Comparative study of anxiety and depression following maxillofacial and orthopedic injuries. Study from a Nigerian University Teaching Hospital.

Journal: Clinical and experimental dental research

Volume: 3

Issue: 6

Year of Publication: 

Affiliated Institutions:  Department of Dental and Maxillofacial Surgery Usmanu Danfodio University Teaching Hospital Sokoto Nigeria. Department of Mental Health Obafemi Awolowo University /Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife Osun State University of Nigeria Nigeria. Department of Oral & Maxillofacial Surgery and Oral Pathology Obafemi Awolowo University Teaching Hospitals Complex Osun State Nigeria. Department of Orthopaedic Surgery and Traumatology Obafemi Awolowo University/Obafemi Awolowo University Teaching Hospitals Complex Osun State Nigeria.

Abstract summary 

This study hopes to compare levels of anxiety and depression in the maxillofacial and orthopedic injured patients over a period of 12 weeks. This was a prospective, repeated measure design. A total of 160 participants (80 with maxillofacial and 80 with long bone fractures) had repeated review follow-ups within 1 week of arrival in the hospital (Time 1), 4-8 weeks after initial contact (Time 2) and 10-12 weeks thereafter (Time 3), using hospital anxiety and depression scale questionnaire. Road traffic accident remained the main cause of injury in both groups of subjects. The Hospital anxiety and Depression scale detected 42 (52.5%) cases of depression at baseline, 36 (47.4%) cases at Time 2, and 14 (18.4%) cases at Time 3 in the maxillofacial injured group. In the long bone fracture subjects, 47 (58.8%) cases were depressed at baseline, 23(33.3%) cases at Time 2, and only 5 (7.2%) cases at Time 3. Both groups showed reduction in depression levels with time. Fifty-six (70.0%) had anxiety at baseline, 32 (42.1%) at Time 2, and only 9 (11.8%) had anxiety at Time 3 in the maxillofacial fracture group, whereas in the long bone fracture group, 69 (86.3%) subjects were anxious at baseline, 32 (46.4%) at Time 2, and 22 (31.9%) at Time 3. There were significant differences in depression and anxiety level in both the maxillofacial and the long bone fracture subjects at baseline (Time 1), Time 2(4-8 weeks) and Time 3(10-12 weeks).

Authors & Co-authors:  Braimah Ramat Oyebunmi RO Ukpong Dominic Ignatius DI Ndukwe Kizito Chioma KC Akinyoola Akinyele Lawrence AL

Study Outcome 

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Statistics
Citations :  Abiodun, O. A. (1994). A validity study of the hospital anxiety and depression scale in general hospital units and a community sample in Nigeria. Br J Psychiatry, 165, 669–672.
Authors :  4
Identifiers
Doi : 10.1002/cre2.90
SSN : 2057-4347
Study Population
Male,Female
Mesh Terms
Other Terms
anxiety;depression;long bone;maxillofacial
Study Design
Cross Sectional Study
Study Approach
Country of Study
Nigeria
Publication Country
United States