UKRAINS'KYI VISNYK PSYKHONEVROLOHII

The Scientific and Practical Journal of Medicine
ISSN 2079-0325(p)
DOI 10.36927/2079-0325

PREDICTION OF THE QUALITY OF MENTAL LIFE IN PATIENTS WITH ASEPTIC NECROSIS OF THE FEMORAL HEAD WITH NON-PSYCHOTIC MENTAL DISORDERS

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Abstract

The article presents the results of a study of the quality of mental life in patients with avascular necrosis of the femoral head and non-psychotic mental disorders

The aim of the work was to study the mental component of the quality of life in patients with avascular necrosis of the femoral head and non-psychotic mental disorders and to determine the predictors that influence its formation.

A study of 137 people was conducted, of which 96 reached the end of the study. The Short Form Health Survey (SF-12) quality of life questionnaire was used to assess the mental component of quality of life. The SCL-90-R scale, Beck Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI) and Taylor Manifest Anxiety Scale (TMAS), Beck Hopelessness Scale (BHS), and Toronto Alexithymia Scale (TAS-20) were also used.

The determined psychopathological and psychometric factors that influenced the quality of life of patients with avascular necrosis of the femoral head and non-psychotic mental disorders made it possible to develop a logistic model for predicting the achievement of an average level of the mental component of the quality of life in the postoperative period. The mental component of quality of life at the preoperative stage, the general index of severity of psychopathological symptoms according to the SCL-90-R method, the presence of anxiety-depressive or apathy-abulic syndromes and alexithymia according to the TAS-20 method acted as predictors. The resulting logistic model has an outstanding predictive ability: AUC = 0.849 (95 % CI 0.761—0.914), p < 0.0001, sensitivity — 77.78 % (CI 60.8—89.9) and specificity — 78.33 % (CI 65.8—87.9).

Pages

References

  1. Aseptic Necrosis of Femoral Head — Clinical Study / Vicaş, R. M., Bodog, F. D., Ciursaş, A. N. [et al.] // Current Health Sciences Journal. 2021. Vol. 47, No. 2. P. 228—236. DOI: https://doi.org/10.12865/CHSJ.47.02.13.
  2. Factors associated with pain intensity and magnitude of limitations among people with hip and knee arthritis  / Kopp, B., Furlough, K., Goldberg, T. [et al.] // Journal of Orthopaedics. 2021. Vol. 25. P. 295—300. DOI: https://doi.org/10.1016/j.jor.2021.05.026.
  3. Do psychiatric disorders affect patient reported outcomes and clinical outcomes post total hip and knee arthroplasty? / Kooner, S., Kubik, J., Mahdavi, S. [et al.] // SAGE Open Medicine. 2021. Vol. 9. DOI: https://doi.org/10.1177/20503121211012254.
  4. Scott, J. E. Depression and anxiety after total joint replacement among older adults: a meta-analysis / J. E. Scott, J. L. Mathias & A. C. Kneebone // Aging & Mental Health. 2016. Vol. 20, No. 12. P. 1243—1254. DOI: https://doi.org/10.1080/13607863.2015.1072801.
  5. The influence of psychiatric comorbidity on perioperative outcomes following primary total hip and knee arthroplasty; a 17-year analysis of the National Hospital Discharge Survey database / [Buller, L. T., Best, M. J., Klika, A. K., Barsoum, W. K.] // The Journal of Arthroplasty. 2015. Vol. 30, No. 2. P. 165—170. DOI: https://doi.org/10.1016/j.arth.2014.08.034.
  6. Psychiatric disorders increase complication rate after primary total knee arthroplasty / Klement, M. R., Nickel, B. T., Penrose, C. T. [et al.] // The Knee. 2016. Vol. 23, No. 5. P. 883—886. DOI: https://doi.org/10.1016/j.knee.2016.05.007.
  7. Kerivna nastanova iz otsinky tekhnolohii okhorony zdorov’ia. [Guidelines for the assessment of health care technologies] Versiia 1.1. / Ekspertnyi komitet z vidboru ta vykorystannia osnovnykh likarskykh zasobiv MOZ Ukrainy ; Piniazhko, O. B. (kerivnyk rozrobky), 2018. URI: (In Ukrainian). URI: https://hta.ua/wp-content/uploads/2019/04/reguljatorna-baza.pdf.
  8. Shornikov, A.V. Doslidzhennia rivnia tryvohy, depresii ta beznadiinosti u khvorykh na aseptychnyi nekroz holovky stehnovoi kistky na peredoperatsiinomu etapi [Study of the level of anxiety, depression and hopelessness in patients with aseptic necrosis of the femoral head in the preoperative stage]. Visnyk problem biolohii i medytsyny [Bulletin of problems biology and medicine]. 2021. (3), 172—176. (In Ukrainian). DOI: https://doi.org/10.29254/2077-4214-2021-3-161-172-176.
  9. Effectiveness of psychological support in patients undergoing primary total hip or knee arthroplasty: a controlled cohort study / Tristaino, V., Lantieri, F., Tornago, S. [et al.] // Journal of Orthopaedics and Traumatology. 2016. Vol. 17, No. 2. P. 137—147. DOI: https://doi.org/10.1007/s10195-015-0368-5.
  10. The Effect of Depression on Patient-Reported Outcomes After Total Joint Arthroplasty Is Modulated by Baseline Mental Health: A Registry Study / Halawi, M. J., Cote, M. P., Singh, H. [et ] // The  Journal of  Bone and Joint Surgery. American Volume. 2018. Vol. 100, No. 20. P. 1735—1741. DOI: https://doi.org/10.2106/JBJS.17.01677.
  11. Lenhard, W. Testing the Significance of Correlations / W. Lenhard, A. Lenhard. 2014. DOI: https://doi.org/10.13140/RG.2.1.2954.1367.
  12. Metodychni vkazivky do vykonannia komp’iuternykh praktykumiv z navchalnoi dystsypliny "Intelektualnyi analiz danykh". Chastyna-1. "Koreliatsiinyi ta rehresiinyi analiz medychnykh danykh" [Intelligent data analysis: Methodological instructions for conducting computer workshops on the educational discipline “Intellectual data analysis”. Part-1. “Correlation and regression analysis of medical data”] / KPI im. Ihoria Sikorskoho ; uklad.: Ye. A. Nastenko, V. S. Yakymchuk, O. K. Nosovets ; red. A. V. Iakovenko. Kyiv : KPI im. Ihoria Sikorskoho, 2017. 51 s. (In Ukrainian). URI: https://ela.kpi.ua/handle/123456789/19005.
  13. Grigor'ev, S. G., Lobzin Yu. V., Skripchenko N. V. Rol' i mesto logisticheskoj regressii i ROC-analiza v reshenii medicinskix diagnosticheskix zadach. Zhurnal infektologii. 2016. T. 8, No. 4. S. 36—45. (In Russian). DOI: https://doi.org/10.22625/2072-6732-2016-8-4-36-45.