Psychiatric Evaluation of Limb Fracture Patients

Abstract

The study included 70 consecutive patients with fracture of the lower and upper limbs each and an equal number of age and sex matched normal control subjects. AU the subjects were screened using the General Health Questionnaire (GHQ), the Michigan Alcoholism Screening Test (MAST), Carroll Rating Scale for Depression (CRSD), State-Trait Anxiety Inventory (STAI), Impact of Events Scale (IES), Fatigue Scale (FS) and the Perceived Stress Questionnaire (PSQ). Probable "Psychiatric cases" identified by the questionnaires underwent diagnostic psychiatric evaluation. As compared to normal controls, the limb fracture patients obtained significantly higher scores on the GHQ, MAST, CRSD, IES & FS but not on the STAI & PSQ. Psychiatric evaluation revealed significantly higher prevalence of psychiatric disorders in lower limb fracture patients (n=31) as compared to upper limb fracture patients (n=18) and control subjects (n=6). Limb fracture patients had a high prevalence of alcohol dependence/abuse (24.3%) and depressive disorders (6.4%). The results Indicate that pS~'chologicallnlerveDtionwould greatly facilitate the management of these patients. MJAFI ZOOZ; S8 : 107-110

Study of Psychiatry Morbidity Following Traumatic Long Bone Injury

“…Similar findings were noted by Chaudhary et al 8 35%. Majority patients of axis I psychiatric diagnosis belongs to major depressive disorder (23%).…”

“…However, a study by Chaudhary et al 8 found that there was significant association between fracture involving limb and axis I psychiatric diagnosis.…”

Combat psychiatry: Indian perspective

“…Armed Forces' a subject which has been scarcely discussed and researched with very few large scale studies to date. [2][3][4][5][6][7] The author needs to be complimented on bringing this important issue of military psychiatry to the fore by his paper on the subject. 8-10 2.…”

Stress in the Indian Armed Forces: how true and what to do?

“…A series of 140 limb fracture patients at a service hospital reported significantly higher scores on general health questionnaire, Michigan alcoholism screening test, Carroll rating scale for depression, impact of events scale, and fatigue scale. 8 The limb fracture patients also had a high prevalence of alcohol dependence/abuse and depressive disorders. The above were hospital based crosssectional studies done on in patients and cannot be generalised to soldiers in the field.…”