Correlation between anxiety, depression, and social stress in young patients with thoracolumbar spine fractures

Table 1 Depression and anxiety of patients

	Total score of HAMD	Total score of HAMA
Non-depression group (n = 61)	4.00 ± 1.60	8.41 ± 4.91
Depression group (n = 39)	14.62 ± 4.69a	7.56 ± 4.10
Non-anxiety group (n = 51)	7.43 ± 5.94	4.61 ± 1.13
Anxiety group (n = 49)	8.88 ± 6.22	11.69 ± 4.04a
Total (n = 100)	8.14 ± 6.09	8.08 ± 4.61

^aP < 0.05 compared with non-depression/anxiety group.

HAMA: Hamilton anxiety scale; HAMD: Hamilton depression scale.

Table 2 Comparison of clinical characteristics of patients with different depressive conditions

	Non-depression group (n = 61)	Depression group (n = 39)	χ2	P value
Age (year)	24.13 ± 1.52	23.95 ± 1.59	0.569	0.572
Gender			10.721	0.001
Male	45	16
Female	16	23
BMI	23.40 ± 1.54	23.49 ± 1.32	0.301	0.764
Fracture site			1.787	0.181
L1-2	48	26
T11-12	13	13
Cause of injury			1.446	0.485
Traffic accidents	44	24
Falling	10	10
Crushing injuries	7	5
Occupation			12.301	0.000
Yes	50	19
No	11	20
VAS score	3.80 ± 0.51	3.82 ± 0.39	0.209	0.835
PSQI score	6.77 ± 1.77	8.97 ± 4.31	3.553	0.000
Educational			0.018	0.892
Bachelor degree or above	29	18
Junior college/high school or below	32	21
Monthly family income			4.333	0.037
> 5000	38	16
≤ 5000	23	23
Way of medical payment			1.376	0.241
Medical insurance	37	19
Self-funded	24	20

BMI: Body mass index; VAS: Visual analogue scale; PSQI: Pittsburgh Sleep Quality Index.

Table 3 Comparison of clinical characteristics of patients with different anxiety conditions

	Non-anxiety group (n = 51)	Anxiety group (n = 49)	χ2	P value
Age (year)	24.10 ± 1.70	24.01 ± 1.38	0.289	0.772
Gender			2.401	0.121
Male	40	44
Female	11	5
BMI	23.52 ± 1.48	23.34 ± 1.43	0.618	0.538
Fracture site			0.000	0.978
L1-2	42	45
T11-12	9	4
Cause of injury			0.211	0.899
Traffic accidents	43	40
Falling	5	5
Crushing injuries	3	4
Occupation			4.697	0.030
Yes	42	47
No	9	2
VAS score	3.76 ± 0.47	3.86 ± 0.46	1.075	0.285
PSQI score	6.96 ± 3.21	8.33 ± 3.05	2.186	0.031
Educational			0.008	0.926
Bachelor degree or above	15	14
Junior college/senior high school or below	36	35
Monthly family income			0.364	0.546
> 5000	38	39
≤ 5000	13	10
Way of medical payment			1.149	0.284
Medical insurance	42	36
Self-funded	9	13

BMI: Body mass index; VAS: Visual analogue scale; PSQI: Pittsburgh Sleep Quality Index.

Table 4 Comparison of depression and anxiety with social stress and support scores

	Non-depression group (n = 61)	Depression group (n = 39)	χ2	P value	Non-anxiety group (n = 51)	Anxiety group (n = 49)	χ2	P value
Negative life event scores	28.26 ± 9.85	34.33 ± 10.91	2.882	0.005	26.20 ± 8.12	38.27 ± 10.05	6.618	< 0.0001
Total SSRS scores	32.85 ± 4.45	26.23 ± 5.68	6.506	< 0.0001	32.45 ± 5.68	27.00 ± 4.13	5.469	< 0.0001
Subjective support	11.54 ± 2.67	9.15 ± 3.22	4.026	0.0001	11.84 ± 2.98	8.71 ± 2.05	6.095	< 0.0001
Objective support	12.36 ± 2.15	8.92 ± 3.58	6.008	< 0.0001	11.39 ± 3.69	10.33 ± 2.41	1.693	0.094
Support utilization	8.82 ± 1.41	8.15 ± 1.81	2.072	0.041	9.22 ± 1.15	7.96 ± 1.78	4.221	< 0.0001

SSRS: Social support rating scale.