RESUMO
BACKGROUND: Personality traits and mental health problems have been previously reported in unruptured intracranial aneurysm (UIA) patients; however, few studies have clarified the relations between these variables and health-related quality of life (HRQoL). This study was designed to characterize the personality traits, HRQoL and mental health of patients with UIA and to evaluate whether personality has an influence on HRQoL and whether this is mediated by the patients' emotional symptoms. METHODS: Sixty-three patients with UIAs (mean age 62.6 years, 83.9% women) answered questionnaires for depression, anxiety, HRQoL and personality traits between June 2016 and May 2019. RESULTS: Eight percent of the sample had depression, and 27.4% had anxiety. Participants showed high levels of responsibility, kindness and neuroticism and low levels of extraversion and openness. HRQoL scores were normal compared with the Colombian population. Structural equation analysis showed that patients' HRQoL was negatively affected by anxiety levels and that the latter are associated with the patient's personality, where neuroticism is directly associated with symptomatology and inversely associated with extraversion. CONCLUSIONS: The results of this study showed the importance of personality and emotional symptoms in the HRQoL of UIA patients. These results are important for developing strategies for psychological counseling in patients with UIAs.
Assuntos
Ansiedade/psicologia , Depressão/psicologia , Aneurisma Intracraniano/psicologia , Personalidade/fisiologia , Qualidade de Vida/psicologia , Adaptação Psicológica , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Extroversão Psicológica , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Neuroticismo/fisiologia , Inquéritos e QuestionáriosRESUMO
We prospectively studied headache characteristics during 6 months after craniotomy performed for treatment of cerebral aneurysms in 79 patients. Semistructured interviews, headache diaries, the Hospital Anxiety and Depression Scale and the Epworth Sleepiness Scales, the Short Form-36 Health Survey (SF-36) and McGill Pain Questionnaire were used. Seventy-two patients had headaches, half before the fifth day after surgery. Changes were observed in headache diagnosis, side and site in the postoperative period. Headache frequency increased immediately after surgery and then decreased over time. Headache frequency was associated with depressive and anxiety symptoms. Pain intensity was higher in women and in patients with more anxiety symptoms. An incidence of post-craniotomy headache of 40% was observed according to International Headache Society classification criteria, 10.7% of the acute and 29.3% of the chronic type. The bodily pain domain of the SF-36 was worse in patients with more anxiety symptoms. Greater frequencies of headache were associated with lower scores on bodily pain and social functioning.
Assuntos
Craniotomia/efeitos adversos , Cefaleia/psicologia , Aneurisma Intracraniano/cirurgia , Complicações Pós-Operatórias/psicologia , Qualidade de Vida/psicologia , Adulto , Idoso , Craniotomia/psicologia , Feminino , Seguimentos , Cefaleia/epidemiologia , Cefaleia/etiologia , Humanos , Aneurisma Intracraniano/epidemiologia , Aneurisma Intracraniano/psicologia , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/epidemiologia , Resultado do TratamentoRESUMO
Clear symptoms of erotomania were observed in a woman with past history of high blood pressure who, later, presented a slight subarachnoid hemorrhage from a ruptured anterior cerebral communicating artery aneurysm. The possibility that erotomania, in this case, may be related to the patient's organic brain damage is discussed.