Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 26256
MENTAL HEALTH IN ADULT SPINAL DEFORMITY PATIENTS
Toshihiro IMAMURA 1 , Keith H. BRIDWELL 2 , Seiya JINGUSHI 1
1 Japan Labour Health and Welfare Organization, Kyushu Rosai Hospital, Kitakyushu
(JAPAN), 2 Washington University School of Medicine One Barnes-Jewish Hospital,
St. Louis (UNITED STATES)
Introduction: Previous research has suggested that many psychological factors
influence recovery from surgery. However, there are no reports of the impact of
these psychological variables in preoperative spinal deformity patients. Therefore, we
gathered and analyzed patient's preoperative self-reported psychological inventories.
Purpose: To verify whether Scoliosis Research Society Mental Health (SRS-MH)
scores validate the preoperative patient's psychological issues of depression and
anxiety. Also, to identify potential contributing factors in adult spinal deformity group.
Methods: We prospectively studied 114 preoperative idiopathic spinal deformity
patients who were scheduled for surgery within 90 days. Data analysis included SF-
12, Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI) and SRS
questionnaires. Multiple radiographic measures were analyzed. Results: For adult
group (n=114, mean age 48.5±14, range 18-81), SRS-MH significantly correlated
with BDI (r=-0.76; p=0.01), STAI (r=-0.75; p=0.01) and SF-12 mental health (r=0.81;
p=0.01). Mental health scores were more abnormal than controls (p=0.0001). SRS
pain (p=0.0001), function (p=0.0001) and self-image (p=0.0001) scores were more
abnormal than SRS-MH scores. SF-12 physical health was more abnormal than SF-
12 mental health (p=0.0001). Conclusions: SRS-MH in adult group correlated with
other mental health validated instruments. In our study, adult mental health was less
abnormal than their pain, function and self-image.
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