Association of preoperative anxiety and depression with quality of recovery after caesarean delivery: a prospective observational study.

IF 0.8 Q3 ANESTHESIOLOGY

JA Clinical Reports Pub Date : 2025-03-29 DOI:10.1186/s40981-025-00782-z

Ayu Ishida, Mitsuru Ida, Akane Kinomoto, Yusuke Naito, Masahiko Kawaguchi

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Abstract

Introduction: To investigate the association between the presence of both anxiety and depression and the quality of recovery after caesarean delivery.

Methods: This secondary analysis of a prospective observational study included 137 patients aged ≥ 18 years who underwent elective and urgent caesarean delivery under spinal anesthesia and completed the Obstetric Quality of Recovery-11 scale at least once postoperatively. Before caesarean delivery, patients were screened for anxiety and depression using the Hospital Anxiety and Depression Scale. A total score of ≥ 8 in each subscale was considered positive screening. Postpartum quality of recovery was assessed using the Obstetric Quality of Recovery-11 at three time points, with a higher score indicating better recovery.

Results: Among the eligible patients, 17.5% (24/137) screened positive for both anxiety and depression. No significant difference was found in the Obstetric Quality of Recovery-11 score 24 h after caesarean delivery (p = 0.13, Cohen's d = 0.33), but differences were observed on postoperative day 3 (p = 0.004, Cohen's d = 0.67) and postoperative day 5 (p = 0.01, Cohen's d = 0.58). In the multiple regression analysis, after adjusting for prominent clinical factors, the presence of both anxiety and depression was associated with the Obstetric Quality of Recovery-11 score on postoperative day 3 (p = 0.01) and postoperative day 5 (p = 0.01), but not 24 h after delivery (p = 0.19).

Conclusions: Positive Hospital Anxiety and Depression Scale screening for both anxiety and depression was associated with a poor quality of recovery, measured using the Obstetric Quality of Recovery-11 scores on PODs 3 and 5.

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术前焦虑和抑郁与剖宫产后恢复质量的关系：一项前瞻性观察研究。

前言：探讨焦虑和抑郁与剖宫产后恢复质量的关系。方法：对一项前瞻性观察性研究进行二次分析，纳入137例年龄≥18岁的患者，这些患者在脊髓麻醉下接受了选择性和紧急剖宫产，术后至少完成了一次产科恢复质量-11量表。在剖腹产前，使用医院焦虑和抑郁量表对患者进行焦虑和抑郁筛查。各分量表总分≥8分为阳性筛查。采用产科康复质量-11分三个时间点对产后康复质量进行评估，得分越高表示康复越好。结果：在符合条件的患者中，17.5%（24/137）的焦虑和抑郁筛查均阳性。剖宫产后24 h产科恢复质量-11评分差异无统计学意义（p = 0.13, Cohen’s d = 0.33），但术后第3天（p = 0.004, Cohen’s d = 0.67）和第5天（p = 0.01, Cohen’s d = 0.58）差异有统计学意义。在多元回归分析中，在调整了重要的临床因素后，焦虑和抑郁的存在与产后第3天（p = 0.01）和术后第5天（p = 0.01）的产科恢复质量-11评分相关，但与分娩后24 h无关（p = 0.19）。结论：医院焦虑和抑郁量表对焦虑和抑郁的阳性筛查与较差的恢复质量相关，使用产科恢复质量-11评分来衡量PODs 3和5。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JA Clinical Reports ANESTHESIOLOGY-

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

9 weeks

期刊介绍： JA Clinical Reports is a companion journal to the Journal of Anesthesia (JA), the official journal of the Japanese Society of Anesthesiologists (JSA). This journal is an open access, peer-reviewed, online journal related to clinical anesthesia practices such as anesthesia management, pain management and intensive care. Case reports are very important articles from the viewpoint of education and the cultivation of scientific thinking in the field of anesthesia. However, submissions of anesthesia research and clinical reports from Japan are notably decreasing in major anesthesia journals. Therefore, the JSA has decided to launch a new journal, JA Clinical Reports, to encourage JSA members, particularly junior Japanese anesthesiologists, to publish papers in English language.