군 병원 정형외과계 입원환자의 정서문제 유병률과 관련 요인
Prevalence of Emotional Distress and Related Factors of Orthopedic Surgical Patients in a Military Hospital : A Cross-sectional Feasibility Study
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective : The purpose of this study was to investigate prevalence of psychiatric symptoms and determine predictors of emotional distress of military hospital surgical patients. Methods : This study examined 104 orthopedic patients admitted to the Armed Forces Military Hospital September-November 2018. For the study, every subject completed self-assessment inventories regarding depressive and anxiety symptoms (Hospital Anxiety and Depression Scale), sleep problems (Pittsburgh Sleep Quality Index), problematic alcohol and tobacco use (Cut off, Annoyed, Guilty, Eye-opener screening), and psychiatric history. We performed the Student’s t-test and the chi-square test for the collected data to investigate the prevalence of psychiatric symptoms, including emotional distress. Logistic regression analysis was used to examine the risk factors related to emotional distress of hospitalized military personnel. Results : There were no significant differences in socio-demographic and psychiatric symptoms between soldiers and officers. The prevalence of depressive and/or anxiety symptoms (emotional distress) was 21.2% (n=21). In the logistic regression analysis, psychiatric history [Adjusted Odds Ratio (AOR)=18.99 ; 95% Confidence Interval (CI)=1.42-253.57 ; p=0.026] and low military life satisfaction (AOR=15.67; 95% CI=1.46- 168.11 ; p=0.023) correlated with emotional distress. Conclusion : Soldiers admitted to the military hospital showed similar prevalence of emotional distress as those at general hospitals. Considering military circumstances, it is necessary to detect and intervene regarding soldiers with a psychiatric history and low military life satisfaction to promote mental health at military hospitals. (Anxiety and Mood 2019;15(2):115-121)
Abstract
Objective : The purpose of this study was to investigate prevalence of psychiatric symptoms and determine predictors of emotional distress of military hospital surgical patients. Methods : This study examined 104 orthopedic patients admitted to the Armed Forces Military Hospital September-November 2018. For the study, every subject completed self-assessment inventories regarding depressive and anxiety symptoms (Hospital Anxiety and Depression Scale), sleep problems (Pittsburgh Sleep Quality Index), problematic alcohol and tobacco use (Cut off, Annoyed, Guilty, Eye-opener screening), and psychiatric history. We performed the Student’s t-test and the chi-square test for the collected data to investigate the prevalence of psychiatric symptoms, including emotional distress. Logistic regression analysis was used to examine the risk factors related to emotional distress of hospitalized military personnel. Results : There were no significant differences in socio-demographic and psychiatric symptoms between soldiers and officers. The prevalence of depressive and/or anxiety symptoms (emotional distress) was 21.2% (n=21). In the logistic regression analysis, psychiatric history [Adjusted Odds Ratio (AOR)=18.99 ; 95% Confidence Interval (CI)=1.42-253.57 ; p=0.026] and low military life satisfaction (AOR=15.67; 95% CI=1.46- 168.11 ; p=0.023) correlated with emotional distress. Conclusion : Soldiers admitted to the military hospital showed similar prevalence of emotional distress as those at general hospitals. Considering military circumstances, it is necessary to detect and intervene regarding soldiers with a psychiatric history and low military life satisfaction to promote mental health at military hospitals. (Anxiety and Mood 2019;15(2):115-121)
참고문헌 (41)
- Daratha KB, "Co-occurring mood disorders among hospitalized patients and risk for subsequent medical hospitalization", Gen Hosp Psychiatry, 34, pp.500~505 (2012)
- Burg MM, "Presurgical depression predicts medical morbidity 6 months after coronary artery bypass graft surgery", Psychosom Med, 65, pp.111~118 (2003)
- Stundner O, "Demographics and perioperative outcome in patients with depression and anxiety undergoing total joint arthroplasty: a population-based study", Psychosomatics, 54, pp.149~157 (2013)
- Greenhalgh T, "WHO", WONCA report-Integrating Mental Health in Primary Care: A Global Perspective, 2009, pp.2, 81~82
- Shapira-Lichter I, "Cytokines and cholinergic signals co-modulate surgical stress-induced changes in mood and memory", Brain Behav Immun, 22, pp.388~398 (2008)
