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. 2010 Feb 15:9:9.
doi: 10.1186/1744-859X-9-9.

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 , Francis Creed #  1
Affiliations

Psychological distress among patients of an orthopaedic outpatient clinic: a study from a low-income country

Nusrat Husain et al. Ann Gen Psychiatry. .

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.

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