Prediction of the quality of mental life in patients with aseptic necrosis of the femoral head with non-psychotic mental disorders

Abstract

The article presents the results of a study of the quality of mental life in patients with avascular necrosis of the femoral head and non-psychotic mental disorders. The aim of the work was to study the mental component of the quality of life in patients with avascular necrosis of the femoral head and non-psychotic mental disorders and to determine the predictors that influence its formation. A study of 137 people was conducted, of which 96 reached the end of the study. The Short Form Health Survey (SF-12) quality of life questionnaire was used to assess the mental component of quality of life. The SCL-90-R scale, Beck Depression Inventory (BDI-II), Beck Anxiety Inventory (BAI) and Taylor Manifest Anxiety Scale (TMAS), Beck Hopelessness Scale (BHS), and Toronto Alexithymia Scale (TAS-20) were also used. The determined psychopathological and psychometric factors that influenced the quality of life of patients with avascular necrosis of the femoral head and non-psychotic mental disorders made it possible to develop a logistic model for predicting the achievement of an average level of the mental component of the quality of life in the postoperative period. The mental component of qua lity of life at the preoperative stage, the general index of severity of psychopathological symptoms according to the SCL-90-R method, the presence of anxiety-depressive or apathy-abulic syndromes and alexithymia according to the TAS-20 method acted as predictors. The resulting lo- gistic model has an outstanding predictive ability: AUC = 0.849 (95 % CI 0.761—0.914), p < 0.0001, sensitivity — 77.78 % (CI 60.8—89.9) and specificity — 78.33 % (CI 65.8—87.9).