The neglected need for psychological intervention in patients suffering from incidentally discovered intracranial aneurysms

• Verfasst von: Wenz, Holger [VerfasserIn]
• Verfasst von: Maros, Máté E. [VerfasserIn]
• Verfasst von: Groden, Christoph [VerfasserIn]
• Titel: The neglected need for psychological intervention in patients suffering from incidentally discovered intracranial aneurysms
• Verf.angabe: Holger Wenz, Ralf Wenz, Máté E. Maros, Christoph Groden, Kirsten Schmieder, Johann Fontana
• E-Jahr: 2016
• Jahr: 12 February 2016
• Umfang: 6 S.
• Fussnoten: Gesehen am 23.04.2019
• Titel Quelle: Enthalten in: Clinical neurology and neurosurgery
• Ort Quelle: Amsterdam [u.a.] : Elsevier Science, 1974
• Jahr Quelle: 2016
• Band/Heft Quelle: 143(2016), Seite 65-70
• ISSN Quelle: 1872-6968
• DOI: doi:10.1016/j.clineuro.2016.02.018
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Depression
• Sach-SW: Fear
• Sach-SW: Impact of Event Scale (IES)
• Sach-SW: Incidental aneurysm
• Sach-SW: Post-traumatic-Stress-Disorder (PTSD)
• Sach-SW: Psychological outcome
• K10plus-PPN: 1663494193

Abstract

Objectives - Previous studies demonstrated a conspicuously elevated rate of psychiatric disorders in patients with incidental intracranial aneurysms. This study was designed to analyze the impact of this observation on the post-interventional rates of PTSD, depressions and anxiety disorders in this collective. - Methods - Physically unaffected iA patients with an unremarkable medical history were included in this two center study. Pre-interventional psychiatric histories, rates of post-interventional depressions, subjective trauma, PTSD, and pre-interventional fears were determined by questionnaires (Beck Depression Inventory (BDI), Impact of Event Scale (IES), civilian Post-traumatic-Stress-Disorder (PTSD) Check List (PCL-C)). Benign meningioma (M) patients served as controls. - Results - 58M and 45 iA patients were enrolled. Significantly higher rates of PTSD, elevated trauma scores, and moderate/severe depressions (PTSD: p=0.0017; IES: p=0.0038; BDI: p=0.0301) were demonstrated in the iA collective. After excluding patients with a positive pre-interventional psychiatric history those differences were not reproducible. 70% of the iA patients reported an improvement of their unspecific pre-interventional symptoms, while 30% would have rated a psychological consultation as helpful. - Conclusion - The data identifies the early psychological consultation as a relevant and by affected patients accepted treatment modification when trying to improve the outcome after treatment of incidental aneurysms.