Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo y học: " Psychological distress among patients of an orthopaedic outpatient clinic: a study from a low-income country"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Psychological distress among patients of an orthopaedic outpatient clinic: a study from a low-income country. | Husain et al. Annals of General Psychiatry 2010 9 9 http www.annals-general-psychiatry.eom content 9 1 9 ANNALS OF GENERAL PSYCHIATRY PRIMARY RESEARCH Open Access Psychological distress among patients of an orthopaedic outpatient clinic a study from a low-income country Nusrat Husain 21 2 Syed M Humail23 Imran B Chaudhry21 2 Raza Rahman23 Holly Robinson21 and Francis Creed21 Abstract Background Depression is common among general trauma patients and is associated with a poor outcome. We evaluated the relationship of psychological distress to physical injury musculoskeletal complaints and social factors in a low-income country. Methods We administered the Self-Rating Questionnaire SRQ the Oslo social support questionnaire and the Brief Disability Questionnaire BDQ . Results An SRQ score of 9 or more which indicates probable depressive disorder occurred in 45.6 of men and 76.1 of women. A high SRQ score was associated with female sex little or no education low income and little social support. Even after these were controlled for there was a significantly higher SRQ score in patients with arthritis backache prolapsed disc major fracture and other bone pathology. Conclusions Depressive disorder appears to be very common in orthopaedic outpatients in Pakistan both social circumstances and nature of bone pathology are associated with such depression. Background An estimated 340 million people across the world have major depressive disorder at any given time 1 . This disorder is projected to be the leading cause of disability in the developing world by 2020 and leads to greatly increased healthcare costs even after excluding direct mental healthcare expenses 2 . Depressed people are more likely than others to seek medical treatment in the general health sector where underdiagnosis and undertreatment of depression is common. The combination of a physical illness and depressive disorder is a particularly potent cause of disability 3 . Musculoskeletal complaints are the most