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Joseph T. King Jr., Amin B. Kassam, Howard Yonas, Michael B. Horowitz and Mark S. Roberts

-item SF Health Survey, 31 is a written survey that provides an MCS (an assessment of general mental health) and a physical component summary. The MCS and physical component survey scores from the SF-12 are highly correlated with those from the parent survey. 29 The HAD Scale 33 is a validated screening tool to detect anxiety and depression in outpatient and hospital settings and has been used in patients with cerebrovascular disease. 5, 28 Mental health outcomes in patients with cerebral aneurysms have received relatively little attention. Authors of outcome

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Taylor E. Purvis, Brian J. Neuman, Lee H. Riley III and Richard L. Skolasky

effective. 19 Riley et al. 40 showed that spine surgery patients with depressive symptoms, as identified by the Minnesota Multiphasic Personality Inventory, rate their subjective surgical results less favorably than those without depressive symptoms. The United States Preventive Services Task Force recommends that clinicians screen adults for depression before surgery, and the American Psychological Association has delineated techniques for presurgical psychological screenings. 7 , 42 Patients with high levels of anxiety or depression before undergoing cervical

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Lauren K. Dunn, Marcel E. Durieux, Lucas G. Fernández, Siny Tsang, Emily E. Smith-Straesser, Hasan F. Jhaveri, Shauna P. Spanos, Matthew R. Thames, Christopher D. Spencer, Aaron Lloyd, Russell Stuart, Fan Ye, Jacob P. Bray, Edward C. Nemergut and Bhiken I. Naik

P erception and severity of perioperative pain are influenced by various biological, cultural, and psychological factors. 31 The psychological factors that impact postoperative recovery include catastrophizing, anxiety, and depression. 4 Catastrophizing is an exaggerated behavioral response to anticipated or actual pain and influences the perception of pain. 10 , 33 It can account for between 7% and 13% of variation in pain scores. 31 Catastrophizing includes 3 components: magnification, rumination, and helplessness. 11 High levels of catastrophizing are

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Rafa Rahman, Alvaro Ibaseta, Jay S. Reidler, Nicholas S. Andrade, Richard L. Skolasky, Lee H. Riley III, David B. Cohen, Daniel M. Sciubba, Khaled M. Kebaish and Brian J. Neuman

B efore undergoing spine surgery, some patients report symptoms of depression and anxiety. 1 , 9 , 13 Although the reported correlations between preoperative depression/anxiety and specific postoperative surgical outcomes vary, overall, outcomes after spine surgery or other surgical procedures are worse in patients with psychological distress. 3 , 7 , 10 , 12 We know less about how perioperative changes in depression and anxiety may affect postoperative outcomes. A simple correlation between preoperative psychological distress and postoperative outcomes may

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Kathrin Zimmerman, Bobby May, Katherine Barnes, Anastasia Arynchyna, Elizabeth N. Alford, Caroline Arata Wessinger, Laura Dreer, Inmaculada Aban, James M. Johnston, Curtis J. Rozzelle, Jeffrey P. Blount and Brandon G. Rocque

, such as depression, anxiety, and fatigue. 3–12 For example, a link has been shown between anxiety and headache in patients with chronic migraine. 13 However, evaluation of the psychological comorbidities of pediatric hydrocephalus has not been performed. The purpose of this study was to determine the prevalence and severity of headache, depression, anxiety, and fatigue in a sample of children with hydrocephalus. Understanding these factors may play a crucial role in improving the care provided to children with hydrocephalus and their families, enhancing outcomes

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Leah Y. Carreon, Mladen Djurasovic, John R. Dimar II, R. Kirk Owens II, Charles H. Crawford III, Rolando M. Puno, Kelly R. Bratcher, Katlyn E. McGraw and Steven D. Glassman

S everal studies have shown that patients with anxiety or depression may have poorer outcomes after surgery for lumbar degenerative disorders. 1 , 16 , 17 , 19 , 20 , 22 These conclusions were drawn from questionnaires specifically designed to measure anxiety and depression such as the Distress and Risk Assessment Method, 12 Hospital Anxiety and Depression Scale, 25 Minnesota Multiphasic Personality Inventory, 6 and the Beck Depression Inventory. 3 These questionnaires are not routinely administered in the spine surgery clinic. Increasingly, patient

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Toru Doi, Hideki Nakamoto, Koji Nakajima, Shima Hirai, Yusuke Sato, So Kato, Yuki Taniguchi, Yoshitaka Matsubayashi, Ko Matsudaira, Katsushi Takeshita, Sakae Tanaka and Yasushi Oshima

preoperative factors have been reported to affect surgical outcomes. 9 , 26 Psychiatric problems, such as depression and anxiety, are commonly related to chronic dysfunction and chronic pain. 15 , 28 It has also been reported that depressive disorders have a high correlation with reduced HRQOL and ADLs and an increased risk of mortality. 19 , 21 In the field of spine surgery, psychiatric disorders have been known to have a negative effect on HRQOL outcomes after lumbar spine surgery. 14 , 22 , 27 , 30 There have also been reports of a correlation between preoperative

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Nir Shimony, Uri Amit, Bella Minz, Rachel Grossman, Marc A. Dany, Lior Gonen, Karina Kandov, Zvi Ram and Avi A. Weinbroum

administration would interfere with patient safety and outcomes after intracranial surgery. The objectives of this study were to assess if there are beneficial preemptive and preventive effects of PGL on 1) the immediate (0–3 days) postoperative analgesic requirements and pain scores (primary goals) and whenever available the late (up to 3 months) self-assessed pain levels and drug usage (primary goals) and 2) presurgical anxiety levels and quality of sleep (secondary goals) in patients undergoing elective neurosurgical procedures. Methods Patient Definitions

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Rebecca L. Achey, Erin Yamamoto, Daniel Sexton, Christine Hammer, Bryan S. Lee, Robert S. Butler, Nicolas R. Thompson, Sean J. Nagel, Andre G. Machado and Darlene A. Lobel

that both PD and ET have nonmotor features, including cognitive and psychiatric disturbance (depression, anxiety, and apathy). 13 , 20 , 21 However, it is not definitively established whether objective motor function improvement following DBS plays a role in alleviating depression and/or anxiety in movement disorder patients. Furthermore, it is not known whether the impact of DBS on depression or anxiety differs depending on the divergent pathophysiological mechanisms responsible for tremor in PD versus ET. Several randomized controlled trials have demonstrated

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Assessment, accomplishments, and anxieties

The 1976 AANS presidential address

Richard L. DeSaussure Jr.

reached a stage where there is no place for anxiety or jealousy. Both have all the prestige they need and there is no need for either one of them to feel slighted. Dr. Semmes was one of the Founding Members of this organization and did much to organize it. You are all aware of the reorganization that occurred under the direction of Dr. Francis Murphey. In their tradition, I would like to suggest further reorganization in the hope that the Congress of Neurological Surgeons and the American Association of Neurological Surgeons can be drawn closer together. In this day