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AIM: Lumbar stenosis is a painful disorder frequently observed in advanced ages. Pain is a complaint that has significant consequences to quality of life. In this study, it was analyzed whether there are any comorbid psychiatric disorders in patients with lumbar stenosis and the variances in postoperative Visual Analogue Scale scores of these patients.METHODS: Eighty patients who were evaluated and operated by the Department of Neurosurgery between December 2012 and April 2013 were subject to retrospective analysis. All patients were preoperatively consulted to a psychiatrist. The psychiatrist administered the SCID-I/CV (Structured clinical interview for DSM-IV axis I disorders, clinical version), Beck Depression Scale and Beck Anxiety Scale. Those patients with comorbid psychiatric disorders were given treatment with an SSRI (selective serotonin reuptake inhibitors) type antidepressant and regular follow-ups were made. Visual Analogue Scale scores of patients with or without comorbid psychiatric disorder were compared in the preoperative term and the postoperative months 1 and 6. RESULTS: Out of 80 patients diagnosed with lumbar stenosis, 22 were detected with major depression, 8 with generalized anxiety disorder and 5 with somatization disorder. The median, minimum and maximum Visual Analogue Scale scores of lumbar stenosis patients without comorbid psychiatric disorders was 3.7 (3.2-4.2) in the postoperative month 1 and 3.3 (2.7-3.9) in the postoperative month 6. The median, minimum and maximum Visual Analogue Scale scores of 35 lumbar stenosis patients with comorbid psychiatric disorders was 5.8 (5.3-6.4) in the postoperative month 1 and 3.4 (2.5-4.0) 6 months after psychiatric treatment was initiated. CONCLUSION:Our aim was to emphasize that the treatment of comorbid psychiatric disorders in patients operated for chronic pain lumbar stenosis increases postoperative success.

18 (%35,29), hasta grubunda 30 (%36,14) kişiydi. Hasta grubunun alt grupları değerlendirildiğinde, Hafif UAS'de 10 (%37,03), Orta UAS'de 9 (%37,50), Ağır UAS'de 11 (%34,37)

The aim of the present study was to assess anger expression and impulsivity in conversion disorder patients with and without comorbid depression. Fifty-eight patients had been diagnosed with conversion disorder, according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV). All patients were evaluated with SCID-I. Fiftyseven age- and sex-matched healthy controls were evaluated with a Structured Clinical Interview (SCID-I/NP). Conversion disorder patients were subdivided into those with (n=26) and without (n = 32) depression. A sociodemographic data form, Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, The State Trait Anger Scale and Barratt Impulsiveness Scale-11 were administered. There was found significant differences between conversion disorder patients and controls in trait anger (p< 0.01), internalized anger (p< 0.01), externalized anger (p< 0.05) and anger control (p< 0.05). All patients had more attentional impulsivity (p< 0.01), impulsive non-planning (p< 0.01) in terms of impulsivity, and higher scores on the BIS-11 (p< 0.01) than controls. No significant differences were found between conversion disorder patients with and without depression in anger expression except anger control (p< 0.05). As a conclusion, conversion disorder patients are similar to depression patients in terms of anger experience and impulsive characteristics, but different with regards to anger control and motor impulsivity.