عنوان به زبان ديگر :
Relationship between Anxiety, Depression, and Personality Type and the Incidence of Reflex Sympathetic Dystrophy in Patients with Distal Radius Fracture
چكيده لاتين :
Background: There is inconsistent information about the
role of psychological factors in the incidence of reflex sympathetic
dystrophy (RSD) in patients with distal radius fractures.
The present study was thus undertaken to evaluate the
relationship between some of these factors and the occurrence
of reflex sympathetic dystrophy in patients with distal
radius fracture.
Methods: One hundred and twenty patients with distal radius
fracture who met the criteria to enter the study and admitted to
the orthopedic department of Imam Reza hospital in Mashhad
were evaluated. Spielberger anxiety questionnaire, Beck depression
questionnaire, and personality type questionnaires as
well as the information about the patientsי demography were
recorded after the treatment. The patients were followed for
two months based on clinical evidence of RSD and the results
of specific examinations. In our study, Veldmanיs criteria were
used to set the diagnosis of RSD. Finally, the psychological
status of the patients with or without RSD was evaluated using
Chi square and t tests.
Results: Of the 88 patients completed the study, 13 were affected
by RSD. There was no significant relationship between
depression and anxiety of the patients with occurrence of RSD
(P>0.05). The presence of type A personality characters had a
significant positive relationship (P=0.000) and the presence of
type B personality had a significant negative relationship
(P=0.004) with the incidence of RSD after 2 months.
Conclusion: Personal characteristics of patients with distal
radius fracture play a role in the incidence of RSD.
Iran J Med Sci 2008; 33(2): 74-78.
