Objective:

To compare patients with UIAs and aSAH regarding anxiety, depression, sleep quality, and cognitive outcomes, and to explore the impact of psychological symptoms on quality of life, including a comparison with a healthy sample.

Key Findings:

• Patients with UIAs experience significant anxiety and depression due to fear of rupture, impacting their quality of life.
• Cognitive impairments are common in aSAH survivors, affecting memory, executive function, and processing speed.
• Psychological trauma from aSAH contributes to emotional regulation issues and sleep disturbances.
• Treatment modality may influence cognitive outcomes post-surgery, with minimally invasive techniques potentially offering cognitive protection.

Interpretation:

The study highlights the need for comprehensive psychological and cognitive assessments in managing patients with UIAs and aSAH, as mental health significantly affects recovery and quality of life, emphasizing the need for clinical implications.

Limitations:

• The study did not follow up on multiple aneurysms in participants.
• The sample may not represent all demographics affected by UIAs and aSAH, and potential biases or confounding factors should be considered.

Conclusion:

A multidisciplinary approach is essential for managing the complex interplay of physical, cognitive, and psychological factors in patients with UIAs and aSAH, emphasizing the importance of long-term support and addressing psychological factors in treatment plans.