Delayed Psychological Morbidity Associated with Snakebite Envenoming
2011

Psychological Effects of Snakebite

Sample size: 88 publication 10 minutes Evidence: moderate

Author Information

Author(s): Williams Shehan S., Wijesinghe Chamara A., Jayamanne Shaluka F., Buckley Nicholas A., Dawson Andrew H., Lalloo David G., de Silva H. Janaka

Primary Institution: University of Kelaniya, Sri Lanka

Hypothesis

What are the delayed psychological effects of snakebite envenoming on victims?

Conclusion

Snakebite causes significant ongoing psychological morbidity, a complication not previously documented.

Supporting Evidence

  • 54% of snakebite victims met criteria for depressive disorder compared to 15% of controls.
  • 21.6% of snakebite victims met criteria for PTSD.
  • Snakebite victims reported more symptoms of psychological distress than controls.

Takeaway

Getting bitten by a snake can make people feel really sad and scared for a long time, even after they get better.

Methodology

The study included 88 snakebite victims assessed through interviews and psychological scales, compared to matched controls.

Potential Biases

Participants who responded were older and may have been more maladjusted than non-responders.

Limitations

The study had a high attrition rate of over 50%, which may affect the results.

Participant Demographics

The sample included 167 males and 33 females, with a mean age of 41.6 years.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI 3.02–6.46

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pntd.0001255

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