Janni Strøm|Merete Bjerrum|Claus Vinther Nielsen|Cecilie N. Thisted|Tove Lise Nielsen|Malene Laursen|Lene Bastrup Jørgensen
Anxiety and depression in spine surgery—a systematic integrative review
Regionshospitalet Silkeborg|Aarhus University|Aarhus University|Aarhus University|Central Denmark Region|Aarhus University|Central Denmark Region|Aarhus University|VIA University College|Regionshospitalet Silkeborg|Aarhus University|Central Denmark Region
backgroundsymptoms preoperative anxiety depression occur approximately onethird patients chronic back pain undergoing surgery last 2 decades several studies established preoperative anxiety depression important outcome predictors greater pain physical impairments lower healthrelated quality life patients undergoing spine surgery accommodate symptoms anxiety depression thereby better surgical outcomes need identify factors associated symptomspurposewe aimed identify factors associated symptoms anxiety depression adults undergoing spinal surgerystudy designan integrative literature review carried outmethodsthe independent charity helsefonden supported literature review contributing 45000 remunerate dedicated investigator systematic literature search conducted pubmed cinahl psycinfo embase scopus cochrane web science threestep selection assessment process conducted titles abstracts 1124 articles skimmed relevance 53 articles found relevance read full articles meeting inclusion criteria n26 excluded 31 articles critically appraised methodological validity 14 synthesized analyzed using convergent qualitative design transform qualitative quantitative articles qualitative findingsresultsfourteen studies included reporting results based 4833 participants 3017 men 1816 women whose mean age approximately 49 years results extracted 75 individual findings divided five categories factors associated anxiety depression undergoing spine surgery pain information disability employment mental healthconclusionsfive categories interacting factors influenced symptoms anxiety depression surgery identified pain lack information disability return work mental health information appears regulating effect anxiety depression