ISSN 2586-0151 (Print)
ISSN 2586-0046 (Online)
Volume 15, Number 2 (2/2019)
Original Article <page. 115-21 >

Prevalence of Emotional Distress and Related Factors of Orthopedic Surgical Patients in a Military Hospital : A Cross-sectional Feasibility Study

In Mok Oh, MD1,2;Minseok Hong, MD1;Soo Yeon Lee, MD2;Ga Hee Yoon, MD1,2;Ho Lee, MD3;Myung Jin Kim, BA3;Hyun Mi Kim, BA3; and Sang Don Lee, MD, PhD2;

1;Department of Neuropsychiatry, Seoul National University Hospital, Seoul, 2;Department of Neuropsychiatry, The Armed Forces Capital Hospital, Seongnam, 3;Department of Orthopedics, The Armed Forces Capital Hospital, Seongnam, Korea

Objective : The purpose of this study was to investigate prevalence of psychiatric symptoms and determine predictors of emotional distress of military hospital surgical patients.

Methods : This study examined 104 orthopedic patients admitted to the Armed Forces Military Hospital September-November 2018. For the study, every subject completed self-assessment inventories regarding depressive and anxiety symptoms (Hospital Anxiety and Depression Scale), sleep problems (Pittsburgh Sleep Quality Index), problematic alcohol and tobacco use (Cut off, Annoyed, Guilty, Eye-opener screening), and psychiatric history. We performed the Student's t-test and the chi-square test for the collected data to investigate the prevalence of psychiatric symptoms, including emotional distress. Logistic regression analysis was used to examine the risk factors related to emotional distress of hospitalized military personnel.

Results : There were no significant differences in socio-demographic and psychiatric symptoms between soldiers and officers. The prevalence of depressive and/or anxiety symptoms (emotional distress) was 21.2% (n=21). In the logistic regression analysis, psychiatric history [Adjusted Odds Ratio (AOR)=18.99 ; 95% Confidence Interval (CI)=1.42-253.57 ; p=0.026] and low military life satisfaction (AOR=15.67; 95% CI=1.46-168.11 ; p=0.023) correlated with emotional distress. 

Conclusion : Soldiers admitted to the military hospital showed similar prevalence of emotional distress as those at general hospitals. Considering military circumstances, it is necessary to detect and intervene regarding soldiers with a psychiatric history and low military life satisfaction to promote mental health at military hospitals. 


Key words : ?Prevalence;Risk factor;Depressive symptom;Anxiety symptom;Emotional distress;Sleep problem.

Anxiety and Mood

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