Anxiety and Depression in Brazilian Orthopaedics Inpatients: A Cross Sectional Study with a Clinical Sample Comparison

  • Vinícius Ynoe de Moraes
  • Miguel Roberto Jorge
  • Flávio Faloppa
  • João Carlos Belloti


There are few studies on the development of anxiety and depression in orthopaedics and trauma (O&T) inpatients. We designed a cross-sectional study aimed at comparing the prevalence of depression and anxiety in 100 O&T inpatients and 100 clinical inpatients in the same hospital. O&T patients were divided into subgroups: trauma and non-trauma (arthroplasty, tumour, and infection sub grouping). We measured anxiety and depression by the Hospital Anxiety and Depression Scale and co-morbidities by the Charlson age-adjusted comorbidity index (CCI). For the trauma subgroup, AO/OTA fracture classification and Gustillo and Anderson grade of open fractures classification was applied. The prevalence of anxiety and depression was 35% and 28%, respectively for the clinical sample, and 44% and 33% for the O&T sample. Compared with the clinical sample, anxiety scores were higher in the O&T sample (p = .047), and in arthroplasty (p = .020) and trauma subgroups (p = .031). In the O&T sample, high CCI scores were associated with high anxiety scores (p = .033).


Depression Anxiety Hospital Anxiety and Depression Scale Charlson comorbidity index Orthopedics Trauma Wards 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Vinícius Ynoe de Moraes
    • 1
    • 3
  • Miguel Roberto Jorge
    • 2
  • Flávio Faloppa
    • 1
  • João Carlos Belloti
    • 1
  1. 1.Department of Orthopaedics and TraumatologyFederal University of São Paulo, Escola Paulista de MedicinaSão PauloBrazil
  2. 2.Department of PsychiatryFederal University of São Paulo, Escola Paulista de MedicinaSão PauloBrazil
  3. 3.São PauloBrazil

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