Abstract
Abstract
 Introduction: In this study, we aimed to investigate the effect of depression and anxiety presented before ESWL on pain perception during ESWL.
 Materials and Methods: A total of 60 kidney stone patients who underwent ESWL between October 2019 and November 2020 were enrolled in the study. Patients' age, sex, body mass index (BMI), and stone parameters were recorded. The patient's anxiety and depression states were evaluated using the Hospital Anxiety and Depression Scale (HADS) before the first session. The pain level was assessed by using the visual analog scale (VAS) after the first session.
 Results: There was no statistically significant difference between the anxiety, depression, and VAS scores (p>0.05). The association between anxiety and depression scores and the procedure's success was also evaluated, and no significant association was found (p>0.05). Furthermore, there was no association between VAS score and patient’s age, sex, BMI, the distance from skin to stone, and stone size (p>0.05).
 Conclusion: Our results do not show a significant correlation between pre-ESWL depression or anxiety with the VAS score measured after the procedure.
 Key Words: Anxiety, Extracorporeal Shockwave Lithotripsy, Pain Perception, Urinary Stone Disease
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