PSYCHOLOGICAL BURDENS IN LUMBAR SPINAL STENOSIS: THE UNDERRATED INFLUENCE OF PRE-OPERATIVE DEPRESSION AND ANXIETY ON SURGICAL OUTCOMES AND QUALITY OF LIFE
Journal of Turkish Spinal Surgery, cilt.36, sa.1, ss.1-9, 2025 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 36 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/jtss.galenos.2024.99609
- Dergi Adı: Journal of Turkish Spinal Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.1-9
- Anahtar Kelimeler: Health-related quality of life, Hospital Anxiety and Depression Scale, lumbar spinal stenosis
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: This study investigated the impact of pre-operative anxiety and depression on health-related quality of life (H-RQOL) after surgery for lumbar spinal stenosis (LSS) surgery. Materials and Methods: We reviewed 152 consecutive patients with single-level LSS who underwent laminectomy or laminectomy with fusion. With the use of pre-operative Hospital Anxiety and Depression Scale to evaluate H-RQOL, patients were divided into (A+)/(A-) or (D+)/ (D-) according to the positivity of anxiety or depression. H-RQOL was assessed pre-operatively and post-operatively using Oswestry Low Back Pain Disability Questionnaire (ODI) and visual analogue scale (VAS). Results: (A+) and (D+) had higher pre-operative ODI scores and pre-operative VAS scores (D+). Had higher pre-operative ODI and VAS scores than (D-). (A+) Had higher pre-operative ODI and VAS scores than (A-). Post-operative ODI and VAS scores were higher in (D+). There was no significant difference between the post-operative ODI and VAS scores in (A+). Conclusion: Pre-operative depression, independent of anxiety, reduces the effectiveness of LSS surgery and negatively impacts post-operative quality of life.