Anxiety before and after surgical repair in patients with asymptomatic unruptured intracranial aneurysm
Anxiety before and after surgical repair in patients with asymptomatic unruptured intracranial aneurysm
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DOI：
10.1016/j.surneu.2003.07.012
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发表时间：
2004-07-01
影响因子：
--
通讯作者：
Yamadate, K
中科院分区：
文献类型：
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作者：
Otawara, Y;Ogasawara, K;Yamadate, K
背景颅内动脉瘤破裂是一种严重的疾病，具有很高的死亡率和发病率。被告知存在未破裂的颅内动脉瘤的患者可能会因为害怕破裂而变得焦虑。方法选择37例无症状的未破裂颅内动脉瘤患者，男13例，女24例，年龄32~70岁，平均57.2岁。采用状态-特质焦虑量表日文版，在手术前和术后1个月对患者进行焦虑评定。结果反映总体恐惧程度的稳定人格因素的特质焦虑得分在术后无明显变化。相比之下，状态焦虑分数(指因情况而异的短暂性焦虑)在手术后显著下降(p=0.001，配对t检验)。多因素分析中，只有术前状态焦虑得分较高者与术后状态焦虑显著降低有关(p=0.0183，Logistic回归分析)。结论无症状未破裂颅内动脉瘤患者术后焦虑显著降低。在决定是否治疗无症状未破裂的颅内动脉瘤时，患者的焦虑情绪可能值得关注。(C)2004 Elsevier Inc.保留所有权利。
BACKGROUND Ruptured intracranial aneurysm is a serious condition with high mortality and morbidity. Patients notified of the presence of the unruptured intracranial aneurysm may become anxious because of the fear of rupture. We prospectively investigated the anxiety of patients with unruptured intracranial aneurysm before and after surgery.METHODS Thirty-seven patients with an asymptomatic unruptured intracranial aneurysm were enrolled, 13 men and 24 women aged 32 to 70 years (mean age, 57.2 years), who underwent surgical repair of the aneurysm. The anxiety of patients was assessed one month before and after surgery using the Japanese version of the State-Trait Anxiety Inventory.RESULTS The trait anxiety scores, which refer to stable personality factors reflecting the general level of fearfulness, did not change significantly after surgery. In contrast, the state anxiety scores, which refer to transient anxiety that varies according to the situation, decreased significantly after surgery (p = 0.001, paired t test). Only the preoperative high state anxiety scores among the multiple variables were associated with the significant decrease in state anxiety after surgery (p = 0.0183, logistic regression analysis).CONCLUSIONS The anxiety of patients with asymptomatic unruptured intracranial aneurysm significantly decreased after surgery. Anxiety of patients with asymptomatic unruptured intracranial aneurysm may deserve attention in deciding whether to treat the aneurysm. (C) 2004 Elsevier Inc. All rights reserved.