Influence of anxiety and depression symptoms on the quality of life in patients undergoing lumbar spine surgery

ABSTRACT Objective: Comparative analysis of the quality of life and functionality of patients undergoing lumbar spine arthrodesis due to degenerative lumbar spine disease. The authors sought to correlate the influence of anxious and depressive symptoms before and after surgery. Methods: A prospe...

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Main Authors: Martins Back Netto, Ana Beatriz Sanches Barranco, Karen Waleska Kniphoff de Oliveira, Fabrícia Petronilho
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000100038&lng=en&tlng=en
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author Martins Back Netto
Ana Beatriz Sanches Barranco
Karen Waleska Kniphoff de Oliveira
Fabrícia Petronilho
author_facet Martins Back Netto
Ana Beatriz Sanches Barranco
Karen Waleska Kniphoff de Oliveira
Fabrícia Petronilho
author_sort Martins Back Netto
collection DOAJ
description ABSTRACT Objective: Comparative analysis of the quality of life and functionality of patients undergoing lumbar spine arthrodesis due to degenerative lumbar spine disease. The authors sought to correlate the influence of anxious and depressive symptoms before and after surgery. Methods: A prospective cohort study was performed, with 32 patients submitted to arthrodesis due to degenerative lumbar spine disease and the visual analogue pain scale pain questionnaire, the Oswestry Disability Index questionnaire, the Medical Outcomes Survey Short Form questionnaire - 36 items (SF-36), and the Hospital Anxiety and Depression Scale, applied in the preoperative period and four months after the procedure. Results: There was improvement in the mean scores of the visual analogue pain scale (p < 0.001) and the Oswestry Disability Index (p < 0.001). In the preoperative period, the variables that presented a difference between patients with and without anxiety symptoms were the SF-36 domains of general health (p = 0.031), social aspects (p = 0.008), and mental health (p = 0.035). In the postoperative period, patients without anxiety symptoms showed better results in the vitality (p = 0.004), social aspects (p = 0.001), mental health (p < 0.001), and pain (p = 0.011) domains. In the preoperative period, the variable that presented a difference between patients with and without depression was the SF-36 domain of emotional aspects (p = 0.022). In the post-operative period, patients without depression presented better vitality (p < 0.001), social aspects (p < 0.001), emotional aspects (p = 0.004), and mental health results (p = 0.001). Conclusion: Lumbar spine arthrodesis was effective in improving pain, low back pain, functional capacity, limitation due to physical aspects, vitality, and social and emotional aspects. Patients without anxiety and depression symptoms had better results on the scales compared to those with such symptoms.
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spelling doaj.art-402436388e03423187ad4c810a9045742024-02-02T20:36:30ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-4378531384410.1016/j.rboe.2017.01.009S0102-36162018000100038Influence of anxiety and depression symptoms on the quality of life in patients undergoing lumbar spine surgeryMartins Back NettoAna Beatriz Sanches BarrancoKaren Waleska Kniphoff de OliveiraFabrícia PetronilhoABSTRACT Objective: Comparative analysis of the quality of life and functionality of patients undergoing lumbar spine arthrodesis due to degenerative lumbar spine disease. The authors sought to correlate the influence of anxious and depressive symptoms before and after surgery. Methods: A prospective cohort study was performed, with 32 patients submitted to arthrodesis due to degenerative lumbar spine disease and the visual analogue pain scale pain questionnaire, the Oswestry Disability Index questionnaire, the Medical Outcomes Survey Short Form questionnaire - 36 items (SF-36), and the Hospital Anxiety and Depression Scale, applied in the preoperative period and four months after the procedure. Results: There was improvement in the mean scores of the visual analogue pain scale (p < 0.001) and the Oswestry Disability Index (p < 0.001). In the preoperative period, the variables that presented a difference between patients with and without anxiety symptoms were the SF-36 domains of general health (p = 0.031), social aspects (p = 0.008), and mental health (p = 0.035). In the postoperative period, patients without anxiety symptoms showed better results in the vitality (p = 0.004), social aspects (p = 0.001), mental health (p < 0.001), and pain (p = 0.011) domains. In the preoperative period, the variable that presented a difference between patients with and without depression was the SF-36 domain of emotional aspects (p = 0.022). In the post-operative period, patients without depression presented better vitality (p < 0.001), social aspects (p < 0.001), emotional aspects (p = 0.004), and mental health results (p = 0.001). Conclusion: Lumbar spine arthrodesis was effective in improving pain, low back pain, functional capacity, limitation due to physical aspects, vitality, and social and emotional aspects. Patients without anxiety and depression symptoms had better results on the scales compared to those with such symptoms.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000100038&lng=en&tlng=enArtrodeseQualidade de vidaDor lombarDepressãoAnsiedade
spellingShingle Martins Back Netto
Ana Beatriz Sanches Barranco
Karen Waleska Kniphoff de Oliveira
Fabrícia Petronilho
Influence of anxiety and depression symptoms on the quality of life in patients undergoing lumbar spine surgery
Revista Brasileira de Ortopedia
Artrodese
Qualidade de vida
Dor lombar
Depressão
Ansiedade
title Influence of anxiety and depression symptoms on the quality of life in patients undergoing lumbar spine surgery
title_full Influence of anxiety and depression symptoms on the quality of life in patients undergoing lumbar spine surgery
title_fullStr Influence of anxiety and depression symptoms on the quality of life in patients undergoing lumbar spine surgery
title_full_unstemmed Influence of anxiety and depression symptoms on the quality of life in patients undergoing lumbar spine surgery
title_short Influence of anxiety and depression symptoms on the quality of life in patients undergoing lumbar spine surgery
title_sort influence of anxiety and depression symptoms on the quality of life in patients undergoing lumbar spine surgery
topic Artrodese
Qualidade de vida
Dor lombar
Depressão
Ansiedade
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162018000100038&lng=en&tlng=en
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