Skip to main content

Advertisement

Log in

Anxiety and Depression in Brazilian Orthopaedics Inpatients: A Cross Sectional Study with a Clinical Sample Comparison

  • Published:
Journal of Clinical Psychology in Medical Settings Aims and scope Submit manuscript

Abstract

There are few studies on the development of anxiety and depression in orthopaedics and trauma (O&T) inpatients. We designed a cross-sectional study aimed at comparing the prevalence of depression and anxiety in 100 O&T inpatients and 100 clinical inpatients in the same hospital. O&T patients were divided into subgroups: trauma and non-trauma (arthroplasty, tumour, and infection sub grouping). We measured anxiety and depression by the Hospital Anxiety and Depression Scale and co-morbidities by the Charlson age-adjusted comorbidity index (CCI). For the trauma subgroup, AO/OTA fracture classification and Gustillo and Anderson grade of open fractures classification was applied. The prevalence of anxiety and depression was 35% and 28%, respectively for the clinical sample, and 44% and 33% for the O&T sample. Compared with the clinical sample, anxiety scores were higher in the O&T sample (p = .047), and in arthroplasty (p = .020) and trauma subgroups (p = .031). In the O&T sample, high CCI scores were associated with high anxiety scores (p = .033).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Birkenhager, T. K., van den Broek, W. W., Moleman, P., & Bruijn, J. A. (2006). Outcome of a 4-step treatment algorithm for depressed inpatients. Journal of Clinical Psychiatry, 67, 1266–1271.

    Article  PubMed  Google Scholar 

  • Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale. An updated literature review. Journal of Psychosomatic Research, 52, 69–77.

    Article  PubMed  Google Scholar 

  • Botega, N. J., Bio, M. R., Zomignani, M. A., Garcia, C., Jr., & Pereira, W. A. (1995). Mood disorders among medical inpatients. A validation study of the anxiety and depression scale (HAD). Revista de Saude Publica, 29, 355–363.

    CAS  PubMed  Google Scholar 

  • Bruggemann, L., Nixon, R. D. V., & Cavenett, T. (2007). Predicting acute anxiety and depression following hip fracture. Journal of Behavioral Medicine, 30, 97–105.

    Article  PubMed  Google Scholar 

  • Butcher, J. L., MacKenzie, E. J., Cushing, B., Jurkovich, G., Morris, J., Burgess, A., et al. (1996). Long-term outcomes after lower extremity trauma. Journal of Trauma, 41, 4–9.

    Article  CAS  PubMed  Google Scholar 

  • Charlson, M. E., Pompei, P., Ales, K., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of Chronic Diseases, 40, 373–383.

    Article  CAS  PubMed  Google Scholar 

  • Clarke, D. M., Russell, P. A., Polglase, A. L., & McKenzie, D. P. (1997). Psychiatric disturbance and acute stress responses in surgical patients. ANZ Journal of Surgery, 67, 115–118.

    Article  CAS  Google Scholar 

  • Creed, F., Morgan, R., Fiddler, M., Marshall, S., Guthrie, E., & House, A. (2002). Depression and anxiety impair health-related quality of life and are associated with increased costs in general medical inpatients. Psychosomatics, 43, 302–309.

    Article  PubMed  Google Scholar 

  • Crichlow, R. J., Andres, P. L., Morrison, S. M., Haley, S. M., & Vrahas, M. S. (2006). Depression in orthopaedic trauma patients. Prevalence and severity. Journal of Bone and Joint Surgery. American Volume, 88, 1927–1933.

    Article  Google Scholar 

  • Ghoneem, H. F., Wright, J. G., Cole, W. G., & Rang, M. (1996). The ilizarov method for correction of complex deformities. Psychological and functional outcomes. Journal of Bone and Joint Surgery. American Volume, 78, 1480–1485.

    CAS  Google Scholar 

  • Grau Martin, A., Suner Soler, R., Abuli Picart, P., & Comas Casanovas, P. (2003). Anxiety and depression levels in medical inpatients and their relation to the severity of illness. Medicina Clinica (Barcelona), 120, 370–375.

    Article  Google Scholar 

  • Gustilo, R. B., & Anderson, J. T. (1976). Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: Retrospective and prospective analyses. Journal of Bone and Joint Surgery. American Volume, 58, 453–458.

    CAS  Google Scholar 

  • Hall, W., Ramachandran, R., Narayan, S., Jani, A., & Vijayakumar, S. (2004). An electronic application for rapidly calculating Charlson comorbidity score. BMC Cancer, 4, 94.

    Article  PubMed  Google Scholar 

  • Hansen, M. S., Fink, P., Frydenberg, M., Oxhoj, M., Sondergaard, L., & Munk-Jorgensen, P. (2001). Mental disorders among internal medical inpatients: Prevalence, detection, and treatment status. Journal of Psychosomatic Research, 50, 199–204.

    Article  CAS  PubMed  Google Scholar 

  • Hedayati, S. S., Jiang, W., O’Connor, C. M., Kuchibhatla, M., Krishnan, K. R., Cuffe, M. S., et al. (2004). The association between depression and chronic kidney disease and mortality among patients hospitalized with congestive heart failure. American Journal of Kidney Diseases, 44, 207–215.

    Article  PubMed  Google Scholar 

  • Hobby, J. L., Venkatesh, R., & Motkur, P. (2005). The effect of psychological disturbance on symptoms, self-reported disability and surgical outcome in carpal tunnel syndrome. Journal of Bone and Joint Surgery. British Volume, 87-B, 196–200.

