The neglected need for psychological intervention in patients suffering from incidentally discovered intracranial aneurysms
Objectives - Previous studies demonstrated a conspicuously elevated rate of psychiatric disorders in patients with incidental intracranial aneurysms. This study was designed to analyze the impact of this observation on the post-interventional rates of PTSD, depressions and anxiety disorders in this...
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| Main Authors: | , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
12 February 2016
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| In: |
Clinical neurology and neurosurgery
Year: 2016, Volume: 143, Pages: 65-70 |
| ISSN: | 1872-6968 |
| DOI: | 10.1016/j.clineuro.2016.02.018 |
| Online Access: | Verlag, Volltext: https://doi.org/10.1016/j.clineuro.2016.02.018 Verlag, Volltext: http://www.sciencedirect.com/science/article/pii/S0303846716300580 
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| Author Notes: | Holger Wenz, Ralf Wenz, Máté E. Maros, Christoph Groden, Kirsten Schmieder, Johann Fontana |
| Summary: | Objectives - Previous studies demonstrated a conspicuously elevated rate of psychiatric disorders in patients with incidental intracranial aneurysms. This study was designed to analyze the impact of this observation on the post-interventional rates of PTSD, depressions and anxiety disorders in this collective. - Methods - Physically unaffected iA patients with an unremarkable medical history were included in this two center study. Pre-interventional psychiatric histories, rates of post-interventional depressions, subjective trauma, PTSD, and pre-interventional fears were determined by questionnaires (Beck Depression Inventory (BDI), Impact of Event Scale (IES), civilian Post-traumatic-Stress-Disorder (PTSD) Check List (PCL-C)). Benign meningioma (M) patients served as controls. - Results - 58M and 45 iA patients were enrolled. Significantly higher rates of PTSD, elevated trauma scores, and moderate/severe depressions (PTSD: p=0.0017; IES: p=0.0038; BDI: p=0.0301) were demonstrated in the iA collective. After excluding patients with a positive pre-interventional psychiatric history those differences were not reproducible. 70% of the iA patients reported an improvement of their unspecific pre-interventional symptoms, while 30% would have rated a psychological consultation as helpful. - Conclusion - The data identifies the early psychological consultation as a relevant and by affected patients accepted treatment modification when trying to improve the outcome after treatment of incidental aneurysms. |
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| Item Description: | Gesehen am 23.04.2019 |
| Physical Description: | Online Resource |
| ISSN: | 1872-6968 |
| DOI: | 10.1016/j.clineuro.2016.02.018 |