Abstract:
BACKGROUND:Bilateral subthalamic nucleus deep brain stimulation improves motor symptoms and treatment-related complications in patients with Parkinson's disease. However, some patients have trouble adjusting socially after successful neurosurgery, in part because of "unrealistic" expectations and psychiatric disorders. Preoperative psychological interventions focusing on these aspects could be beneficial for such patients. METHODS:We compared the outcomes of 2 psychosocial approaches-1 based on cognitive restructuration and 1 consisting of 2 interviews-with those of a control group without preoperative preparation. All patients underwent a psychometric evaluation 2 months before surgery (M-2) and again at 3 (M+3) and 6 months (M+6) after surgery. The psychometric evaluation focused on social adjustment using the social adjustment scale-self-report. The psychiatric profile of the patients was also assessed. RESULTS:Of 73 patients initially enrolled, 62 performed the initial inclusion visit (M-2) and the 2 postoperative visits (M+3, M+6). For these 62 patients (52% male), the overall mean age was 59 ± 6.13 years, and the mean disease duration was 9.44 ± 3.62 years. No specific differences were observed for social adjustment between the groups or visits (M-2, M+3, M+6); however, an interaction was found in the cognitive restructuration group at M+6 for the family dimension of the social adjustment scale-self-report. CONCLUSION:Our results suggest that even if no overall increase in the social adjustment score was observed, patients with Parkinson's disease eligible for neurosurgery should undergo preoperative psychosocial therapy to define their expectations and help them in their psychological restructuration. This type of therapy, complementary to psychoeducation, could represent an opportunity to prevent postoperative deception and social maladjustment.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Meyer M,Colnat-Coulbois S,Frismand S,Vidailhet P,Llorca PM,Spitz E,Schwan Rdoi
10.1016/j.wneu.2020.09.128subject
Has Abstractpub_date
2021-01-01 00:00:00pages
282-289eissn
1878-8750issn
1878-8769pii
S1878-8750(20)32137-9journal_volume
145pub_type
杂志文章abstract:BACKGROUND:The role of inflammatory response in the pathophysiology of subarachnoid hemorrhage (SAH) is being increasingly recognized. This study analyzed the impact of cellular and biochemical markers of early inflammatory response to ictus on outcome after SAH. METHODS:Patients with SAH were prospectively studied fo...
journal_title:World neurosurgery
pub_type: 临床试验,杂志文章
doi:10.1016/j.wneu.2016.02.049
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journal_title:World neurosurgery
pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1016/j.wneu.2018.01.037
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journal_title:World neurosurgery
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journal_title:World neurosurgery
pub_type: 杂志文章
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journal_title:World neurosurgery
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journal_title:World neurosurgery
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journal_title:World neurosurgery
pub_type: 杂志文章
doi:10.1016/j.wneu.2014.10.007
更新日期:2015-03-01 00:00:00
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journal_title:World neurosurgery
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:World neurosurgery
pub_type: 杂志文章,meta分析,评审
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更新日期:2018-04-01 00:00:00
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更新日期:2018-05-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2011-09-01 00:00:00
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