Indian Journal of Orthopaedics Surgery


Study of depressive and anxiety symptoms in patients with orthopedic trauma


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Author Details: Ambrish Sharma, Gopal Das CM

Volume : 2

Issue : 4

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 393

Article End Page : 395


Abstract

Background: Pain and injury along with significant socio-occupational dysfunction and loss of productivity until they recover has a significant psychological effect on patients. Many studies which attempted psychological evaluation following trauma have stressed the need for the same to detect morbidity early and plan interventions to improve long term outcomes.
Methodology: 100 patients above 18 years presenting to orthopedic department are taken up into study using consecutive sampling after consent and administered Hospital Anxiety & Depression scale. Scores are tabulated and descriptive and correlational tests done.
Results: 78% of the participants were male and mean age of the sample was 41.9 years. 50% of the patients sustained injury in Road traffic accidents and rest 32% and 18% of them sustained injuries in domestic and industrial circumstances. Mean Anxiety & Depression scores were 10.9and 11.9 respectively. With respect to duration since injury, Anxiety scores were negatively correlated (r= -0.3; p – 0.026) and Depressive scores were positively correlated (r=0.6; p – < 0.00001). 
Discussion: 26% of patients had moderate – severe anxiety symptoms and 36% of the patients had moderate – severe depressive symptoms and 8% had both. Anxiety symptoms are found predominantly in the early phases but depressive symptoms are found in the later phases of acute orthopedic trauma.
Conclusion: If all post – traumatic patients are evaluated using HADS, their levels of anxiety and depression can be assessed and appropriate intervention can be instituted so as to improve their long term outcomes in terms of mental and physical recovery.

Keywords:
Orthopedic trauma, HADS, Anxiety and depression

Doi No:-10.18231