Kumar Ajay, Goyal Ekram, Singh Vivek Pratap, Chaudhury Suprakash, Puria Alka
Department of Psychiatry, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.
Department of Psychiatry, PMCH, Patna, Maharashtra, India.
Ind Psychiatry J. 2021 Oct;30(Suppl 1):S97-S102. doi: 10.4103/0972-6748.328796. Epub 2021 Oct 22.
Individuals with permanent orthopedic disability present with a number of physical and mental health issues. Psychiatric illnesses have been seen more frequently among people with disabilities as compared to normal population.
To study psychiatric morbidity among people with permanent orthopedic disability.
This cross-sectional, observational, hospital-based study was conducted at the department of psychiatry of a tertiary care hospital attached to a medical college during January 01, 2018, to December 31, 2018. The study included subjects over the age of 18 years comprising two groups: Group A ( = 50) including consecutive subjects with orthopedic disability and Group B ( = 50) including normal age- and sex-matched controls. Permission was obtained from the institutional ethics committee before the start of the study. Prior informed consent was obtained from all subjects. Sociodemographic variables were recorded, and psychiatric morbidity was screened on Mini International Neuropsychiatric Interview.
62% ( = 31) of subjects in Group A had psychiatric morbidity as compared to Group B (22%, = 11). Maximum psychiatric morbidity noted among subjects with disability was generalized anxiety disorder (22%, = 11), followed by major depressive disorder (20%, = 10) and alcohol dependence (18%, = 9). Substance dependence was more in Group A (34%, = 17) as compared to Group B (18%, = 9). The most common substance dependence was for alcohol (18%, = 9), followed by opioids (8%, = 4) and tobacco (6%, = 3).
Psychiatric morbidity including substance dependence is more common among people with orthopedic disability as compared to normal control subjects.
永久性骨科残疾患者存在多种身心健康问题。与正常人群相比，残疾人群中精神疾病的发病率更高。
研究永久性骨科残疾患者的精神疾病发病率。
本横断面、观察性、基于医院的研究于2018年1月1日至2018年12月31日在一所医学院附属三级医院的精神科进行。该研究纳入了18岁以上的受试者，分为两组：A组（n = 50），包括连续的骨科残疾受试者；B组（n = 50），包括年龄和性别匹配的正常对照。在研究开始前获得了机构伦理委员会的许可。所有受试者均获得了事先的知情同意。记录社会人口统计学变量，并通过迷你国际神经精神访谈筛查精神疾病发病率。
A组62%（n = 31）的受试者有精神疾病发病率，而B组为22%（n = 11）。残疾受试者中最常见的精神疾病是广泛性焦虑障碍（22%，n = 11），其次是重度抑郁症（20%，n = 10）和酒精依赖（18%，n = 9）。A组的物质依赖（34%，n = 17）高于B组（18%，n = 9）。最常见的物质依赖是酒精（18%，n = 9），其次是阿片类药物（8%，n = 4）和烟草（6%，n = 3）。
与正常对照受试者相比，包括物质依赖在内的精神疾病发病率在骨科残疾患者中更为常见。
