Analysis of Factors Influencing Anxiety and Depression among Hospitalized Patients with Chronic Wounds

Abstract

OBJECTIVE To investigate the prevalence of anxiety and depression among hospitalized patients with a chronic wound and explore the influence of demographic factors, disease characteristics, social support, and coping styles on their mental status. METHODS Investigators recruited 216 patients with a chronic wound. The Self-rating Anxiety Scale and Self-rating Depression Scale were used to measure anxiety and depression. Patients’ coping style and their social support were assessed through face-to-face interviews. RESULTS Overall, 36.6% of participants presented with symptoms of anxiety, and 37% showed depressive symptoms. Participants who typically had less than 5 hours of sleep; experienced more severe pain; or had an odorous wound, negative coping style, or lower level of social support had a higher prevalence of anxiety and depression (P < .05). Men with higher monthly incomes who lived in the city were more likely to develop anxiety than women with lower monthly incomes who lived outside the city (P < .05). Participants with fewer years of education and without spouses were more likely to experience depression than married participants with more education (P < .05). CONCLUSIONS The prevalence of anxiety and depression among hospitalized patients with a chronic wound is high. Support from loved ones including a spouse and a positive coping style are key protective factors for mental health and well-being.

Selected indicators, determining functioning of patients of the Comprehensive Chronic Wound Treatment Programme. Pilot study

“…Yan et al confirmed in their studies high prevalence rates of depression and anxiety within a group of 216 patients with chronic wounds. Symptoms of depression were observed in 37% of patients, and symptoms of anxiety were diagnosed in 36.6% of patients [8]. These results are confirmed in the study conducted by Polikandrioti et al, which provides evidence of an inverse relationship, i.e.…”

“…Moreover, coexisting somatic ailments such as pain, exudate, and unpleasant smell increase the medical expenses of treatment and indicate the ongoing inflammatory process in the wound or even a risk of systemic infection [7]. The appearance of anxiety disorders, depression, and associated social isolation as well as lowering of physical activity are the consequences of incomplete or even lack of professional patient care [8][9][10].…”

Association between skin disease and anxiety: a logistic analysis and prediction

“…Dermatosis refers to all the diseases that occur on the skin, mucous membrane, and skin appendages. Compared with other organ diseases, it involves symptoms of flushing, itching, pain, and burning, which cause psychological distress (1)(2)(3). Patients with vitiligo, psoriasis, and acne usually have different degrees of depression, anxiety, or even suicidal tendencies.…”