Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, Canada.
BMC Psychol. 2022 Apr 8;10(1):93. doi: 10.1186/s40359-022-00797-6.
While diagnosis with a high-grade intracranial tumor is known to be associated with increased psychosocial burden, the burdens associated with meningioma are less well described. This study aimed to investigate the mental health burden in patients with meningiomas who have undergone surgical resection or serial observation, so as to identify and enhance awareness of gaps in care.
The Hospital Anxiety and Depression Scale (HADS) was administered to participants. Fisher's Exact tests were performed to evaluate frequency distributions and t-tests were applied to compare postoperative and non-surgical patients' HADS scores. Semi-structured interviews were completed on a subset of participants. Thematic analysis of interviews identified emerging themes.
Thirty patients with intracranial meningiomas met inclusion criteria. The cohort's mean age was 56.01 years and 66.67% were women (n = 20). Fourteen underwent surgery; sixteen were treated conservatively with observation. The average time since diagnosis of the sample was 37.6 months. Prevalence of mild to severe symptoms of anxiety was 28.6% amongst surgical management patients and 50% for active surveillance patients (p = 0.325). The prevalence of mild to severe symptoms of depression was 7.14% amongst surgical management patients and 6.25% for active surveillance patients (p = 0.533). Emerging themes from eight interviews reveal the influence of resilience, uncertainty and time, social support, interactions with medical experts, and difficulties during recovery on mental health.
The findings from the present study reveal that patients with meningiomas experience a significant mental health burden, illustrating the need for enhanced patient-centred care focusing on mental health.
虽然已知高级别颅内肿瘤的诊断与增加的心理社会负担有关，但脑膜瘤相关的负担描述得较少。本研究旨在调查接受手术切除或连续观察的脑膜瘤患者的心理健康负担，以确定并增强对护理差距的认识。
对参与者进行了医院焦虑和抑郁量表（HADS）的评估。采用 Fisher 精确检验评估频率分布，采用 t 检验比较手术和非手术患者的 HADS 评分。对部分参与者进行了半结构化访谈。对访谈进行了主题分析，以确定新出现的主题。
30 名患有颅内脑膜瘤的患者符合纳入标准。队列的平均年龄为 56.01 岁，66.67%为女性（n=20）。14 例行手术治疗；16 例保守治疗，行观察。样本的平均诊断时间为 37.6 个月。手术治疗患者中有 28.6%存在轻度至重度焦虑症状，而主动监测患者中有 50%存在（p=0.325）。手术治疗患者中有 7.14%存在轻度至重度抑郁症状，而主动监测患者中有 6.25%存在（p=0.533）。8 次访谈中出现的主题揭示了韧性、不确定性和时间、社会支持、与医疗专家的互动以及恢复期间的困难对心理健康的影响。
本研究的结果表明，脑膜瘤患者经历了显著的心理健康负担，这表明需要加强以患者为中心的护理，重点关注心理健康。
