Yang, Chi-ChengChi-ChengYangLin, Wei-ChiWei-ChiLinChien, AndyAndyChienJAW-LIN WANGDAR-MING LAI2020-02-262020-02-262019https://scholars.lib.ntu.edu.tw/handle/123456789/464246Objective: Quality of life (QoL) has been identified as one of the most important outcome measurements following cervical spine surgery. The contributing factors to post-operative QoL remain limited. This study thus aimed to prospectively examine the QoL and related pre-operative emotional factors in patients who underwent anterior cervical spine surgery. Patients and methods: A total of 124 patients who underwent anterior cervical spine surgery were recruited. All participants were prospectively evaluated for their QoL and 2 aspects of emotion, depression and anxiety, before and after surgery, respectively. Results: Pre-operatively, 13% of patients showed signs of depression and 31% of patients reported symptoms of anxiety. Post-operatively 14% of patients reported depression, but 41% reported symptoms of anxiety. A significant association between depression, anxiety and different domains of QoL were identified, and specific cut-off points of pre-operatively depressive and/or anxiety levels to predict unfavorable post-operative QoL were further established. Conclusions: This prospective study demonstrated specific emotional factors, specifically depression and anxiety, influence patients’ QoL following surgery. These results suggest clinicians should also monitor patients’ emotional adjustments with their physical conditions. ? 2019 Elsevier B.V.enAnxiety; Cervical; Depression; Quality of life; Spinal surgery[SDGs]SDG3adult; aged; anxiety; Article; Beck Depression Inventory; cervical spine; correlation analysis; depression; female; human; major clinical study; male; outcome assessment; postoperative period; preoperative evaluation; prospective study; quality of life; spine surgery; anxiety; depression; emotion; emotional disorder; middle aged; physiology; psychology; quality of life; questionnaire; spine disease; Adult; Affective Symptoms; Anxiety; Depression; Emotions; Female; Humans; Male; Middle Aged; Postoperative Period; Prospective Studies; Quality of Life; Spinal Diseases; Surveys and Questionnairesjournal article10.1016/j.clineuro.2019.1054472-s2.0-85068894411https://www.scopus.com/inward/record.uri?eid=2-s2.0-85068894411&doi=10.1016%2fj.clineuro.2019.105447&partnerID=40&md5=5b329abca0dc7c8643d8daa1039a1a71