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70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

12.05. - 15.05.2019, Würzburg

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Standardised questionnaires may underestimate depression but not anxiety in patients undergoing brain surgery

Standardisierte psychopathologische Fragebögen unterschätzen die Ausprägung von Depression, jedoch nicht Angststörungen, bei Patienten vor geplanten kraniellen Eingriffen

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  • presenting/speaker Arthur Wagner - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland
  • Youssef Shiban - Private Hochschule Göttingen, Göttingen, Deutschland
  • Anna Kronawetter - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland
  • Helia Rafsandjani - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland
  • Ute Hoffmann - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland
  • Nicole Lange - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland
  • Ann-Kathrin Joerger - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland
  • Bernhard Meyer - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland
  • Ehab Shiban - Klinikum rechts der Isar, Neurochirurgische Klinik, München, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie. Würzburg, 12.-15.05.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. DocP185

doi: 10.3205/19dgnc521, urn:nbn:de:0183-19dgnc5210

Published: May 8, 2019

© 2019 Wagner et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: Aim of this study was to examine the diagnostic value of standardized questionnaires evaluating for anxiety and depression before brain surgery.

Methods: From a prospective observational study of patients undergoing brain surgery in 2016, patients were randomly selected and a structured clinical interview for DSM (SKID) as well as a battery of standardized questioners evaluating for mental comorbidities was performed. The presence or absence of psychiatric disorder symptoms was correlated the gold standard the SKID.

Results: 59 patients were examined. 64% were female. Mean age was 52 years. 39% of patients were diagnosed with depression in the SKID interview but only 20% of patients had pathological ADS-scores (0.038). Concordant positive results were seen in 10 cases only. 42% of patients were diagnosed with an anxiety disorder in the SKID interview and 37% of patients had pathological STAI-T and STAI-S scores (p=0.064). Concordant positive results were seen in 19 cases.

Conclusion: Standardized questionnaires were capable to distinguish for real anxiety but underestimated the rate of depression as detected by the SKID interview.