Pre-Existing Anxiety and Depression in Injured Older Adults: An Under-Recognized Comorbidity With Major Health Implications
Objective:. To compare differences in baseline depression and anxiety screenings between older injured patients with pre-existing diagnoses and those without. Background:. Little is known about the prevalence and impact of psychiatric comorbidities on early postinjury depression and anxiety in nonne...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health
2022-12-01
|
| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000217 |
| _version_ | 1797859646630789120 |
|---|---|
| author | Damaris Ortiz, MD Anthony J. Perkins, MS Mikita Fuchita, MD Sujuan Gao, PhD Emma Holler, MPH Ashley D. Meagher, MD, MPH, FACS Sanjay Mohanty, MD, MPH Dustin D. French, PhD Sue Lasiter, PhD, RN Babar Khan, MD, MPH Malaz Boustani, MD, MPH Ben Zarzaur, MD, MPH, FACS |
| author_facet | Damaris Ortiz, MD Anthony J. Perkins, MS Mikita Fuchita, MD Sujuan Gao, PhD Emma Holler, MPH Ashley D. Meagher, MD, MPH, FACS Sanjay Mohanty, MD, MPH Dustin D. French, PhD Sue Lasiter, PhD, RN Babar Khan, MD, MPH Malaz Boustani, MD, MPH Ben Zarzaur, MD, MPH, FACS |
| author_sort | Damaris Ortiz, MD |
| collection | DOAJ |
| description | Objective:. To compare differences in baseline depression and anxiety screenings between older injured patients with pre-existing diagnoses and those without.
Background:. Little is known about the prevalence and impact of psychiatric comorbidities on early postinjury depression and anxiety in nonneurologically injured older adults.
Methods:. This was a retrospective post-hoc analysis of data from the Trauma Medical Home, a multicenter randomized controlled trial (R01AG052493-01A1) that explored the effect of a collaborative care model on postinjury recovery for older adults compared to usual care.
Results:. Nearly half of the patients screened positive for at least mild depressive symptoms as measured by the Patient Health Questionnaire-9. Forty-one percent of the patients screened positive for at least mild anxiety symptoms as measured by the Generalized Anxiety Disorder Scale. Female patients with a history of concurrent anxiety and depression, greater injury severity scores, and higher Charlson scores were more likely to have mild anxiety at baseline assessment. Patients with a history of depression only, a prior history of depression and concurrent anxiety, and higher Charlson scores (greater medical comorbidity) had greater odds of at least mild depression at the time of hospital discharge after traumatic injury.
Conclusions:. Anxiety and depression are prevalent in the older adult trauma population, and affect women disproportionately. A dual diagnosis of depression and anxiety is particularly morbid. Mental illness must be considered and addressed with the same importance as other medical diagnoses in patients with injuries. |
| first_indexed | 2024-04-09T21:34:05Z |
| format | Article |
| id | doaj.art-c51f23daed03408d953c1ffb72099d75 |
| institution | Directory Open Access Journal |
| issn | 2691-3593 |
| language | English |
| last_indexed | 2024-04-09T21:34:05Z |
| publishDate | 2022-12-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj.art-c51f23daed03408d953c1ffb72099d752023-03-27T06:41:35ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932022-12-0134e21710.1097/AS9.0000000000000217202212000-00021Pre-Existing Anxiety and Depression in Injured Older Adults: An Under-Recognized Comorbidity With Major Health ImplicationsDamaris Ortiz, MD0Anthony J. Perkins, MS1Mikita Fuchita, MD2Sujuan Gao, PhD3Emma Holler, MPH4Ashley D. Meagher, MD, MPH, FACS5Sanjay Mohanty, MD, MPH6Dustin D. French, PhD7Sue Lasiter, PhD, RN8Babar Khan, MD, MPH9Malaz Boustani, MD, MPH10Ben Zarzaur, MD, MPH, FACS11From the * Department of Surgery, Indiana University School of Medicine, Indianapolis, IN‡ Center of Health Innovation and Implementation Science, Center for Translational Science and Innovation, Indianapolis, IN∥ Division of Critical Care, Department of Anesthesiology, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO‡ Center of Health Innovation and Implementation Science, Center for Translational Science and Innovation, Indianapolis, IN¶ Department of Epidemiology and Biostatistics, Indiana University, Bloomington, INFrom the * Department of Surgery, Indiana University School of Medicine, Indianapolis, INFrom the * Department of Surgery, Indiana University School of Medicine, Indianapolis, IN** Department of Ophthalmology, Feinberg School of Medicine, Northwestern