 20 %R doi: 10.38079/igusabder.1300511 %U 10.38079/igusabder.1300511
ISNAD Özden, Mahmut . "Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy". İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi / 20 (September 2023): 444-451 . https://doi.org/10.38079/igusabder.1300511
AMA Özden M. Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy. IGUSABDER. 2023; (20): 444-451.
Vancouver Özden M. Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy. İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi. 2023; (20): 444-451.
IEEE M. Özden , "Evaluation of Anxiety and Depression Levels in Patients with Lumbar Disc Herniation Operated with Microdiscectomy", İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi, no. 20, pp. 444-451, Sep. 2023, doi:10.38079/igusabder.1300511

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