Post‐operative anxiety and depression levels in orthopaedic surgery: a study of 56 patients undergoing hip or knee arthroplasty

Nickinson, R S J; Board, Tim; Kay, PR

doi:10.1111/j.1365-2753.2008.01001.x

Cited by 58 publications

(57 citation statements)

References 16 publications

(25 reference statements)

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“…The prevalence of extreme/major depression in total female (46.6%) was higher as compared to total male (25.7%) which is in agreement with Nickinson RS et al (2009) 17 who reported that females were more likely to become depressed than males while Crichlow RJ et al (2006) 9 observed that the prevalence of clinically relevant depression approached 45% in a diverse cohort of orthopaedic trauma patients. Socio-economic status and ortho illness was highlighted with strong association (p<0.001) with depression.…”

Section: Discussionsupporting

confidence: 78%

Role of depression and its associating factors in indoor orthopaedic patients

et al. 2015

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Background and Objectives: Depression has acknowledged and well documented, is common among orthopaedic inpatients may be associated with functional outcomes. Authors aimed to investigate the role, prevalence and associating factors of depression disorder in orthopaedic inpatients. Materials and Methods: A cross-sectional study is designed among patients that admitted at Sri Aurobindo Medical College and P. G. Institute, Indore. Four hundred twenty six orthopedic patients were recruited for study. The demographic and clinical measurements were recorded. Levels of depression were assessed by using Zung's depression scale. Results: Depressive disorder was identified in 87.6% indoor patients significantly (p<0.001) influenced female more than male. The mean depression score in female (67.37±11.75) was significantly higher than male (62.29±12.20). The prevalence of extreme/major depression in female (46.6%) was higher as compared to male (25.7%). Type of trauma was found significantly (p<0.05) associated with depressive disorder. 38.1% male with traumatic condition and 20.0% with non-traumatic condition had moderate depression in comparison to 31.4% and 13.6% female. Depressive disorder was found significantly associated with sex (p<0.001), socio-economic status (p<0.001), length of ortho-illness (p<0.001), length of stay in hospital (p<0.001), exercise/yoga (p<0.05) and type of injury (p<0.05). Conclusions: Higher incidence of depressive disorder recorded in female. Prevention and treatment require more clinical and research attention to reduce the public health burden of depression. The study suggested that higher depressive disorder does occur in indoor orthopaedic patients that associated with various functional outcomes. This study supports the view of depressive disorder was disabling factor in better functional recovery and frequent in female after orthopedic trauma.

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Section: Discussionsupporting

confidence: 78%

Role of depression and its associating factors in indoor orthopaedic patients

et al. 2015

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“…In the immediate postoperative period, the rate of depression has been reported to be between 21 and 50% in study populations with low (0–11.8%) levels of preoperative depression. Indeed, postoperative pain intensity is correlated with the degree of depressive symptoms [1–3]. High postoperative depression scores have also been associated with increased length of stay and poor functional outcomes after surgeries [3, 4].…”

Section: Introductionmentioning

confidence: 99%

Neuroplasticity Underlying the Comorbidity of Pain and Depression

2015

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Acute pain induces depressed mood, and chronic pain is known to cause depression. Depression, meanwhile, can also adversely affect pain behaviors ranging from symptomology to treatment response. Pain and depression independently induce long-term plasticity in the central nervous system (CNS). Comorbid conditions, however, have distinct patterns of neural activation. We performed a review of the changes in neural circuitry and molecular signaling pathways that may underlie this complex relationship between pain and depression. We also discussed some of the current and future therapies that are based on this understanding of the CNS plasticity that occurs with pain and depression.

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“…As in the present study, Nickinson et al [32] found a correlation between postoperative anxiety levels and length of hospital stay, but the study of Nickinson investigated patients undergoing knee or hip arthroplasty, whose mean for the group who were anxious was 5 days versus 4 days for the group that did not show anxiety. Thus, it is thought that an appropriate intervention in order to reduce the anxiety levels of patients undergoing surgical procedures has not only clinical outcomes but also a reduction in costs generated by the reduction in length of hospital stay.…”

Section: Discussionmentioning

confidence: 55%

Efeitos de orientações fisioterapêuticas sobre a ansiedade de pacientes submetidos à cirurgia de revascularização miocárdica

Garbossa¹,

Maldaner²,

Mortari³

et al. 2009

Rev Bras Cir Cardiovasc

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Objective: The coronary artery bypass graft surgery is an option of treatment for cardiovascular diseases, and the patients who underwent such procedure can suffer from preoperative anxiety. The aim of this study is to verify the effects of physiotherapeutic instructions at the anxiety level on patients undergone coronary artery bypass graft surgery.Methods: Randomized clinical trial, with the sample composed by 51 individuals, 27 on the control group and 24 on the intervention; on which it was assessed the anxiety (Beck Scale for Anxiety) and pain (Visual Analog Scale) levels on the pre-and postoperative period and only the second group received instructions about the surgery procedures and ventilatory exercises. For statistical analysis the Wilcoxon, Mann-Whitney and Spearman tests were used.Results: The lower anxiety levels were observed in patients that received the intervention on the period before surgery (9.6 ± 7.2 versus 13.4 ± 5.9, P=0.02). On the control group, the difference among the anxiety levels before and after the surgery was statistically significant (P= 0.003). The female individuals presented more anxious before the surgery compared to the male ones (P=0.058). It was also verified a relationship between lenght of stay at hospital and postoperative anxiety (P=0.05), where the more anxious individuals remained more time at the hospital.Conclusion: Patients oriented and instructed about physiotherapeutic ventilatory exercises and hospital routine, presented their levels of anxiety reduced on the preoperative compared to the control group. However, at the postoperative, both groups presented their anxiety levels reduced without significant difference between them. Descriptors: Anxiety. Myocardial revascularization. Physical therapy (Specialty).Resumo Introdução: A cirurgia de revascularização é uma opção de tratamento para as doenças cardiovasculares, sendo que os indivíduos a esta submetidos podem sofrer quadros de ansiedade pré-operatória.

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Post‐operative anxiety and depression levels in orthopaedic surgery: a study of 56 patients undergoing hip or knee arthroplasty

Abstract: The results suggest that post-operative depression does occur in orthopaedic surgery. The prevalence may be higher than that reported in other surgical specialities. These findings emphasize the need for evaluation of patients' psychiatric state post-operatively.

Cited by 58 publications

References 16 publications

Role of depression and its associating factors in indoor orthopaedic patients

Role of depression and its associating factors in indoor orthopaedic patients

Neuroplasticity Underlying the Comorbidity of Pain and Depression

Efeitos de orientações fisioterapêuticas sobre a ansiedade de pacientes submetidos à cirurgia de revascularização miocárdica

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