The pre-interventional psychiatric history

• Verfasst von: Wenz, Holger [VerfasserIn]
• Verfasst von: Groden, Christoph [VerfasserIn]
• Titel: The pre-interventional psychiatric history
• Titelzusatz: an underestimated confounder in benign intracranial lesions studies
• Verf.angabe: H. Wenz, R. Wenz, C. Groden, K. Schmieder, J. Fontana
• E-Jahr: 2015
• Jahr: October 2015
• Umfang: 5 S.
• Fussnoten: Gesehen am 20.12.2018 ; Available online 2 July 2015
• Titel Quelle: Enthalten in: Clinical neurology and neurosurgery
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1974
• Jahr Quelle: 2015
• Band/Heft Quelle: 137(2015), Seite 116-120
• ISSN Quelle: 1872-6968
• DOI: doi:10.1016/j.clineuro.2015.06.022
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Meningioma
• Sach-SW: Post-traumatic stress disorder
• Sach-SW: Psychiatric history
• Sach-SW: Quality of life
• Sach-SW: Sleep disorders
• Sach-SW: Unruptured aneurysm
• K10plus-PPN: 1585799815

Abstract

Objectives: The current study was designed to analyze the influence of a positive pre-interventional psychiatric history on the quality of life (QOL) after successful treatment of benign intracranial extra-cerebral lesions. Methods: Patients treated due to meningioma WHO I or unruptured intracranial aneurysms in two German neurosurgical centers between 2007 and 2013 were screened for exclusion criteria including malignant/chronic diseases, recurrence of the tumor/aneurysm and neurological deficits among others. 131 patients who met the criteria of an objectively unaffected health status were included. The pre-interventional psychiatric histories and the rates of post-interventional headaches, sleeping disorders, symptoms of chronic fatigue syndrome (CFS), post-traumatic stress disorder (PTSD) and QOL were determined by questionnaires which were mailed to the patients. Results: 103 patients returned the questionnaires. Despite the objectively unaffected health status, the patients with a positive pre-interventional psychiatric history demonstrated a post-interventionally significantly lower QOL (p=0.002), a significantly higher Pittsburgh Sleep Quality Index sum score (p=0.009), as well as significantly higher rates of symptoms of a chronic fatigue syndrome (p=0.003) and PTSD (p=0.024), compared to the patient collective with a negative pre-interventional psychiatric status. Conclusion: The results of the current study demonstrate the importance of taking the pre-interventional psychiatric history as a significant and independent confounder into consideration when evaluating the outcome after treatment of benign intracranial extra-cerebral lesions. A pre-interventional psychiatric screening and an early psychological intervention might help to improve the overall outcome after successful treatment of such lesions.