Alteration of anxiety and depression after awake craniotomy: a prospective study on patients with language eloquent high-grade glioma

Rahmani, Mohammad; Hendi, Kasra; Ajam, H.; Larijani, Amirhossein; Farzin, Mostafa; Arbabi, Mohammad; Pour-Rashidi, Ahmad; Alimohamadi, Maysam

doi:10.23736/s0390-5616.21.05323-6

Cited by 5 publications

(31 citation statements)

References 42 publications

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“…43,63,64,67 Only 3 studies (12.5%) evaluated PTSD. 43,54,58 The visual analog scale 74 and questionnaires developed by investigators were the most common tools used in the articles reviewed (Table 2). Five studies (20.8%) used visual analog scale, 49,50,55,57,62 and another 5 studies (20.8%) used a selfdeveloped questionnaire.…”

Section: Details Of Psychiatric Assessmentsmentioning

confidence: 99%

“…[39][40][41][42] Postoperative stress, anxiety, and depression may also affect the long-term quality of life and prognosis of the patient. 43 We aimed to obtain a better understanding of these factors among patients undergoing AC which can help health care providers to better manage the stressors to suit individuals to improve their psychiatric outcomes, thereby providing holistic patient-centered care. 44 To the best of our knowledge, this is the first systematic review that accomplishes a synthesis of the published peer-reviewed literature on stress, anxiety, and depression associated with AC.…”

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confidence: 99%

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Stress, Anxiety, and Depression Associated With Awake Craniotomy: A Systematic Review

et al. 2022

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BACKGROUND: Awake craniotomy (AC) enables real-time monitoring of cortical and subcortical functions when lesions are in eloquent brain areas. AC patients are exposed to various preoperative, intraoperative, and postoperative stressors, which might affect their mental health. OBJECTIVE: To conduct a systematic review to better understand stress, anxiety, and depression in AC patients. METHODS: PubMed, Scopus, and Web of Science databases were searched from January 1, 2000, to April 20, 2022, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guideline. RESULTS: Four hundred forty-seven records were identified that fit our inclusion and exclusion criteria for screening. Overall, 24 articles consisting of 1450 patients from 13 countries were included. Sixteen studies (66.7%) were prospective, whereas 8 articles (33.3%) were retrospective. Studies evaluated stress, anxiety, and depression during different phases of AC. Twenty-two studies (91.7%) were conducted on adults, and 2 studies were on pediatrics (8.3 %). Glioma was the most common AC treatment with 615 patients (42.4%). Awake-awakeawake and asleep-awake-asleep were the most common protocols, each used in 4 studies, respectively (16.7%). Anxiety was the most common psychological outcome evaluated in 19 studies (79.2%). The visual analog scale and self-developed questionnaire by the authors (each n = 5, 20.8%) were the most frequently tools used. Twenty-three studies (95.8%) concluded that AC does not increase stress, anxiety, and/or depression in AC patients. One study (4.2%) identified younger age associated with panic attack. CONCLUSION: In experienced hands, AC does not cause an increase in stress, anxiety, and depression; however, the psychiatric impact of AC should not be underestimated.

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Section: Details Of Psychiatric Assessmentsmentioning

confidence: 99%

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confidence: 99%

Stress, Anxiety, and Depression Associated With Awake Craniotomy: A Systematic Review

et al. 2022

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“…Even though awake surgery is generally well tolerated by the patients [42], some patients can develop a post-traumatic stress disorder (PSTD) after the surgery, as observed in the case of Mrs. AS. In the medical literature, this question has already been raised.…”

Section: Discussionmentioning

confidence: 99%

“…In the medical literature, this question has already been raised. Rahmani et al [42] enrolled 28 patients that were scheduled for an awake craniotomy to evaluate their anxiety, depression, and PTSD one week before, as well as one month and six months after the operation. They did not report any exacerbation of anxiety or depression disorder after the surgery; three out of the 28 patients had PTSD symptoms three months after the surgery, while at six months, there was no indication of PTSD.…”

Section: Discussionmentioning

confidence: 99%

Patient’s Acting on their Own Care: Medical Hypnosis for Perioperative Management in The Awake Craniotomy. Technical Report and Clinical Cases.

