Bao XG, Li ZG, Wu ZP, Li Q, Chen YJ. Perioperative anxiety/depression in patients with lumbar degenerative disease undergoing endoscopic spine surgery and their correlation with resilience. World J Psychiatry 2026; 16(5): 113948 [DOI: 10.5498/wjp.v16.i5.113948]
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May 19, 2026 (publication date) through May 5, 2026
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World Journal of Psychiatry
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2220-3206
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Bao XG, Li ZG, Wu ZP, Li Q, Chen YJ. Perioperative anxiety/depression in patients with lumbar degenerative disease undergoing endoscopic spine surgery and their correlation with resilience. World J Psychiatry 2026; 16(5): 113948 [DOI: 10.5498/wjp.v16.i5.113948]
World J Psychiatry. May 19, 2026; 16(5): 113948 Published online May 19, 2026. doi: 10.5498/wjp.v16.i5.113948
Perioperative anxiety/depression in patients with lumbar degenerative disease undergoing endoscopic spine surgery and their correlation with resilience
Xian-Guo Bao, Zi-Gang Li, Zhan-Po Wu, Qun Li, Ying-Jun Chen, Department of Spinal Surgery, Nanjing Lishui People’s Hospital, Nanjing 211200, Jiangsu Province, China
Co-first authors: Xian-Guo Bao and Zi-Gang Li.
Author contributions: Bao XG and Li ZG designed the research, wrote the first manuscript, and they contributed equally to this manuscript and are co-first authors; Bao XG, Li ZG, and Wu ZP contributed to conceiving the research and analyzing data; Li Q and Chen YJ conducted the analysis and provided guidance for the research. All authors reviewed and approved the final manuscript.
Supported by Nanjing Medical Science and Technology Development Fund, No. YKK21205; and the Science Foundation of Nanjing Lishui People’s Hospital, Zhongda Hospital Lishui Branch, Southeast of University, No. LY2021010.
Institutional review board statement: This study was approved by the Ethic Committee of Nanjing Lishui People’s Hospital (Approval No. 2021SQ01).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: No additional data are available.
Received: October 14, 2025 Revised: December 4, 2025 Accepted: February 2, 2026 Published online: May 19, 2026 Processing time: 197 Days and 0.2 Hours
Core Tip
Core Tip: This study shows that perioperative endoscopic spine surgery patients with lumbar degenerative diseases commonly experience anxiety and depression, with the greatest severity occurring preoperatively and improving after surgery. Preoperative anxiety and depression were closely linked to resilience, although these associations weakened postoperatively over time. Higher levels of preoperative emotional distress also limited social support, and lower family income increased the likelihood of reduced resilience. These findings support incorporating resilience assessment and targeted social support interventions into routine perioperative management to promote simultaneous physical and psychological recovery in patients with lumbar degenerative disease.
