Study of Psychiatry Morbidity Following Traumatic Long Bone Injury

Jump To References Section

Authors

  • ,IN
  • ,IN

Keywords:

Limb Fractures, Major Depressive Disorder, Road Traffic Accidents.
Limb

Abstract

Background: Limb fractures due to traumatic injury cause pain, prolonged discomfort, loss of function and immobility and are expected to produce adverse psychological effects. However, there is paucity of work regarding psychopathology following bone trauma in India. Aim: To evaluate the psychiatric morbidity amongst patients with Traumatic long bone injury (fracture). Design: Cross sectional study Setting: Dr Vasantrao Pawar Medical College, Nashik-Maharashtra. Method: The study was carried out amongst 100 randomly selected patients in the age group of 18- 65 yrs who had sustained long bone injury (fracture). Patients were evaluated 4-6 weeks after the trauma over a period of 18 months. All patients were screened using Mini International Neuropsychiatric Interview version 6.0.0. Statistical Analysis was done using the EPI-INFO software. Result: Long bone fracture patients had a high prevalence of Major depressive disorder (23%). Axis I psychiatric diagnosis shows significant association with age, marital status and education (p<0.05). The commonest cause of injury was road traffic accidents among males (n=58) and it was statistically significant. (p<0.05). Axis I psychiatric diagnosis was found more in road traffic accidents 18 (54.5%) and individuals with closed and lower limb fracture 26 (78.78%). Conclusion: In view of occurrence of psychopathology following long bone trauma. Orthopaedic surgeons need to be aware of these conditions so that they should refer patients for psychiatric evaluation and appropriate treatment.

Downloads

Published

2015-06-01

Issue

Section

Original Research Article

 

References

Wong EC, Kennedy D, Marshall GN, Gaillot S. Making sense of posttraumatic stress disorder: Illness perceptions among traumatic injury survivors. Psychological Trauma: Theory, Research, Practice and Policy. 2011; 3(1):67-76.

Steel JL, Dunlavy AC, Stillman J, Pape HC. Measuring depression and PTSD after trauma: Common scales and checklists. International Journal of Care Injured. 2011; 42:288-300.

Rosenbloom BN, Khan S, Cartney CM, Katz J. Systematic review of persistent pain and psychological outcomes following traumatic musculoskeletal injury. J Pain Res. 2013; 6:39-51.

Giannoudis PV, Hildebrand F, Pape HC. Inflammatory serum markers in patients with multiple trauma. J Bone Joint Surg. 2004; 86-B:313-23.

Marques AH, Cizza G, Sternberg E. Brain-immune interactions and implications in psychiatric disorders. Rev Bras Psiquiatr. 2007; 9(Supl I):S27-32.

Clay FJ, Newstead SV and Cure RJ. A systematic review of early prognostic factors for return to work following acute orthopaedic trauma. International Journal of Care Injured. 2010; 4:787-803.

Sheehan D, Janavs J, Baker R, Sheehan KH, Sheehan M. Mini international neuropsychiatric interview (M.I.N.I.) English Version 6.0.0. South Florida; 2009. Available from http://www.nccpsychiatry.info/File/ MINI.600.pdf.

Chaudhury S, John TR, Kumar A, Singh H. Psychiatric evaluation of limb fracture patients. MJAFI. 2002; 58:107-10.

Crichlow RJ, Andres PL, Morrison SM, Haley SM, Vrahas MS. Depression inorthopaedic trauma patients Prevalence and severity. J Bone Joint Surg Am. 2006; 88:1927-33

Moraes VY, Jorge MR, Faloppa V, Belloti JC. Anxiety and Depression in Brazilian Orthopaedics Inpatients: A Cross Sectional Study with a Clinical Sample Comparison. J Clin Psychol Med Settings. 2010; 17:31-7.

Matsuoka Y, Nishi D, Nakajima S, Kim Y, Homma M, Otomo Y. Incidence and prediction of psychiatric morbidity following a motor vehicle accident in Japan: the Tachikawa Cohort of Motor Vehicle Accident Study. Crit Care Med. 2008; 36:74-80.

Bryant RA, O'Donnell ML,Creamer M, McFarlane AC, Clark CR, Silove D. The Psychiatric Sequelae of Traumatic Injury. Am J Psychiatry. 2010 Mar; 167:312-20.

Starr AJ, Smith WR, Frawley WH, Borer DS, Morgan SJ, Reinert CM, Welch MM. Symptoms of posttraumatic stress disorder after orthopaedic trauma. J Bone Joint Surg Am. 2004; 86:1115-21.

Ongecha-Owuor FA, Kathuku DM, Othieno CJ, Ndetei DM. Post traumatic stress disorder among motor vehicle accident survivors attending the orthopaedic and trauma clinic at Kenyatta National Hospital, Nairobi. East Afr Med J. 2004; 8:362-6.

Ozaltin M, Kaptanoglu C, Aksaray G. Acute stress disorder and posttraumatic stress disorder after motor vehicle accidents. Turk Psikiyatri Derg. 2004; 15:16-25.

Bordbar MR, Hootkani AR, Samari AA. Post traumatic stress disorder and related factors following orthopaedic trauma. JPPS. 2007; 4(1):37-43.

Iteke O, Bakare MO, Agomoh AO, Uwakwe R, Onwukwe JU. Road traffic accidents and posttraumatic stress disorder in an orthopedic setting in south-eastern Nigeria: a controlled study. Scand J Trauma Resuscitation Emerg Med. 2011; 19:39.

Patil SN, Yalamanchili RK. Post traumatic stress disorder in patients with compound fractures - primary care ptsd screening tool in orthopaedic practice. Int J Biol Med Res. 2013; 4(1):2848-51.

Maselesele VM, Idemudia ES. The role of social support in the relationship between mental health and posttraumatic stress disorder amongst orthopaedic patients. Curationis. 2013; 36(1):1-7.

Shalev AY, Freedman S, Peri T, Brandes D, Sahar T, Orr SP, Pitman RK. Prospective study of posttraumatic stress disorder and depression following trauma. Am J Psychiatry. 1998; 155:630-7.

O'Donnell ML, Creamer M, Pattison P, Atkin C. Psychiatric morbidity following injury. Am J Psychiatry. 2004; 161:507- 14.

Holbrook TL, Anderson JP, Sieber WJ, et al. Outcome after major trauma: Discharge and 6-month follow-up results from the Trauma Recovery Project. J Trauma. 1998; 45:315-23.

Mellman TA, David D, Bustamante V, et al. Predictors of post-traumatic stress disorder following severe injury. Depress Anxiety. 2001; 14:226-31.

Bhandari M, Busse JW, Hamson BP, Oluteni PL, Aveni R. Psychological distress and quality of life after orthopedic trauma. Can J Surg. 2008; 5(1):15-22.