Bracho¹,

Collomb²,

Topouzkhanian³

2022

OBM ICM

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The patient as the custodian of their own care is a concept that has been evolving for several years and can help the patient to a better and quicker recovery. Medical Hypnosis (MH) assist the practitioner to reduce the patient’s pain and disorders and help the patient to understand, accept, and manage their situation. Recently, this technique has been increasingly used in awake surgery protocols. This paper describes three examples of the successful perioperative management of patients who benefited from an awake craniotomy for tumor resection with the aid of MH. Another case of a patient who had developed post-traumatic stress disorder (PTSD) after an operation without MH is also described.

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“…Regardless of the grade of glioma, a certain proportion of patients will experience some adverse emotional reactions after being diagnosed and informed of their condition, which is known as reactive emotional disorder, and mainly manifests as depression and anxiety ( 11 ). There are numerous studies on the effects of reactive mood disorder on the survival time of glioma patients, but the results obtained differ and have not been unified ( 12 - 14 ). In recent years, studies have gradually recognized the important role of psychological resilience in patients with chronic diseases and malignant tumors ( 15 - 17 ).…”

Section: Introductionmentioning

confidence: 99%

Psychological resilience is related to postoperative adverse events and quality of life in patients with glioma: a retrospective cohort study

Yang¹,

Shen²,

Zhang³

et al. 2022

Transl Cancer Res TCR

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Background Psychological resilience has played an increasingly important role in the treatment of different diseases and many glioma patients will experience adverse emotional reactions after being diagnosed. However, it remains unclear whether psychological resilience is related to the adverse events and quality of life of patients with glioma. Methods Patients with glioma between March 2016 and July 2020 were included in this retrospective cohort study. Psychological resilience was evaluated by the Connor-Davidson resilience scale (CD-RISC) 1 day before surgery. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ)-C30 and EORTC QLQ-BN20 were used for the quality of life (QoL) assessment of the included patients. The relationships between psychological resilience and postoperative adverse events/QoL were determined using multivariable logistic and linear regression analysis, respectively. Some patients were evaluated again after admission, and the patients were divided into an increased resilience group and decreased resilience group for subgroup analysis according to the changes between the two CD-RISC scores. All included patients were followed up for at least 6 months. Results Ninety-seven patients were included in the high resilience group and 284 patients were included in the low resilience group. More neurological complications occurred in the low resilience group than in the high resilience group (18.7% vs. 8.2%, P=0.016). Also, a higher Karnofsky performance scale score and higher psychological resilience contributed to less adverse events. Patients in the high resilience group had higher postoperative global health status scores than those in the low resilience group. Higher educational level, Karnofsky performance scale score, and psychological resilience acted as a protective factor for postoperative QoL. Subgroup analysis showed that the incidence of neurological complications was significantly higher in the decreased resilience group compared to the increased resilience group (22.9% vs. 3.8%, P=0.039). Lastly, better global health status, physical functioning, and role functioning were observed in glioma patients with increased resilience. Conclusions The incidence of postoperative adverse events and QoL of glioma patients are closely related to their level of preoperative psychological resilience. Psychological counseling may also be a part of improving the prognosis of glioma patients.

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Alteration of anxiety and depression after awake craniotomy: a prospective study on patients with language eloquent high-grade glioma

Cited by 5 publications

References 42 publications

Stress, Anxiety, and Depression Associated With Awake Craniotomy: A Systematic Review

Stress, Anxiety, and Depression Associated With Awake Craniotomy: A Systematic Review

Patient’s Acting on their Own Care: Medical Hypnosis for Perioperative Management in The Awake Craniotomy. Technical Report and Clinical Cases.

Psychological resilience is related to postoperative adverse events and quality of life in patients with glioma: a retrospective cohort study

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