Artikel
Post-traumatic stress disorder symptoms are not caused by surgery following brain tumor removal
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Veröffentlicht: | 8. Juni 2016 |
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Gliederung
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Objective: Recently, posttraumatic stress disorder (PTSD) symptoms were attributed awake cranial surgery. However, PTSD is seen in up to 10% of the normal population and there was no preoperative evaluation for PTSD so far. Aim of this study is to evaluate the incidence and influence of PTSD symptoms before and one year after elective brain surgery.
Method: A prospective study of patients undergoing elective brain surgery was performed. The patients were evaluated for PTSD using the PTSS score before surgery, at 3 and 12 months postoperatively. In addition SF-36 physical composite score (PCS), was completed preoperatively and at 3 and 12 months postoperatively. Incidence and influence of PTSD symptoms on clinical outcome were examined.
Results: 91 patients met the inclusion criteria. 41.8% were male; mean age was 54 years. PTSD symptoms were reported in 39%, 37% and 27% before surgery, at three and 12 months follow-up, respectively. Only 7.5% of patients developed PTSD symptoms following surgery. PTSD was associated with worse clinical outcome before surgery (PCS: 40.10 vs. 47.25; P= 0.03) and at one-year follow-up (PCS=43.44 vs. 48.86; P= 0.04).
Conclusions: PTSD symptoms are associated with worse outcome before and after elective brain surgery. However, the vast majority of patients that exhibit PTSD symptoms had already exhibit symptoms before surgery and only a small minority develop PTSD symptoms after surgery.
Note: Florian Bruckbauer and Youssef Shiban contributed equally.