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International Journal of
Orthopaedics Research
ARCHIVES
VOL. 1, ISSUE 2 (2019)
Psychological outcomes in fracture patients: Assessing the burden of depression and anxiety
Authors
K Hari Prasad
Abstract

Introduction: Fractures are a common type of musculoskeletal injury associated with significant physical and psychological impacts, including depressive and anxiety symptoms. While the physical management of fractures has advanced, the psychological aspects are often under-recognized and under-treated. This study aims to assess the burden of depressive and anxiety symptoms in fracture patients and explore the relationship between these psychological conditions using validated screening tools.

Material and Methods: A cross-sectional study was conducted at the Department of Orthopedics, Mamata Medical College and General Hospital, Khammam. A total of 150 fracture patients were assessed using the Patient Health Questionnaire-9 (PHQ-9) for depression and the Generalized Anxiety Disorder-7 (GAD-7) scale for anxiety. Data on demographic characteristics, fracture type, and severity were also collected. Statistical analyses included descriptive statistics and correlation analysis between PHQ-9 and GAD-7 scores.

Results: The mean PHQ-9 score was 9.61 (SD = 4.66), and the mean GAD-7 score was 7.69 (SD = 3.72), indicating moderate levels of depressive and anxiety symptoms among the patients. A strong positive correlation (r ≈ 1.0) was found between PHQ-9 and GAD-7 scores, suggesting that depression and anxiety frequently co-occur in fracture patients. These findings are consistent with previous studies and underscore the need for comprehensive psychological assessment and intervention in fracture care.

Conclusion: Depressive and anxiety symptoms are prevalent among fracture patients, with a strong interrelationship observed between these conditions. Routine screening using PHQ-9 and GAD-7 should be incorporated into standard fracture management protocols to identify and address psychological distress early in the treatment process. Integrating mental health support into orthopedic care could improve patient outcomes, adherence to rehabilitation, and overall quality of life.
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Pages:42-46
How to cite this article:
K Hari Prasad "Psychological outcomes in fracture patients: Assessing the burden of depression and anxiety". International Journal of Orthopaedics Research, Vol 1, Issue 2, 2019, Pages 42-46
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