Cognitive and emotional problems in patients after cerebral meningioma surgery.
OBJECTIVE
To determine long-term cognitive complaints and symptoms of depression or anxiety in patients following surgery for a cerebral meningioma, and to examine factors associated with these outcomes.


METHODS
Cross-sectional study.


METHODS
Patients operated on for a cerebral meningioma in the University Medical Center Utrecht, The Netherlands, between 2007 and 2009.


METHODS
Clinical data were retrieved from medical files. Patients completed a postal questionnaire. Cognitive complaints were measured with the Cognitive Failures Questionnaire. A score above 43.5 was defined as presence of cognitive complaints. Anxiety and depressive symptoms were measured with the Hospital Anxiety and Depression Scale, and were considered present if the scale score was ≥ 8.


RESULTS
The response rate was 76% (n = 136). Mean time after operation was 32.6 months (standard deviation 10.6 months). Overall, 40% of patients experienced cognitive and/or emotional problems. Thirty-one patients (23%) experienced cognitive complaints, 39 (29%) showed anxiety, and 31 (23%) showed depressive symptoms. Country of birth and previous depression/burn-out were the most important factors. Scores on all outcome measures were related to each other.


CONCLUSIONS
Forty percent of patients experienced cognitive or emotional problems following surgery for a cerebral meningioma. Screening for these problems is therefore important in order to provide patients with the care they require as soon as possible.
Sanne
S
van der Vossen
Vera P M
VP
Schepers
Jan Willem
JW
Berkelbach van der Sprenkel
Johanna M A
JM
Visser-Meily
Marcel W M
MW
Post
D000328:Adult; D000368:Aged; D001007:Anxiety / Q000175:diagnosis / Q000209:etiology; D001932:Brain Neoplasms / Q000150:complications / Q000601:surgery*; D003072:Cognition Disorders / Q000175:diagnosis* / Q000209:etiology; D003863:Depression / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000150:complications / Q000601:surgery*; D008579:Meningioma / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D019964:Mood Disorders / Q000175:diagnosis* / Q000209:etiology; D019635:Neurosurgical Procedures / Q000009:adverse effects*