Delayed Psychological Morbidity Associated with Snakebite Envenoming
| Autor: | Andrew H. Dawson, Nicholas A. Buckley, H. Janaka de Silva, David G. Lalloo, Shaluka Jayamanne, Chamara A. Wijesinghe, Shehan Williams |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
Physical disability RC955-962 Snake Bites Global Health Severity of Illness Index Stress Disorders Post-Traumatic 0302 clinical medicine Arctic medicine. Tropical medicine Surveys and Questionnaires Depression (differential diagnoses) wm_140 Psychiatry 0303 health sciences Depression Middle Aged Anxiety Disorders Checklist Socioeconomic Aspects of Health 3. Good health Infectious Diseases Mental Health Medicine Female Public Health Headaches medicine.symptom Public aspects of medicine RA1-1270 Behavioral and Social Aspects of Health wd_410 Research Article Adult Weakness medicine.medical_specialty Adolescent 030231 tropical medicine wa_395 Life Change Events 03 medical and health sciences Severity of illness medicine Humans 030304 developmental biology Sri Lanka Chi-Square Distribution business.industry Public Health Environmental and Occupational Health Beck Depression Inventory medicine.disease Snake bites Unemployment Case-Control Studies Morbidity business |
| Zdroj: | PLoS Neglected Tropical Diseases PLoS Neglected Tropical Diseases, Vol 5, Iss 8, p e1255 (2011) |
| ISSN: | 1935-2735 1935-2727 |
| Popis: | Introduction The psychological impact of snakebite on its victims, especially possible late effects, has not been systematically studied. Objectives To assess delayed somatic symptoms, depressive disorder, post-traumatic stress disorder (PTSD), and impairment in functioning, among snakebite victims. Methods The study had qualitative and quantitative arms. In the quantitative arm, 88 persons who had systemic envenoming following snakebite from the North Central Province of Sri Lanka were randomly identified from an established research database and interviewed 12 to 48 months (mean 30) after the incident. Persons with no history of snakebite, matched for age, sex, geograpical location and occupation, acted as controls. A modified version of the Beck Depression Inventory, Post-Traumatic Stress Symptom Scale, Hopkins Somatic Symptoms Checklist, Sheehan Disability Inventory and a structured questionnaire were administered. In the qualitative arm, focus group discussions among snakebite victims explored common somatic symptoms attributed to envenoming. Results Previous snakebite victims (cases) had more symptoms than controls as measured by the modified Beck Depression Scale (mean 19.1 Vs 14.4; p Author Summary Snakebite envenoming is a neglected public health problem, especially in rural areas of tropical and sub-tropical countries. Little is known about the long term effects, and even less about the possible psychological effects, of snakebites and envenoming. We investigated the possible psychological impact of snakebite in 88 persons who had been envenomed 1 to 4 years ago in a rural agricultural area in Sri Lanka by using accepted measurements of psychological disability and group discussions among victims. 88 persons from the same areas who had not been bitten by a snake, but were of similar age, sex and occupation were also assessed in a similar manner. Compared to those who had not been bitten, snakebite victims had significantly more symptoms suggesting psychological disability, depression and post-traumatic stress. More than a fourth of those bitten claimed that the snakebite caused a negative change in their employment, and 10% had stopped working altogether. 17% claimed to have residual physical disability which they attributed to the bite, although no disability could be detected when they were examined. These findings indicate that snakebite results in ongoing psychological disability even 1 to 4 years after the episode, a complication that has not been previously reported. |
| Databáze: | OpenAIRE |
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