Artikel
Post traumatic stress disorder symptoms following brain surgery. Is surgery really the reason?
Suche in Medline nach
Autoren
Veröffentlicht: | 2. Juni 2015 |
---|
Gliederung
Text
Objective: Recently, posttraumatic stress disorder symptoms (PTSD) were attributed to surgery in patients following brain procedures. However, PTSD is seen in up to 15% of the normal population. Aim of this study is to evaluate the incidence of PTSD before and after brain surgery and the influence of PTSD on clinical outcome.
Method: A prospective study of patients undergoing elective spine surgery was performed. The patients were evaluated for PTSD using the PTSS score before surgery and 3 months postoperatively. In addition SF36 physical composite score (PCS), was completed preoperatively and at 3 months postoperatively. Incidence and influence of PTSD symptoms on clinical outcome were examined.
Results: 74 patients met all inclusion criteria. 34 patients were male (45.9%); mean age was 57 years. PTSD symptoms were reported in 29 patients (39.2%) before surgery. However, only 17 patients (23%) still had abnormal PTSS scores at 3 months follow-up. Only 4 patients (5%) developed PTSD symptoms only following surgery. PTSD was associated with worse clinical outcome before surgery (PCS: 41.7 vs. 48.4, P = 0.03). At three months follow-up patients with PTSD also had a worse clinical outcome (PCS: 38 vs 46.3, P = 0.004).
Conclusions: PTSD symptoms are associated with worse outcome before and after brain surgery. PTSD symptoms cannot be attributed to surgery as most patients had reported symptoms before surgery.
Note: Ehab Shiban and Youssef Shiban contributed equally.