Delayed psychological morbidity associated with snakebite envenoming.

<h4>Introduction</h4>The psychological impact of snakebite on its victims, especially possible late effects, has not been systematically studied.<h4>Objectives</h4>To assess delayed somatic symptoms, depressive disorder, post-traumatic stress disorder (PTSD), and impairment i...

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Autores principales:	Shehan S Williams, Chamara A Wijesinghe, Shaluka F Jayamanne, Nicholas A Buckley, Andrew H Dawson, David G Lalloo, H Janaka de Silva
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2011
Materias:	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/a8d13e6702e843c7b9cfd2d40fa5902c
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spelling	oai:doaj.org-article:a8d13e6702e843c7b9cfd2d40fa5902c2021-11-18T09:13:09ZDelayed psychological morbidity associated with snakebite envenoming.1935-27271935-273510.1371/journal.pntd.0001255https://doaj.org/article/a8d13e6702e843c7b9cfd2d40fa5902c2011-08-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/21829741/?tool=EBIhttps://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735<h4>Introduction</h4>The psychological impact of snakebite on its victims, especially possible late effects, has not been systematically studied.<h4>Objectives</h4>To assess delayed somatic symptoms, depressive disorder, post-traumatic stress disorder (PTSD), and impairment in functioning, among snakebite victims.<h4>Methods</h4>The study had qualitative and quantitative arms. In the quantitative arm, 88 persons who had systemic envenoming following snakebite from the North Central Province of Sri Lanka were randomly identified from an established research database and interviewed 12 to 48 months (mean 30) after the incident. Persons with no history of snakebite, matched for age, sex, geograpical location and occupation, acted as controls. A modified version of the Beck Depression Inventory, Post-Traumatic Stress Symptom Scale, Hopkins Somatic Symptoms Checklist, Sheehan Disability Inventory and a structured questionnaire were administered. In the qualitative arm, focus group discussions among snakebite victims explored common somatic symptoms attributed to envenoming.<h4>Results</h4>Previous snakebite victims (cases) had more symptoms than controls as measured by the modified Beck Depression Scale (mean 19.1 Vs 14.4; p<0.001) and Hopkins Symptoms Checklist (38.9 vs. 28.2; p<0.001). 48 (54%) cases met criteria for depressive disorder compared to 13 (15%) controls. 19 (21.6%) cases also met criteria for PTSD. 24 (27%) claimed that the snakebite caused a negative change in their employment; nine (10.2%) had stopped working and 15 (17%) claimed residual physical disability. The themes identified in the qualitative arm included blindness, tooth decay, body aches, headaches, tiredness and weakness.<h4>Conclusions</h4>Snakebite causes significant ongoing psychological morbidity, a complication not previously documented. The economic and social impacts of this problem need further investigation.Shehan S WilliamsChamara A WijesingheShaluka F JayamanneNicholas A BuckleyAndrew H DawsonDavid G LallooH Janaka de SilvaPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 5, Iss 8, p e1255 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270
spellingShingle	Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Shehan S Williams Chamara A Wijesinghe Shaluka F Jayamanne Nicholas A Buckley Andrew H Dawson David G Lalloo H Janaka de Silva Delayed psychological morbidity associated with snakebite envenoming.
description	<h4>Introduction</h4>The psychological impact of snakebite on its victims, especially possible late effects, has not been systematically studied.<h4>Objectives</h4>To assess delayed somatic symptoms, depressive disorder, post-traumatic stress disorder (PTSD), and impairment in functioning, among snakebite victims.<h4>Methods</h4>The study had qualitative and quantitative arms. In the quantitative arm, 88 persons who had systemic envenoming following snakebite from the North Central Province of Sri Lanka were randomly identified from an established research database and interviewed 12 to 48 months (mean 30) after the incident. Persons with no history of snakebite, matched for age, sex, geograpical location and occupation, acted as controls. A modified version of the Beck Depression Inventory, Post-Traumatic Stress Symptom Scale, Hopkins Somatic Symptoms Checklist, Sheehan Disability Inventory and a structured questionnaire were administered. In the qualitative arm, focus group discussions among snakebite victims explored common somatic symptoms attributed to envenoming.<h4>Results</h4>Previous snakebite victims (cases) had more symptoms than controls as measured by the modified Beck Depression Scale (mean 19.1 Vs 14.4; p<0.001) and Hopkins Symptoms Checklist (38.9 vs. 28.2; p<0.001). 48 (54%) cases met criteria for depressive disorder compared to 13 (15%) controls. 19 (21.6%) cases also met criteria for PTSD. 24 (27%) claimed that the snakebite caused a negative change in their employment; nine (10.2%) had stopped working and 15 (17%) claimed residual physical disability. The themes identified in the qualitative arm included blindness, tooth decay, body aches, headaches, tiredness and weakness.<h4>Conclusions</h4>Snakebite causes significant ongoing psychological morbidity, a complication not previously documented. The economic and social impacts of this problem need further investigation.
format	article
author	Shehan S Williams Chamara A Wijesinghe Shaluka F Jayamanne Nicholas A Buckley Andrew H Dawson David G Lalloo H Janaka de Silva
author_facet	Shehan S Williams Chamara A Wijesinghe Shaluka F Jayamanne Nicholas A Buckley Andrew H Dawson David G Lalloo H Janaka de Silva
author_sort	Shehan S Williams
title	Delayed psychological morbidity associated with snakebite envenoming.
title_short	Delayed psychological morbidity associated with snakebite envenoming.
title_full	Delayed psychological morbidity associated with snakebite envenoming.
title_fullStr	Delayed psychological morbidity associated with snakebite envenoming.
title_full_unstemmed	Delayed psychological morbidity associated with snakebite envenoming.
title_sort	delayed psychological morbidity associated with snakebite envenoming.
publisher	Public Library of Science (PLoS)
publishDate	2011
url	https://doaj.org/article/a8d13e6702e843c7b9cfd2d40fa5902c
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Delayed psychological morbidity associated with snakebite envenoming.

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