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J Neurol Surg A Cent Eur Neurosurg 2012; 73(01): 29-37
DOI: 10.1055/s-0032-1304502
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Impact of Psychiatric Comorbidity on Quality of Life in Patients Undergoing Herniated Disc Surgery[*]

K. Stengler
1   University of Psychiatry and Psychotherapy, University of Leipzig, Leipzig, Germany
,
M. Zieger
2   Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany
,
M. Luppa
2   Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany
,
H.J. Meisel
3   Department of Neurosurgery, Berufsgenossenschaftliche Kliniken Bergmannstrost, Halle (Saale), Germany
,
L. Günther
4   Department of Neurosurgery, Klinikum St. George gGmbH, Leipzig, Germany
,
J. Meixensberger
5   Department of Neurosurgery, University of Leipzig, Leipzig, Germany
,
R. Toussaint
6   MEDICA-Klinik, Leipzig, Germany
,
M.C. Angermeyer
7   Center for Public Mental Health, Gösing am Wagram, Austria
,
H.-H. König
8   University Medical Center Hamburg-Eppendorf, Department of Medical Sociology and Health Economics, University of Hamburg, Hamburg, Germany
,
S.G. Riedel-Heller
2   Institute of Social Medicine, Occupational Health and Public Health, University of Leipzig, Leipzig, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
06 February 2012 (online)

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The Impact of Psychiatric Comorbidity on Quality of Life in Patients Undergoing Herniated Disc SurgeryCent Eur Neurosurg 2011; 72(S 01): e18-e18
DOI: 10.1055/s-0031-1275286

Abstract

Background Recent studies examined the role of psychiatric comorbidity in the process of rehabilitation in patients undergoing herniated disc surgery. These patients suffer from physical and psychosocial complaints or symptoms, which impact their everyday life negatively and the success of rehabilitation potentially. The objectives of this study are (1) to examine the quality of life (QoL) in disc surgery patients and to compare the findings with reference data from the general German population, and (2) to investigate the impact of psychiatric comorbidity on QoL of patients undergoing herniated disc surgery.

Methods This study consists of 305 patients aged between 18 and 55 years who took part in face-to-face interviews during their hospital stay. Psychiatric comorbidity was assessed with the Composite International Diagnostic Interview (CIDI-DIA-X). By means of the 36-Item Short-Form Health Survey (SF-36), QoL was assessed in patients undergoing herniated disc surgery with and without psychiatric comorbidity. These findings were compared with the QoL of a representative sample of the general German population.

Results Compared with the general population, QoL in patients with herniated disc surgery was lower in all domains of the SF-36. Psychiatric comorbidity impacts the QoL in patients with herniated disc surgery in all SF-36 domains except “physical function”. The patients with psychiatric comorbidity showed significantly lower levels of QoL in the domains “bodily pain”, “vitality”, “social function”, “role emotional”, and “mental health”.

Conclusions Psychiatric comorbidity has a substantial adverse effect on QoL in patients undergoing disc surgery. Therefore, it will be necessary to diagnose psychiatric comorbidities at an early stage and to include psychosocial interventions in the treatment of herniated disc patients aimed at improving deficits in psychosocial functioning and QoL.

Keywords

quality of Life - disc surgery - psychiatric comorbidity

* This article was originally Published online in Central European Neurosurgery on October 5, 2011 (DOI:10.1055/s-0031-1275286)


 

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