Zairul-Nizam Z F, Thye W E, Ng Vsh, Soh Cfg, Tan Vjw
Department of Orthopaedics, International Medical University, Seremban, Malaysiaaff.
Malays Orthop J. 2024 Jul;18(2):34-41. doi: 10.5704/MOJ.2407.005.
Post-trauma patients are at risk of developing symptoms of post-traumatic stress disorder (PTSD) and major depression. The primary goal of this study is to estimate the prevalence of PTSD and depression symptoms in patients who have been hospitalised for the treatment of physical trauma. Additionally, we wanted to compare the prevalence of PTSD or depression symptoms alone versus PTSD associated with depression symptoms, in orthopaedic post-trauma patients.
This study had involved orthopaedic post-trauma patients in the orthopaedic ward and clinic of Hospital Tuanku Jaafar (HTJ), Seremban, Malaysia, using an online questionnaire, which consist of English and Malay language. We then determined the prevalence of depression and PTSD symptoms in orthopaedic post-trauma patients and compared this prevalence to the severity of the injuries sustained and any association between PTSD and depression symptoms.
Only 12.9% of the participants are likely to have post-traumatic stress disorder (PTSD) symptoms and 43.3% of participants have depression symptoms. There is no significant association between patient demographics and severity of the injuries with the prevalence of post-traumatic stress disorder (PTSD) and depression symptoms. However, of those deemed likely to have PTSD, 93.5% of them had both post-traumatic stress disorder (PTSD) symptoms as well as depressive symptoms.
Only a few of the participants are likely to develop post-traumatic stress disorder (PTSD) while almost half of the participants are likely to have developed depression. Physicians caring for trauma patients should screen them for early symptoms of PTSD and depression and treat them accordingly.
创伤后患者有患创伤后应激障碍(PTSD)和重度抑郁症的风险。本研究的主要目标是估计因身体创伤住院治疗的患者中PTSD和抑郁症状的患病率。此外,我们想比较骨科创伤后患者中单独出现PTSD或抑郁症状与伴有抑郁症状的PTSD的患病率。
本研究纳入了马来西亚芙蓉市敦加法医院(HTJ)骨科病房和诊所的骨科创伤后患者,使用了一份包含英文和马来文的在线问卷。然后我们确定了骨科创伤后患者中抑郁和PTSD症状的患病率,并将此患病率与所受损伤的严重程度以及PTSD和抑郁症状之间的任何关联进行比较。
只有12.9%的参与者可能有创伤后应激障碍(PTSD)症状,43.3%的参与者有抑郁症状。患者人口统计学特征和损伤严重程度与创伤后应激障碍(PTSD)和抑郁症状的患病率之间无显著关联。然而,在那些被认为可能患有PTSD的患者中,93.5%的患者同时有创伤后应激障碍(PTSD)症状和抑郁症状。
只有少数参与者可能会患上创伤后应激障碍(PTSD),而几乎一半的参与者可能已经患上了抑郁症。治疗创伤患者的医生应该对他们进行PTSD和抑郁症早期症状的筛查,并相应地进行治疗。