Mikrodiskektomi ile Opere Edilen Lomber Disk Hernili Hastalarda Anksiyete ve Depresyon Düzeylerinin Değerlendirilmesi

Abstract

Aim: Studies examining the effect of microdiscectomy and surgical treatment on the psychiatric complaints of patients with lumbar disc herniation are new and few. Although the international literature reports that depression and anxiety decrease in the long term after microdiscectomy, we observed that these complaints were resolved much earlier in our clinical practice. We aimed to determine depression, anxiety, and pain levels in the preoperative period and in the first month postoperatively with validated scales for the documentation of these observations. Method: After eliminating patients with comorbid pathologies that may affect pain and psychiatric factors, pain levels in 31 patients with lumbar disc herniation were evaluated with the Visual Analog Scale (VAS) and depression and anxiety levels were evaluated with the Hospital Anxiety and Depression (HAD) scale. Statistical comparisons were made with the Student-T test in NCSS (2020, Utah, USA). Results: It was observed that the low back and leg pain scores improved significantly after microdiscectomy, and the preoperative anxiety and depression scores were widely distributed, but both were significantly reduced in the postoperative period. Conclusion: The decrease in depression and anxiety levels after microdiscectomy earlier than international observations can be explained by the higher surgical anxiety in the Turkish population and the higher correlation between mood and pain levels. Since pain and psychiatric complaints have the feature of increasing each other, more successful management of these factors by clinicians will contribute to more effective treatments.