Federal Center of Neurosurgery Novosibirsk, Nemirovich-Danchenko Str. 132/1, Novosibirsk, 630087, Russia; Department of Neuroscience, Institute of Medicine and Psychology, Novosibirsk State University, Pirogov Str. 1, Novosibirsk, 630090, Russia.
Department of Neuroscience, Institute of Medicine and Psychology, Novosibirsk State University, Pirogov Str. 1, Novosibirsk, 630090, Russia.
Clin Neurol Neurosurg. 2021 Apr;203:106578. doi: 10.1016/j.clineuro.2021.106578. Epub 2021 Feb 25.
To analyze the psychological status in patients with trigeminal neuralgia before surgery and in the early postoperative period after microvascular decompression of the trigeminal nerve.
Psychological features of personality were studied in 56 patients aged from 28 to 80 years with trigeminal neuralgia. To study the psychological status, such scales as Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale and Patient's Subjective Assessment of Treatment Effectiveness Scale (PSATES) were used with special attention paid to presence of suicidal thoughts.
The signs of anxiety were clinically significant in 7%, absent - in 66 % of the patients. There were no signs of depression in 63 % of cases, while 7% of the patients suffered from clinically significant depression. Pain catastrophizing was observed in 76.8 % of patients. None of the patients rated the intervention as "excellent" on PSATES despite the complete pain relief in the majority of patients (78.6 %), and only 16.1 % of the patients rated it as "good". The aggravation factor had a significant influence on this evaluation (p = 0.01).
General psychological status assessment can be used to objectify the indicators of the questionnaires and pain scales, as well as to determine the treatment tactics in this group, especially when it is necessary to clarify indications for an intervention and to decide on its proper time. Regardless of the outcome, the patients need time and psychological help for social adaptation due to changes in their social status.
分析三叉神经痛患者微血管减压术后的心理状态。
对 56 例年龄 28-80 岁的三叉神经痛患者的人格心理特征进行研究。采用医院焦虑抑郁量表、疼痛灾难化量表和患者对治疗效果的主观评估量表（PSATES）等量表评估患者的心理状态，特别关注自杀意念。
7%的患者存在明显焦虑症状，66%的患者无焦虑症状。63%的患者无抑郁症状，7%的患者存在明显抑郁症状。76.8%的患者存在疼痛灾难化。尽管大多数患者（78.6%）疼痛完全缓解，但仍有 7%的患者在 PSATES 上评定干预“优秀”，仅有 16.1%的患者评定“良好”。加重因素对这种评价有显著影响（p=0.01）。
一般心理状态评估可用于客观化问卷和疼痛量表的指标，以及确定该组患者的治疗策略，特别是在需要澄清干预指征并决定其适当时机时。无论结果如何，由于社会地位的改变，患者需要时间和心理帮助以适应社会。
