TY - JOUR
T1 - Evaluation of Qualitative Outcomes after Surgical Intervention on Patients Affected by Arteriovenous Malformations
AU - Lo Buono, Viviana
AU - Bonanno, Lilla
AU - Corallo, Francesco
AU - Sidoti, Antonina
AU - Bramanti, Placido
AU - Marino, Silvia
PY - 2016/6/14
Y1 - 2016/6/14
N2 - Background: Arteriovenous malformations are abnormal tangles of blood vessels that cause irregular connections between arteries and veins. Rupture of arteriovenous malformations represents a frequent complication associated with a neurological impairment and physical disability. Methods: We investigated the relationship among coping dimensions and overall quality of life (QoL), and health status after surgical intervention in 20 patients affected by arteriovenous malformations. Each patient was administered a battery of self-report questionnaires (Short Form 12 Health Survey Questionnaire, Brief COPE Inventory, Beck Depression Inventory, and Hamilton Rating Scale for Anxiety). Results: We found that surgical treatment of arteriovenous malformations affected subjective well-being and emotional aspects. Coping ability influenced the QoL and the presence of anxiety and depressive symptoms. We found a significant correlation between depression and humor (r = -.47, . P = .03) and between QoL and self-distraction (r = -.48, . P = .03) and humor (r = .44, . P = .05). In particular, humor was a significant predictor of mental health and physical health. Conclusions: The presence of anxiety and depression was the cause of deterioration of QoL, even if psychological resources used to deal with the disease significantly modified the subjective perception of well-being. The evaluation of the impact of cerebrovascular disease on QoL should be a basis for planning and evaluating therapeutic and psychological rehabilitative interventions.
AB - Background: Arteriovenous malformations are abnormal tangles of blood vessels that cause irregular connections between arteries and veins. Rupture of arteriovenous malformations represents a frequent complication associated with a neurological impairment and physical disability. Methods: We investigated the relationship among coping dimensions and overall quality of life (QoL), and health status after surgical intervention in 20 patients affected by arteriovenous malformations. Each patient was administered a battery of self-report questionnaires (Short Form 12 Health Survey Questionnaire, Brief COPE Inventory, Beck Depression Inventory, and Hamilton Rating Scale for Anxiety). Results: We found that surgical treatment of arteriovenous malformations affected subjective well-being and emotional aspects. Coping ability influenced the QoL and the presence of anxiety and depressive symptoms. We found a significant correlation between depression and humor (r = -.47, . P = .03) and between QoL and self-distraction (r = -.48, . P = .03) and humor (r = .44, . P = .05). In particular, humor was a significant predictor of mental health and physical health. Conclusions: The presence of anxiety and depression was the cause of deterioration of QoL, even if psychological resources used to deal with the disease significantly modified the subjective perception of well-being. The evaluation of the impact of cerebrovascular disease on QoL should be a basis for planning and evaluating therapeutic and psychological rehabilitative interventions.
KW - Anxiety
KW - Arteriovenous malformations
KW - Coping
KW - Depression
KW - Quality of life
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U2 - 10.1016/j.jstrokecerebrovasdis.2016.08.010
DO - 10.1016/j.jstrokecerebrovasdis.2016.08.010
M3 - Article
AN - SCOPUS:84994525164
JO - Journal of Stroke and Cerebrovascular Diseases
JF - Journal of Stroke and Cerebrovascular Diseases
SN - 1052-3057
ER -