    Article  Google Scholar 

  • Holbrook, T. L., Anderson, J. P., Sieber, W. J., Browner, D., & Hoyt, D. B. (1999). Outcome after major trauma: 12-month and 18-month follow-up results from the trauma recovery project. Journal of Trauma, 46, 765–771. discussion 771–763.

    Article  CAS  PubMed  Google Scholar 

  • Koopmans, G. T., Donker, M. C., & Rutten, F. H. (2005). Length of hospital stay and health services use of medical inpatients with comorbid noncognitive mental disorders: A review of the literature. General Hospital Psychiatry, 27, 44–56.

    Article  PubMed  Google Scholar 

  • Kunsebeck, H. W., Lempa, W., & Freyberger, H. (1984). Frequency of psychiatric disorders in nonpsychiatric hospital patients. Deutsche medizinische Wochenschrift, 109, 1438–1442.

    Article  CAS  PubMed  Google Scholar 

  • Lesman-Leegte, I., Jaarsma, T., Sanderman, R., Hillege, H. L., & van Veldhuisen, D. J. (2008). Determinants of depressive symptoms in hospitalised men and women with heart failure. European Journal of Cardiovascular Nursing, 7, 121–126.

    Article  PubMed  Google Scholar 

  • Lingard, E. A., & Riddle, D. L. (2007). Impact of psychological distress on pain and function following knee arthroplasty. Journal of Bone and Joint Surgery. American Volume, 89, 1161–1169.

    Article  Google Scholar 

  • McCarthy, M. L., MacKenzie, E. J., Edwin, D., Bosse, M. J., Castillo, R. C., & Starr, A. (2003). Psychological distress associated with severe lower-limb injury. Journal of Bone and Joint Surgery. American Volume, 85-A, 1689–1697.

    Google Scholar 

  • Mussolino, M. E. (2005). Depression and hip fracture risk: The NHANES-I epidemiologic follow-up study. Public Health Reports, 120, 71–75.

    PubMed  Google Scholar 

  • O’Toole, R. V., Castillo, R. C., Pollak, A. N., MacKenzie, E. J., Bosse, M. J., & the, L. S. G. (2008). Determinants of patient satisfaction after severe lower-extremity injuries. Journal of Bone and Joint Surgery. American Volume, 90, 1206–1211.

    Article  Google Scholar 

  • Ponsford, J., Hill, B., Karamitsios, M., & Bahar-Fuchs, A. (2008). Factors influencing outcome after orthopedic trauma. Journal of Trauma, 64, 1001–1009.

    Article  PubMed  Google Scholar 

  • Rentsch, D., Dumont, P., Borgacci, S., Carballeira, Y., deTonnac, N., Archinard, M., et al. (2007). Prevalence and treatment of depression in a hospital department of internal medicine. General Hospital Psychiatry, 29, 25–31.

    Article  PubMed  Google Scholar 

  • Riediger, W., Doering, S., & Krismer, M. (2008). Depression and somatisation influence the outcome of total hip replacement. International Orthopaedics [Epub ahead of print].

  • Ring, D., Kadzielski, J., Fabian, L., Zurakowski, D., Malhotra, L. R., & Jupiter, J. B. (2006). Self-reported upper extremity health status correlates with depression. Journal of Bone and Joint Surgery. American Volume, 88, 1983–1988.

    Article  Google Scholar 

  • Schramm, E., van Calker, D., Dykierek, P., Lieb, K., Kech, S., Zobel, I., et al. (2007). An intensive treatment program of interpersonal psychotherapy plus pharmacotherapy for depressed inpatients: Acute and long-term results. American Journal of Psychiatry, 164, 768–777.

    Article  PubMed  Google Scholar 

  • Sinici, E., Tunay, S., Kilic, E., Erler, K., & Altinmakas, M. (2006). Psychological evaluation of patients with benign musculoskeletal system tumors. Acta orthopaedica et traumatologica turcica, 40, 199–201.

    PubMed  Google Scholar 

  • Strain, J. J., Lyons, J. S., Hammer, J. S., Fahs, M., Lebovits, A., Paddison, P. L., et al. (1991). Cost offset from a psychiatric consultation-liaison intervention with elderly hip fracture patients. American Journal of Psychiatry, 148, 1044–1049.

    CAS  PubMed  Google Scholar 

  • Vandenbroucke, J. P., von Elm, E., Altman, D. G., Gotzsche, P. C., Mulrow, C. D., Pocock, S. J., et al. (2007). Strengthening the reporting of observational studies in epidemiology (strobe): Explanation and elaboration. Annals of Internal Medicine, 147, W163–W194.

    PubMed  Google Scholar 

  • Vingilis, E., Larkin, E., Stoduto, G., Parkinson-Heyes, A., & McLellan, B. (1996). Psychosocial sequelae of motor vehicle collisions: A follow-up study. Accident; Analysis and Prevention, 28, 637–645.

    Article  CAS  PubMed  Google Scholar 

  • Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361–370.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vinícius Ynoe de Moraes.

Rights and permissions

Reprints and permissions

About this article

Cite this article

de Moraes, V.Y., Jorge, M.R., Faloppa, F. et al. Anxiety and Depression in Brazilian Orthopaedics Inpatients: A Cross Sectional Study with a Clinical Sample Comparison. J Clin Psychol Med Settings 17, 31–37 (2010). https://doi.org/10.1007/s10880-009-9184-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10880-009-9184-5

Keywords

Navigation