University, Chicago, IL∥∥ School of Nursing and Health Studies, Health Sciences District, University of Missouri, Kansas City, MO† Sidney and Lois Eskenazi Hospital Smith Level One Trauma Center, Indianapolis, IN‡ Center of Health Innovation and Implementation Science, Center for Translational Science and Innovation, Indianapolis, IN## Department of Surgery, University of Wisconsin School of Medicine, Madison, WI.Objective:. To compare differences in baseline depression and anxiety screenings between older injured patients with pre-existing diagnoses and those without. Background:. Little is known about the prevalence and impact of psychiatric comorbidities on early postinjury depression and anxiety in nonneurologically injured older adults. Methods:. This was a retrospective post-hoc analysis of data from the Trauma Medical Home, a multicenter randomized controlled trial (R01AG052493-01A1) that explored the effect of a collaborative care model on postinjury recovery for older adults compared to usual care. Results:. Nearly half of the patients screened positive for at least mild depressive symptoms as measured by the Patient Health Questionnaire-9. Forty-one percent of the patients screened positive for at least mild anxiety symptoms as measured by the Generalized Anxiety Disorder Scale. Female patients with a history of concurrent anxiety and depression, greater injury severity scores, and higher Charlson scores were more likely to have mild anxiety at baseline assessment. Patients with a history of depression only, a prior history of depression and concurrent anxiety, and higher Charlson scores (greater medical comorbidity) had greater odds of at least mild depression at the time of hospital discharge after traumatic injury. Conclusions:. Anxiety and depression are prevalent in the older adult trauma population, and affect women disproportionately. A dual diagnosis of depression and anxiety is particularly morbid. Mental illness must be considered and addressed with the same importance as other medical diagnoses in patients with injuries.http://journals.lww.com/10.1097/AS9.0000000000000217 |
| spellingShingle | Damaris Ortiz, MD Anthony J. Perkins, MS Mikita Fuchita, MD Sujuan Gao, PhD Emma Holler, MPH Ashley D. Meagher, MD, MPH, FACS Sanjay Mohanty, MD, MPH Dustin D. French, PhD Sue Lasiter, PhD, RN Babar Khan, MD, MPH Malaz Boustani, MD, MPH Ben Zarzaur, MD, MPH, FACS Pre-Existing Anxiety and Depression in Injured Older Adults: An Under-Recognized Comorbidity With Major Health Implications Annals of Surgery Open |
| title | Pre-Existing Anxiety and Depression in Injured Older Adults: An Under-Recognized Comorbidity With Major Health Implications |
| title_full | Pre-Existing Anxiety and Depression in Injured Older Adults: An Under-Recognized Comorbidity With Major Health Implications |
| title_fullStr | Pre-Existing Anxiety and Depression in Injured Older Adults: An Under-Recognized Comorbidity With Major Health Implications |
| title_full_unstemmed | Pre-Existing Anxiety and Depression in Injured Older Adults: An Under-Recognized Comorbidity With Major Health Implications |
| title_short | Pre-Existing Anxiety and Depression in Injured Older Adults: An Under-Recognized Comorbidity With Major Health Implications |
| title_sort | pre existing anxiety and depression in injured older adults an under recognized comorbidity with major health implications |
| url | http://journals.lww.com/10.1097/AS9.0000000000000217 |
| work_keys_str_mv | AT damarisortizmd preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications AT anthonyjperkinsms preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications AT mikitafuchitamd preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications AT sujuangaophd preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications AT emmahollermph preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications AT ashleydmeaghermdmphfacs preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications AT sanjaymohantymdmph preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications AT dustindfrenchphd preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications AT suelasiterphdrn preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications AT babarkhanmdmph preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications AT malazboustanimdmph preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications AT benzarzaurmdmphfacs preexistinganxietyanddepressionininjuredolderadultsanunderrecognizedcomorbiditywithmajorhealthimplications |