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The effect of anxiety, depression, and optimism on postoperative satisfaction and clinical outcomes in lumbar spinal stenosis and degenerative spondylolisthesis patients: Cohort study

Title
The effect of anxiety, depression, and optimism on postoperative satisfaction and clinical outcomes in lumbar spinal stenosis and degenerative spondylolisthesis patients: Cohort study
Author
박예수
Keywords
Lumbar spine; Clinical outcomes; Retrospective cohort study; Psychological status
Issue Date
2017-06
Publisher
KOREAN ORTHOPAEDIC ASSOC
Citation
CLINICS IN ORTHOPEDIC SURGERY, v. 9, no. 2, page. 177-183
Abstract
Background: The aim of this study is to evaluate the effect of depression, anxiety, and optimism on postoperative satisfaction and clinical outcomes in patients who underwent less than two-level posterior instrumented fusions for lumbar spinal stenosis and degenerative spondylolisthesis.Methods: Preoperative psychological status of subjects, such as depression, anxiety, and optimism, was evaluated using the Hospital Anxiety and Depression Scale (HADS) and the Revised Life Orientation Test (LOT-R). Clinical evaluation was determined by measuring changes in a visual analogue scale (VAS) and the Oswestry Disability Index (ODI) before and after surgery. Postoperative satisfaction of subjects assessed using the North American Spine Society lumbar spine questionnaire was comparatively analyzed against the preoperative psychological status. The correlation between patient's preoperative psychological status (depression, anxiety, and optimism) and clinical outcomes (VAS and ODI) was evaluated.Results: VAS and ODI scores significantly decreased after surgery (p < 0.001), suggesting clinically favorable outcomes. Preoperative psychological status of patients (anxiety, depression, and optimism) was not related to the degree of improvement in clinical outcomes (VAS and ODI) after surgery. However, postoperative satisfaction was moderately correlated with optimism.Conclusions: Anxiety and optimism were more correlated with patient satisfaction than clinical outcomes. Accordingly, the surgeon can predict postoperative satisfaction of patients based on careful evaluation of psychological status before surgery.
URI
https://ecios.org/DOIx.php?id=10.4055/cios.2017.9.2.177https://repository.hanyang.ac.kr/handle/20.500.11754/114482
ISSN
2005-291X; 2005-4408
DOI
10.4055/cios.2017.9.2.177
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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