The Effect of Psychological State on Post Spinal Puncture Headache and Backache

Study Overview
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Brief Summary
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To investigate the effect of patient mood before spinal anesthesia on post spinal puncture headache and backache

Detailed Description
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Before spinal anesthesia patients' anxiety and depression mood will recorded with Beck anxiety and Beck depression scale fifteen minute before spinal anesthesia.Seven days after surgery post spinal puncture headache and backache will assess by a telephonic interview

Official Title
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The Effect of Anxiety and Depression Mood on Post Spinal Puncture Headache and Backache

Conditions
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Depression, Anxiety

Intervention / Treatment
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* Behavioral: anxiety scale, depression scale


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patient scehedule surgery under spinal anesthesia between 18-80 years old Exclusion Criteria: patients with psychiatric disorders

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| group 1: patients with headache<br>the patients who have post spinal puncture headache after spinal anesthesia | Behavioral: anxiety scale, depression scale<br>* post spinal puncture headache and backache will be assess by using visual analogue scale, anxiety will assess by beck anxiety scale, depression mood will assess by beck depression scale<br>|
| group 2: patients without headache<br>the patients who do not have post spinal puncture headache after spinal anesthesia | Behavioral: anxiety scale, depression scale<br>* post spinal puncture headache and backache will be assess by using visual analogue scale, anxiety will assess by beck anxiety scale, depression mood will assess by beck depression scale<br>|
| group 3: patients with backache<br>the patients who have post spinal puncture backache after spinal anesthesia | |
| group 4: patients without backache<br>the patients who do not have post spinal puncture backache after spinal anesthesia | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| post spinal puncture headache (PDPH) | For assessing PDPH, patients will ask whether they experienced headache through the use of a dichotomous scale (yes or no answer). The severity of PDPH will be assessed by the Dittmann's scale. This PDPH specific scale was composed of 4 levels of severity. Level 1 indicated minimal PDPH with no use of medications to manage PDPH with the patient able to participate in daily living activities without any inferences. Level 2 indicated mild PDPH that required the use of analgesics with patients still able to engage in daily living activities. Level 3 indicated moderate PDPH where analgesic administration was required to control the level of pain. Level 4 indicated severe PDPH with an epidural blood patch recommended. | one week after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| anxiety | Anxiety will evaluated by the Beck Anxiety Inventory (BAI), which consists of 21 questions about how the individual has felt in the preceding week regarding common anxiety symptoms, such as sweating, tremor, fear, and feelings of distress. The cutoff point for anxiety is 12, and scores between 1 and 11 are considered subsyndromal anxiety. | fifteen minutes before spinal anesthesia | 
| depression | Depression will assess by beck depression scale. The Beck Depression Scale (BDS) uses a 3-point Likert type response scale to 21 questions. In the scale, a total of 0-13 points are considered 'normal', 14-25 points to indicate 'depression', and 26-63 points to indicate'severe depression'. | fifteen minutes before spinal anesthesia | 
| post spinal puncture backache (PDPB) | The presence of backache will asses by using visual analogue scale (VAS). Patients will familiarized with 10 cm marked VAS for assessment of back pain, where 0 cm defines no pain, and 10 cm defines the maximum intolerable pain | one week after surgery |