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Anxiety and depression in patients with intracranial meningioma: a mixed methods analysis
BACKGROUND: 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 surg...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994241/ https://www.ncbi.nlm.nih.gov/pubmed/35395829 http://dx.doi.org/10.1186/s40359-022-00797-6 |
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author | Kasper, Graham Hart, Shannon Samuel, Nardin Fox, Colleen Das, Sunit |
author_facet | Kasper, Graham Hart, Shannon Samuel, Nardin Fox, Colleen Das, Sunit |
author_sort | Kasper, Graham |
collection | PubMed |
description | BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40359-022-00797-6. |
format | Online Article Text |
id | pubmed-8994241 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-89942412022-04-10 Anxiety and depression in patients with intracranial meningioma: a mixed methods analysis Kasper, Graham Hart, Shannon Samuel, Nardin Fox, Colleen Das, Sunit BMC Psychol Research Article BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40359-022-00797-6. BioMed Central 2022-04-08 /pmc/articles/PMC8994241/ /pubmed/35395829 http://dx.doi.org/10.1186/s40359-022-00797-6 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Kasper, Graham Hart, Shannon Samuel, Nardin Fox, Colleen Das, Sunit Anxiety and depression in patients with intracranial meningioma: a mixed methods analysis |
title | Anxiety and depression in patients with intracranial meningioma: a mixed methods analysis |
title_full | Anxiety and depression in patients with intracranial meningioma: a mixed methods analysis |
title_fullStr | Anxiety and depression in patients with intracranial meningioma: a mixed methods analysis |
title_full_unstemmed | Anxiety and depression in patients with intracranial meningioma: a mixed methods analysis |
title_short | Anxiety and depression in patients with intracranial meningioma: a mixed methods analysis |
title_sort | anxiety and depression in patients with intracranial meningioma: a mixed methods analysis |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994241/ https://www.ncbi.nlm.nih.gov/pubmed/35395829 http://dx.doi.org/10.1186/s40359-022-00797-6 |
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