Article Text
Abstract
Introduction Patients eligible for elective endovascular treatment of cerebrovascular diseases (CBVD) can be affected on mental health status and their quality of life. However, this issue is still rarely taken into consideration in literature and practice (1-3).
Aim of Study To assess psychological status, coping, and quality of life in patients with CBVD undergoing endovascular procedures.
Methods We prospectively assessed the psycho-pathological status of a continuous sample of 25 patients that had to undergo endovascular treatment at baseline and discharge, by different instruments: State and Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI-II), Brief Coping Orientation to Problems Experienced Inventory (Brief-Cope), and quality of life (EQ-5D;WHODAS). We recorded neuroradiological findings (CT-MR-DSA), comorbidities, psychiatric history, pharmacological therapy, procedural and periprocedural technical and clinical complications, duration of the hospitalization and disability level (Modified Ranking Scale). We performed descriptive analysis and Wilcoxon matched-pairs signed-rank test to compare pre and post procedure outcome.
Results The patients enrolled were 25 (13 females; 12 males); their mean age was 60 ± 12.5 (range 35–81). There was a significant improvement in depression and state anxiety symptoms: at discharge, the depression scores significantly differed from those at baseline (p = 0.01), and state anxiety scores also significantly improved from baseline (p = <0.001). Whereas coping and quality of life did not have any statistically significant differences over time.
Conclusion Our results offer important support for the clinical and psychosocial management of these patients (4). In the future, follow-up assessment of patients will be collected and analyzed at 3-6-12-month post-procedure.
Disclosure of Interest no.