ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Impact of structured psychological support on anxiety and recovery in anterior cervical discectomy and fusion: a randomized controlled trial.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- The prevalence of Type D personality and its association with clinical outcomes in patients with cervical radiculopathy after either conservative or surgical treatment.Frontiers in human neuroscience · 2026Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designProspective randomized clinical trial. PURPOSE: In this prospective, open-label, parallel-group randomized clinical trial, we assessed whether structured psychological support reduces perioperative anxiety and enhances recovery in anterior cervical discectomy and fusion patients.
methodsNinety patients (July 2020 to July 2024) were randomized 1:1 to receive standard preoperative communication plus structured psychological support (intervention, n = 45) or communication alone (control, n = 45). The primary outcome was the State-Trait Anxiety Inventory score; secondary outcomes included Visual Analog Scales, the Neck Disability Index, Pittsburgh Sleep Quality Index, patient satisfaction, and swallowing function (Bazaz score).
resultsEighty-three patients completed follow-up (forty-two intervention and forty-one control). Immediately postoperative and on day 1, the intervention group reported significantly lower State-Trait Anxiety Inventory scores (Δ = 4.28 to 4.61, p < 0.001, Cohen's d = 0.77 to 0.80), with no between-group differences by day 3 or after one month. Linear mixed modelling confirmed a sustained group effect (p < 0.001) and time-related anxiety remission (p < 0.001). On day 1, intervention patients reported lower Visual Analog Scales (Δ = 1.12, p = 0.001), and by one month, the Neck Disability Index improvement reached clinical relevance (Δ = 2.59, p = 0.019). The Pittsburgh Sleep Quality Index on day 3 and patient satisfaction immediately and on day 3 were also higher (all p < 0.05). No differences in swallowing function or safety indicators were observed.
conclusionStructured psychological support safely and effectively reduces early postoperative anxiety and improves short-term pain, function, and sleep, with short-term functional benefits, supporting its inclusion in perioperative multimodal management. PATIENT OR PUBLIC CONTRIBUTION: Patients or members of the public were not involved in the design, conduct, analysis, or reporting of this study.
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Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.