- Walker J, "Prevalence, associations, and adequacy of treatment of major depression in patients with cancer: a cross-sectional analysis of routinely collected clinical data", Lancet Psychiatry, 1, pp.343~350 (2014)
- Liberzon I, "Increased psychiatric morbidity after abdominal aortic surgery: risk factors for stress-related disorders", J Vasc Surg, 43, pp.929~934 (2006)
- Jacobsen PB, "Posttraumatic stress disorder symptoms after bone marrow transplantation for breast cancer", Psychosom Med, 60, pp.366~371 (1998)
- Wilder Schaaf KP, "Anxiety, depression, and PTSD following cardiac arrest: a systematic review of the literature", Resuscitation, 84, pp.873~877 (2013)
- Singer S, "Comorbid mental health conditions in cancer patients at working age-- prevalence, risk profiles, and care uptake", Psychooncology, 22, pp.2291~2297 (2013)
- Walker J, "The prevalence of depression in general hospital inpatients: a systematic review and meta-analysis of interview-based studies", Psychol Med, 48, pp.2285~2298 (2018)
- Hong JP, "The survey of mental disorders in Korea" (2017), Ministry of Health and Welfare
- 최경애, "일 대학병원에 입원한 만성질환자의 우울 증상과 인구사회학적 위험요인", Korean Journal of Health Promotion, 19(1), pp.32~38 (2019), 대한임상건강증진학회
- 오대종, "미 공군 자살예방 프로그램에 대한 고찰과 한국군을 위한 제언", 신경정신의학, 56(2), pp.55~60 (2017), 대한신경정신의학회[DOI]
- 구승신, "신세대 병사의 정신건강의 실태와 영향요인에 관한 연구 -경기도 육군 oo부대 병사들을 대상으로-", 정신건강과 사회복지, (24), pp.64~93 (2006), 한국정신건강사회복지학회
- Han HL, "Correlation between postoperative pain, daily activity disturbance, military-life satisfaction and social support", pp.2013
- Ewing JA, "Detecting alcoholism. The CAGE questionnaire", JAMA, 252, pp.1905~1907 (1984)
- Buysse DJ, "The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research", Psychiatry Res, 28, pp.193~213 (1989)
- Carpenter JS, "Psychometric evaluation of the Pittsburgh Sleep Quality Index", J Psychosom Res, 45, pp.5~13 (1998)
- Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)
- Oh SM, "A study on the Standardization of the Hospital Anxiety and Depression Scale for Koreans", Korean Psychiatry Investigation, 38, pp.289~295 (1999)
- Moon JO, "Study of Effectiveness of Writing Positive Prayer on Military Life Satisfaction, Self-esteem, and Military Life Stress", pp.2011
- Diener E, "The Satisfaction With Life Scale", J Pers Assess, 49, pp.71~75 (1985)
- Pavot W, "Further validation of the Satisfaction with Life Scale: evidence for the cross-method convergence of well-being measures", J Pers Assess, 57, pp.149~161 (1991)
- Kwon SM, "Influence of Character Strengths on Military Life Satisfaction", pp.2008
- Jung EK, "The effect of ego-resiliency, social support, military life satisfaction on Growth related military service", pp.2014
- Zhong BL, "Prevalence, correlates and recognition of depression among inpatients of general hospitals in Wuhan, China", Gen Hosp Psychiatry, 32, pp.268~275 (2010)
- Vaeroy H, "Prevalence of depression among general hospital surgical inpatients", Nord J Psychiatry, 57, pp.13~16 (2003)
- Barrett J, "Prevalence of depression and its correlates in a general medical practice", J Affect Disord, 12, pp.167~174 (1987)
- Shoar S, "Prevalence and Determinants of Depression and Anxiety Symptoms in Surgical Patients", Oman Med J, 31, pp.176~181 (2016)
- Naifeh JA, "The Army Study to Assess Risk and Resilience in Servicemembers (Army STARRS): progress toward understanding suicide among soldiers", Mol Psychiatry, 24, pp.34~48 (2019)
- Keane TM, "Toward a greater understanding of mental health issues in today’s military", Depress Anxiety, 32, pp.1~2 (2015)
- McCusker J, "The prevalence and correlates of major and minor depression in older medical inpatients", J Am Geriatr Soc, 53, pp.1344~1353 (2005)
- Buysse DJ, "Insomnia", JAMA, 309, pp.706~716 (2013)
- Mysliwiec V, "Sleep disorders and associated medical comorbidities in active duty military personnel", Sleep, 36, pp.167~174 (2013)
- Ferrer CF Jr, "Circadian rhythm desynchronosis in military deployments: a review of current strategies", Aviat Space Environ Med, 66, pp.571~578 (1995)
- Miller NL, "Longitudinal study of sleep patterns of United States Military Academy cadets", Sleep, 33, pp.1623~1631 (2010)
- Sharp ML, "Stigma as a barrier to seeking health care among military personnel with mental health problems", Epidemiol Rev, 37, pp.144~162 (2015)
- Iversen AC, "The stigma of mental health problems and other barriers to care in the UK Armed Forces", BMC Health Serv Res, 11, pp.31~ (2011)
- Kim PY, "Stigma, Negative Attitudes About Treatment, and Utilization of Mental Health Care Among Soldiers", Military Psychology, 23, pp.65~81 (2011)
- Strom TQ, "Stress, appraisal and coping following mild traumatic brain injury", Brain Inj, 21, pp.1137~1145 (2007)
