The course of depression and anxiety in patients undergoing disc surgery: A longitudinal observational study

Löbner, Margrit; Luppa, Melanie; Matschinger, Herbert; Konnopka, Alexander; Meisel, Hans Jörg; Günther, Lutz; Meixensberger, Jürgen; Angermeyer, Matthias C.; König, Hans‐Helmut; Riedel‐Heller, Steffi G.

doi:10.1016/j.jpsychores.2011.10.007

Cited by 30 publications

(30 citation statements)

References 37 publications

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“…This observation is concordant with data from MRI studies (1,2,32) in which statistical significance could only rarely be reached perhaps because of small population sizes (18,24). In addition, our results match with several studies on the dominance of the female gender in anxiety disorders in the general population (33) and in the context of other medical interventions (21,(34)(35)(36). Our data showed that especially in women, anxiety is obviously not solely restricted to claustrophobia but is influenced by many factors.…”

Section: Discussionsupporting

confidence: 91%

Anxiety of Patients Undergoing CT Imaging—An Underestimated Problem?

Heyer¹,

Thüring²,

Lemburg³

et al. 2015

Academic Radiology

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Section: Discussionsupporting

confidence: 91%

Anxiety of Patients Undergoing CT Imaging—An Underestimated Problem?

Heyer¹,

Thüring²,

Lemburg³

et al. 2015

Academic Radiology

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“…This finding is supported by a recently published community-based study that estimated the 12-month prevalence rates of depression ranged from 2.9% to 3.6% for men and 5.0% to 6.9% for women in the general population 32. The recent study conducted by Löbner et al6 showed that women undergoing disc surgery showed significantly more symptoms of depression in the preoperative period, but no significant differences were found between women and men in the postoperative period. A recent study by Misiak and Snarska33 has shown that men rarely suffer from depression prior to surgery for degenerative lumbar vertebral disc disease.…”

Section: Discussionmentioning

confidence: 62%

“…These findings may be attributed to the fact that a patient who undergoes a surgical procedure tends to expect an immediate improvement in terms of pain symptoms, and where pain persists, feelings of depression may still be relatively great. Also, patients with chronic pain and depression are less willing to undergo physiotherapy, which may delay their recovery 6. Depressive disorders may affect the subjective perception of pain symptoms in chronic bone and joint disease, or even contribute to the chronic nature of the condition 31…”

Section: Discussionmentioning

confidence: 99%

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Depression, social factors, and pain perception before and after surgery for lumbar and cervical degenerative vertebral disc disease

Jabłońska¹,

Ślusarz²,

Królikowska³

et al. 2017

JPR

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ObjectivesThe purpose of this study was to evaluate the effects of psychosocial factors on pain levels and depression, before and after surgical treatment, in patients with degenerative lumbar and cervical vertebral disc disease.Patients and methodsThe study included 188 patients (98 women, 90 men) who were confirmed to have cervical or lumbar degenerative disc disease on magnetic resonance imaging, and who underwent a single microdiscectomy procedure, with no postoperative surgical complications. All patients completed two questionnaires before and after surgery – the Beck Depression Inventory scale (I–IV) and the Visual Analog Scale for pain (0–10). On hospital admission, all patients completed a social and demographic questionnaire. The first pain and depression questionnaire evaluations were performed on the day of hospital admission (n=188); the second on the day of hospital discharge, 7 days after surgery (n=188); and the third was 6 months after surgery (n=140).ResultsPatient ages ranged from 22 to 72 years, and 140 patients had lumbar disc disease (mean age, 42.7±10.99 years) and 44 had cervical disc disease (mean age, 48.9±7.85 years). Before surgery, symptoms of depression were present in 47.3% of the patients (11.7% cervical; 35.6% lumbar), at first postoperative evaluation in 25.1% of patients (7% cervical; 18.1% lumbar), and 6 months following surgery in 31.1% of patients (7.5% cervical; 23.6% lumbar). Patients with cervical disc disease who were unemployed had the highest incidence of depression before and after surgery (p=0.037). Patients with lumbar disc disease who had a primary level of education or work involving standing had the highest incidence of depression before and after surgery (p=0.368).ConclusionThis study highlighted the association between social and demographic factors, pain perception, and depression that may persist despite surgical treatment for degenerative vertebral disc disease.

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“…Obese patients got higher scores, which indicated mild mood disturbances. There are studies which show that patients undergoing herniated disc surgery are often affected by depression and that after discectomy, depression status improves significantly during the follow-up [23][24][25]. Farzanegan et al [23] found out that BMI (cut-off point 25) had no effect on this post-operative improvement in depression.…”

Section: Discussionmentioning

confidence: 99%

Obesity has an impact on outcome in lumbar disc surgery

Järvimäki

Kautiainen

Haanpää

et al. 2016

Scandinavian Journal of Pain

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ABSTRACTPurposeTo investigate the effect of obesity on outcome in lumbar discectomy.MethodsA cross-sectional postal survey; a self-made questionnaire, Beck depression inventory IA (BDI IA) and the Oswestry low back disability questionnaire (ODI) were sent to the patients, who had undergone lumbar disc surgery in the Oulu University Hospital between June 2005 and May 2008. Patients were divided into three groups according to BMI: normal, pre-obese and obese. The ODI was also examined in the framework of the international classification of functioning, disability and health (ICF) to investigate its ability to describe various dimensions of functioning (body structure and functions, activities and participation).Results The postal survey was sent to 642 patients, of whom 355 (55%) replied. Males dominated in the pre-obese (66%) and obese (62%) groups (p = 0.01). Normal-weighted and pre-obese patients had lower BDI scores compared to obese patients (mean BDI: 8.0, 7.6,11.2, respectively, p = 0.035). Total ODI score was highest in the obese group compared to normal-weighted or pre-obese (20.3,18.6,26.4, respectively, p = 0.011). When ODI was linked to the ICF there were significant differences in all activity domains (mobility, self-care and interpersonal interactions and relationships) and the mobility component of the participation domain between the weight groups.Conclusions and implicationsObesity has an impact on outcome in lumbar discectomy. Obese patients had higher scores in BDI and ODI indicating mild mood disturbances and moderate functional disability. According to ICF, functional disability of obese patients was observed to some extent in all activity domains. Obese patients will be more frequently present for disc surgery and increased morbidity risk must be recognized. We need a strategy to rehabilitate and activate obese patients pre- and postoperatively.

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The course of depression and anxiety in patients undergoing disc surgery: A longitudinal observational study

Cited by 30 publications

References 37 publications

Anxiety of Patients Undergoing CT Imaging—An Underestimated Problem?

Anxiety of Patients Undergoing CT Imaging—An Underestimated Problem?

Depression, social factors, and pain perception before and after surgery for lumbar and cervical degenerative vertebral disc disease

Obesity has an impact on outcome in lumbar disc surgery

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