Psychiatric Morbidity in Post Traumatic Orthopedically Handicapped Patients.
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Date
2012-04
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Abstract
Objectives: Prevalence of comorbid psychiatric disorders in trauma is high and it increases
the overall management difficulty. The current study attempts to find out the prevalence of
psychiatric disorders and factors affecting these disorders in post traumatic orthopedically
handicapped patients. Method: This is a hospital based cross-sectional study which involves
85 post traumatic orthopedically handicapped inpatients and outpatients of orthopedics,
rehabilitation unit and psychiatry. They were screened for psychiatric symptoms by SCL-90R
(Symptoms Check List-90 Revised). All patients underwent detailed psychiatric assessment
using ICD-10 (International Classification of Disease-10) criteria and further subjected to
MADRS (Montgomery Asberg Depression Rating Scale) and HARS (Hamilton Anxiety Rating
Scale) to assess severity of the symptoms. Results: 67.6% patients had psychiatric symptoms.
According to ICD-10, 38% had depressive disorder of which majority have mild to moderate
depressive disorder. 26.8% patients had post traumatic stress disorder, 15.5% phobic anxiety
disorder, 14% adjustment disorder, 12.7% somatoform disorder and 4.2% acute stress reaction.
Conclusions: The psychiatric comorbidity was observed more in temporal association to
traumatic injury, was higher in intensity and severity after more severe injury. The psychiatric
co-morbidity following trauma needs to be addressed while we aim for holistic treatment of a
patient.
Description
Keywords
Psychiatric morbidity, Orthopedic handicap, Trauma
Citation
Malik Prerna, Garg Rajinder, Sidhu Balwant Singh, Sharma Kuldip C, Gulia Anil D. Psychiatric Morbidity in Post Traumatic Orthopedically Handicapped Patients. Delhi Psychiatry journal. 2012 Apr; 15 (1): 130-135.