psychological distress among patients of an orthopaedic outpatient clinic a study from a low-income country心理困扰骨科门诊的患者中进行的一项研究从一个低收入的国家.pdfVIP

Husain et al. Annals of Gene ral Psychiatry 2010, 9:9 /content/9/1/9 P R I M A R Y R E S E A R C H Open Access Primary research Psychological distress among patients of an orthopaedic outpatient clinic: a study from a low-income country Nusrat Husain*†1,2, Syed M Humail†3, Imran B Chaudhry†1,2, Raza Rahman†3, Holly Robinson†1 and Francis Creed†1 Abstract Background: Depression is common among general trauma patients and is associated with a poor outcome. We evaluated the relationship of psychological distress to physical injury, musculoskeletal complaints, and social factors in a low-income country. Methods: We administered the Self-Rating Questionnaire (SRQ), the Oslo social support questionnaire, and the Brief Disability Questionnaire (BDQ). Results: An SRQ score of 9 or more, which indicates probable depressive disorder, occurred in 45.6% of men and 76.1% of women. A high SRQ score was associated with female sex, little or no education, low income and little social support. Even after these were controlled for there was a significantly higher SRQ score in patients with arthritis, backache/prolapsed disc, major fracture and other bone pathology. Conclusions: Depressive disorder appears to be very common in orthopaedic outpatients in Pakistan; both social circumstances and nature of bone pathology are associated with such depression. Background of Pakistani, Indian and Bangladeshi origin relative to the An estimated 340 million people across the world have local white European population in the UK [7,8]. major depressive disorder at any given time [1]. This dis- In high-income countries increased rates of depression order is projected to be the leading cause of disability in have been reported in general trauma