Citation

Schemitsch C, Nauth A. Injury 2019; ePub(ePub): ePub.

Affiliation

St. Michael's Hospital, 55 Queen Street East, Suite 800, Toronto, Ontario M5C 1R6, Canada. Electronic address: aaron.nauth@unityhealth.to.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.injury.2019.10.081

PMID

31676072

Abstract

Recent research has identified a high prevalence of psychological illnesses in patients who have sustained orthopaedic trauma. Depressive symptoms in this patient population have been reported to range from 13% to as high as 56%. Moreover, symptoms of depression, catastrophic thinking, and post-traumatic stress disorder (PTSD), have been consistently shown to negatively impact patient outcomes following treatment for their traumatic injuries. Specifically, patients with higher levels of psychosocial dysfunction have shown increased levels of pain, disability, and complications throughout their recovery. However, current research in orthopaedic trauma continues to be substantially focused on the physical and technical factors involved in the treatment of orthopaedic injuries. More research which applies the "biopsychosocial model" of health and evaluates the significant impact of psychological and social factors on recovery from trauma is needed. In particular, investigation which evaluates effective screening strategies and interventions to treat psychosocial dysfunction during recovery from trauma is highly desirable. This article reviews the current state of knowledge in this area and suggests future directions for research.

Copyright © 2019. Published by Elsevier Ltd.

Language: en

Keywords

Biopsychosocial model; Orthopaedic trauma