Prevalence and Determinants of Depression and Anxiety Symptoms in Surgical Patients
| Autor: | Motahareh Aghajani, Negin Hosseini-Araghi, Elaheh Sahimi-Izadian, Mohammad Naderan, Saeed Shoar, Zhamak Khorgami |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Pediatrics Hospitalized patients lcsh:Medicine Anxiety Hospital Anxiety and Depression Scale 03 medical and health sciences 0302 clinical medicine Prevalence medicine 030212 general & internal medicine Risk factor Psychiatry Depression (differential diagnoses) Depression business.industry lcsh:R General Medicine medicine.disease Mood Mood disorders Original Article Surgery medicine.symptom business 030217 neurology & neurosurgery Surgical patients |
| Zdroj: | Oman Medical Journal, Vol 31, Iss 3, Pp 176-181 (2016) |
| ISSN: | 2070-5204 1999-768X |
| DOI: | 10.5001/omj.2016.35 |
| Popis: | Objectives: Mood disorders are prevalent in hospitalized patients. However, risk factors for early diagnosis have not been studied exclusively in surgical patients. Our study aimed to investigate the prevalence and determinants of depression and anxiety symptoms in surgical patients. Methods: We included 392 surgical patients in this prospective cross-sectional study, which took place between June 2011 and June 2012. The Hospital Anxiety and Depression Scale (HADS) was used to screen for symptoms of depression and anxiety at weekly interviews. Regression analysis was performed to identify risk factors for early (the day after admission) and late (one week or more) in-hospital psychiatry symptoms. Results: Depression and anxiety symptoms increased from the time of admission toward longer hospital stay. Scores obtained in the second and third weeks of admission were associated with the need for surgery while HADS in the third week was associated with lack of familial support and being under the poverty line (p < 0.050). Regression model analysis showed that early depression was associated with female gender, and early anxiety was inversely affected by female gender and protected by higher education level. A history of mood disorder was a risk factor. Later anxiety was also associated with longer hospital stay. Conclusions: Depression and anxiety symptoms are a major concern in surgical patients especially in females and those with a history of mood disorders or lower educational level. Patients with a longer hospital stay, in particular, those with underlying diseases, postoperative complications, lack of familial support, and the need for reoperation were also at increased risk. |
| Databáze: | OpenAIRE |
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