Anxiety, depression and quality of life in patients with a treated or untreated unruptured intracranial aneurysm

Li, Yunping; Dai, Weimin; Zhang, Jianmin

doi:10.1016/j.jocn.2017.07.019

Cited by 28 publications

(38 citation statements)

References 23 publications

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“…Thus, it is not inconceivable that these conditions, when refractory to treatment, can cause a significant decline in the quality of life and prompt some patients to request MAID. Li et al found that compared with treated patients, untreated patients with unruptured intracranial aneurysms had worse physical function, body pain and mental health domains although not in anxiety and depression 15. That may explain why incidental unruptured aneurysms/AVMs were each chosen by 2% of our sample.…”

Section: Discussionmentioning

confidence: 77%

Canadian neurosurgeons’ views on medical assistance in dying (MAID): a cross-sectional survey of Canadian Neurosurgical Society (CNSS) members

et al. 2019

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BackgroundThe Supreme Court of Canada removed the prohibition on physicians assisting in patients dying on 6 February 2015. Bill C-14, legalising medical assistance in dying (MAID) in Canada, was subsequently passed by the House of Commons and the Senate on 17 June 2016. As this remains a divisive issue for physicians, the Canadian Neurosurgical Society (CNSS) has recently published a position statement on MAID.MethodsWe conducted a cross-sectional survey to understand the views and perceptions among CNSS members regarding MAID to inform its position statement on the issue. Data was collected from May to June 2016.ResultsOf the 300 active membes of the CNSS who recevied the survey, 89 respondents completed the survey, 71% of whom were attending neurosurgeons and 29% were neurosurgery residents. Most respondents,74.2%, supported the right of physicians to participate in MAID with 7.8% opposing. 37% had current patients in their practice fitting the criteria for MAID. 23.6% had been asked by patients to assist with MAID, but only 11% would consider personally providing it. 84% of neurosurgeons surveyed supported the physicians’ right to conscientious objection to MAID while 21% thought attending surgeons should be removed from the inquiry and decision-making process. 43.8% agreed that the requirment to refer a patient to a MAID service should be mandatory. Glioblastoma multiforme (65%), quadriplegia/quadriparesis secondary to spinal tumour/trauma (54%) and Parkinson’s disease (24%) were the most common suggested potential indications for MAID among the neurosurgical population.ConclusionsOur results demonstrate that most neurosurgeons in Canada are generally supportive of MAID in select patients. However, they also strongly support the physicians’ right to conscientious objection.

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Section: Discussionmentioning

confidence: 77%

Canadian neurosurgeons’ views on medical assistance in dying (MAID): a cross-sectional survey of Canadian Neurosurgical Society (CNSS) members

et al. 2019

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“…Studies reported that patients with a longer post-treatment time typically showed a lower anxiety and depression level than those of post-treatment time shorter [5,9]. This phenomenon indicated that patients may still feel anxiety or depression for a short term after treatments, for fearing of bleeding or recurrence of the aneurysms, then gets better over time.…”

Section: Discussionmentioning

confidence: 97%

“…Nevertheless, there are still a considerable number of UIA patients who underwent microsurgery or endovascular treatment suffered from anxiety or depression. For example, Li Y et al [9] reported that 18.2% (n=8) of the clipping group had anxiety and 27.3% (n=12) had depression, 17.6% (n=13) of the coiling group had anxiety and 24.3% (n=18) han depression. Solheim et al [10] reported that 26.9% (n=7) of the open surgery group suffered from anxiety and 19.2% (n=5) suffered from depression, 31.6% (n=6) of the endovascular coiling group suffered from anxiety and 10.5% (n=2) suffered from depression.…”

Section: Discussionmentioning

confidence: 99%

“…However, studies on anxiety and depression after treatment via endovascular intervention for UIA patients are rare and controversial [5,9,10]. We aimed to explore the prevalence of anxiety and depression among Chinese UIA patients treated by endovascular intervention and to identify which factors contribute to the development of these symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Risk Factors for Anxiety and Depression in Chinese Unruptured Intracranial Aneurysms Patients Treated by Endovascular Intervention

Zhai¹,

Yu²,

Ma³

et al. 2020

Preprint

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Background: Studies on anxiety and depression after treatment via endovascular intervention for unruptured intracranial aneurysm (UIA) patients are rare and controversial. We aimed to explore the prevalence of anxiety and depression among Chinese UIA patients treated by endovascular intervention and to identify which factors contribute to the development of these symptoms. Methods:We performed a cross-sectional study of anxiety and depression in patients who underwent endovascular treatment for UIAs using the Hospital Anxiety and Depression Scale (HADS). The demographic, clinical and radiological data for all patients were retrospectively collected from the aneurysm database and medical records. Moreover, we utilized a large sample data and logistic regression analysis to investigate the risk factors for the anxiety and depression for these patients. Results:Two hundred patients returned a completed questionnaire in this study. Of the 200 patients, 34 (17.0%) suffered from anxiety, and 31 (15.5%) suffered from depression after being discharged for 30.67±8.6 months. The multivariate analysis results indicated that treatment cost exceeding the annual household income was statistically significantly associated with anxiety (OR= 2.42, p= 0.03).

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“…Forms of the SAS and the SDS are widely used as simple diagnostic tools in both clinical and research settings (Li, Dai, & Zhang, 2017; Md, Mb, Mm, Mb, & Mb, 2019; Xie, Xie, Wang, Shu, & Dai, 2019). The SAS questionnaire is a 20‐item, self‐reported assessment that uses a four‐point Likert scale to rate the presence and severity of affective symptoms and somatic components of anxiety during the previous week (Zung, 1971).…”

Section: Methodsmentioning

confidence: 99%

Investigation of the psychological health of first‐year high school students with myopia in Guangzhou

Yang

He³

et al. 2020

Brain and Behavior

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Purpose:The aim of this study was to investigate the differences in anxiety and depression between adolescents with myopia and those with normal vision and to examine the relationship between the level of anxiety and depression and the degree of myopia. Methods:A total of 1,103 first-year high school students aged 14-17 years were included in the study. The study group comprised 916 persons with myopia, while the control group comprised 187 persons without refractive error. Volunteers underwent routine eye examinations and completed a set of questionnaires about anxiety and depression. Then, the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores were compared between groups, and the relationships between anxiety and the degree of myopia and between depression and the degree of myopia were analyzed. Results:There was a significant difference in anxiety rate between the students with normal vision and those with myopia. The SAS scores among students with mild, moderate, and severe myopia were also significantly different. However, compared with the students with normal vision, the rate of depression was not significantly increased in the students with myopia, except in cases of severe myopia. Additionally, the SAS scores correlated closely with the diopters of the participants' glasses (r = 0.43, p = .045), while the relationship between SDS scores and the diopters of glasses was not significant (r = 0.19, p = .325). Conclusion:There was a correlation between myopia and mental health in adolescent students, especially in terms of anxiety. K E Y W O R D Sadolescent, anxiety, depression, myopia

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Anxiety, depression and quality of life in patients with a treated or untreated unruptured intracranial aneurysm

Cited by 28 publications

References 23 publications

Canadian neurosurgeons’ views on medical assistance in dying (MAID): a cross-sectional survey of Canadian Neurosurgical Society (CNSS) members

Canadian neurosurgeons’ views on medical assistance in dying (MAID): a cross-sectional survey of Canadian Neurosurgical Society (CNSS) members

Prevalence and Risk Factors for Anxiety and Depression in Chinese Unruptured Intracranial Aneurysms Patients Treated by Endovascular Intervention

Investigation of the psychological health of first‐year high school students with myopia in Guangzhou

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