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腰椎手术患者中的抑郁症:揭开未知的故事

Aboubacar Wague¹, Jennifer M O'Donnell², Nesa Milan²

¹University of California, San Francisco School of Medicine (UCSF SOM), San Francisco, CA 94143, United States.

North American Spine Society journal

|February 6, 2026

概括

PROMIS抑郁症评分有效地识别脊柱手术患者未被诊断的抑郁症. 这些患者经历的糟糕结果与那些被诊断为抑郁症的患者相似,突出显示了常规查的必要性.

科学领域:

整形外科整形外科整形外科
精神病学是一个精神病学.
健康结果研究研究结果

背景情况:

腰部退行性疾病患者中抑郁症很常见,影响手术结果.
许多接受脊柱手术的抑郁患者仍然未被诊断出来.
术前心理健康评估对于优化手术结果至关重要.

研究的目的:

评估PROMIS抑郁症评分在腰椎手术患者中识别未诊断的抑郁症的有用性.
为了比较未被诊断的抑郁症患者与被诊断或没有抑郁症患者的临床结果.
在这个人群中描述与未被诊断的抑郁症相关的因素.

主要方法:

对286名接受腰部减压或融合的患者进行了回顾性队列研究.
分为被诊断患有抑郁症 (PDD),没有抑郁症 (NDD) 和面临未诊断抑郁症风险 (ARUD) 的队列.
PROMIS 抑郁症得分 (≥55) 没有ICD-10诊断定义的ARUD;患者报告的结果评估了手术前和手术后.

主要成果:

24.1%的符合条件的患者被归类为ARUD.
ARUD患者报告的结果与PDD患者相似,并且明显比NDD患者更糟糕.
高龄,药物滥用史,疼痛诊所招生和退休状态与未被诊断的抑郁症风险增加有关.

结论:

PROMIS 抑郁症评分对于在脊椎手术候选人中识别未被诊断的抑郁症非常有价值.
患有未被诊断的抑郁症的患者与患有被诊断的抑郁症患者的功能障碍和术后结果相似.
用PROMIS抑郁症进行例行查可以改善手术前的精神病学评估和患者管理.

关键词:

抑郁症抑郁症抑郁症腰椎手术是腰椎脊柱的手术.一个承诺,一个承诺.患者报告的结果精神病学查精神病学查没有确诊的抑郁症.

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