I have a plan to conduct a study to measure change of severity of depression and anxiety(general anxiety, social anxiety and PTSD)  after obstetric fistula repairing surgery. topic "Modelling the effects of surgical obstetric fistula repairs on the severity of depression and anxiety associated with obstetric fistula ". the data will be collected two times before and after getting surgical repair. The duration between the two survey is one month.

I have a plan to use structural equation modeling 

: What is the appropriate method modeling, SEM is appropriate?

What is the appropriate study design to see the changes before and after surgical repair. kindly shear your experiences and shear any guideline to advise me  

Bekele

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