Psychological Factors and Delayed Healing in Chronic Wounds
作者:
Alys Cole-King,
Keith Harding,
期刊:
Psychosomatic Medicine
(OVID Available online 2001)
卷期:
Volume 63,
issue 2
页码: 216-220
ISSN:0033-3174
年代: 2001
出版商: OVID
关键词: delayed wound healing,;depression,;anxiety.
数据来源: OVID
摘要:
ObjectiveStudies have shown that stress can delay the healing of experimental punch biopsy wounds. This study examined the relationship between the healing of natural wounds and anxiety and depression.MethodsFifty-three subjects (31 women and 22 men) were studied. Wound healing was rated using a five-point Likert scale. Anxiety and depression were measured using the Hospital Anxiety and Depression Scale (HAD), a well-validated psychometric questionnaire. Psychological and clinical wound assessments were each conducted with raters and subjects blinded to the results of the other assessment.ResultsDelayed healing was associated with a higher mean HAD score (p= .0348). Higher HAD anxiety and depression scores (indicating “caseness”) were also associated with delayed healing (p= .0476 andp= .0311, respectively). Patients scoring in the top 50% of total HAD scores were four times more likely to have delayed healing than those scoring in the bottom 50% (confidence interval = 1.06–15.08).ConclusionsThe relationship between healing of chronic wounds and anxiety and depression as measured by the HAD was statistically significant. Further research in the form of a longitudinal study and/or an interventional study is proposed.
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