Insights in Neurosurgery

The Effect of Preoperative Anxiety and Depression on the Clinical Consequences of Discectomy in Rahnemoun Hospital, Yazd, 2020-2022

Introduction: The consideration of psychological characteristics and their impact on an operation's clinical results can reduce pain for patients, improve the quality of the operation, and increase satisfaction for service recipients. This study examines the relationship between preoperative anxiety and depression for a discectomy and clinical outcomes.

Methodology: As a prospective study, this study was performed among patients referred to the Rahnemoun Hospital of Yazd University of Medical Sciences in 2020 and 2022. Two neurosurgeons at the center diagnosed them with lumbar disc herniation and admitted them to the neurosurgery ward for discectomy. Each patient completed the Orebro Musculoskeletal Pain Questionnaire (OMPQ), Visual Analog Scale (VAS), Oswestry Disability Index (ODI), Hospital Anxiety and Depression Scale (HADS), and the SF-36 Quality of Life Questionnaire the day before discectomy. The above questionnaires were filled out at intervals of two weeks, two months, and six months following discectomy. Data were analyzed using SPSS.

Results: An analysis of the Hospital Anxiety and Depression Scale (HDAS) results in the study patients, based on the ODI questionnaire before surgery, two weeks, two months, and six months after surgery, reveals a significant difference (p 0.05). Further, the results of the Orebro Musculoskeletal Pain Questionnaire (OMPQ) in the studied patients, based on the ODI questionnaire, before surgery, two weeks, two months, and six months after surgery, did not show any significant differences (p>0.05).

Conclusion: According to the results of this study, it can be concluded that the rate of depression and anxiety, physical function, and other patients' psychological variables can be improved after surgery.

Author(s):

Amin Jesmani^1*, Ehsan Ziaee¹, Mohammad Hassan abdollahi² and Mahsa Gholizadeh³

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