Changes in postoperative depression and anxiety and their relationship with recovery from femoral head necrosis: A longitudinal study.

IF 3.9 4区医学 Q1 PSYCHIATRY World Journal of Psychiatry Pub Date : 2024-10-19 DOI:10.5498/wjp.v14.i10.1506

Guo-Zheng Fang, Jie Lin, Lie-Hu Cao, Tong-Sheng Liu, Yu-Hong Ma, Lu Yang

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Abstract

Background: Femoral head necrosis (FHN) can significantly affect patients' psychological well-being and functional outcomes. However, the long-term relationship between postoperative depression, anxiety, and functional recovery in patients with FHN remains unclear.

Aim: To investigate the dynamic changes in postoperative depression and anxiety and their relationship with functional recovery in patients with FHN for 3 years.

Methods: Ninety-three patients with FHN who underwent surgical treatment in March 2020 to 2023 were enrolled in this longitudinal study. Depression and anxiety status were assessed using the hospital anxiety and depression scale (HADS) at baseline, 6 months, 1, 2, and 3 years postoperatively. Functional recovery was evaluated using the Harris hip score (HHS). The dynamic changes in HADS and HHS were analyzed using repeated measures ANOVA; the relationship between depression/anxiety status and functional recovery was examined using Pearson's correlation analysis.

Results: The mean HADS-depression (HADS-D) and HADS-anxiety (HADS-A) scores significantly improved over time (P < 0.001). The prevalence of depression and anxiety decreased from 36.6% and 41.9% at baseline to 10.8% and 12.9%, respectively, at 3 years postoperatively. The mean HHS increased significantly from 52.3 ± 10.5 at baseline to 88.1 ± 7.2 at 3 years postoperatively (P < 0.001). Significant negative correlations were found between HADS-D/HADS-A scores and HHS at all time points (P < 0.05).

Conclusion: The severity of depression and anxiety negatively correlated with functional recovery, highlighting the importance of psychological interventions in the management of patients with FHN.

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术后抑郁和焦虑的变化及其与股骨头坏死康复的关系：纵向研究

背景：股骨头坏死（FHN）会严重影响患者的心理健康和功能预后。目的：研究股骨头坏死患者术后抑郁、焦虑的动态变化及其与功能恢复的关系，为期3年：这项纵向研究纳入了2020年3月至2023年接受手术治疗的93名FHN患者。在基线、术后 6 个月、1 年、2 年和 3 年使用医院焦虑和抑郁量表（HADS）评估抑郁和焦虑状况。功能恢复采用哈里斯髋关节评分（HHS）进行评估。采用重复测量方差分析法分析 HADS 和 HHS 的动态变化；采用皮尔逊相关分析法研究抑郁/焦虑状态与功能恢复之间的关系：随着时间的推移，HADS-抑郁（HADS-D）和HADS-焦虑（HADS-A）的平均得分显著提高（P < 0.001）。抑郁和焦虑的患病率分别从基线时的 36.6% 和 41.9% 下降到术后 3 年的 10.8% 和 12.9%。平均 HHS 从基线时的 52.3 ± 10.5 显著增加到术后 3 年时的 88.1 ± 7.2（P < 0.001）。在所有时间点，HADS-D/HADS-A 评分与 HHS 之间均存在明显的负相关（P < 0.05）：抑郁和焦虑的严重程度与功能恢复呈负相关，这凸显了心理干预在 FHN 患者管理中的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.