{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T02:02:41Z","timestamp":1785463361114,"version":"3.56.0"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T00:00:00Z","timestamp":1598400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A chronic leg ulcer is a debilitating illness, owing to the local condition of the wound and a decrease in physical activity and productivity, resulting in anxiety and depression among patients. The study aimed to find any association of anxiety and depression in the healing of chronic wounds. A total of 125 patients with chronic leg ulcers were enrolled in the study. HADS questionnaire assessment followed the local wound examination in all patients. A follow\u2010up assessment of the ulcer was done after appropriate local treatment, and data analysed with the HADS scale. In the present study, the ROC curve showed a cutoff value of 14 for the HADS score in predicting ulcer status (non\u2010healing vs healed) after 30\u2009days. A total of 54.4% (68) patients had a HADS score\u2009\u2265\u200914 and 39% (49) were true positive for the non\u2010healing wound at a 1\u2010month follow\u2010up. This study revealed a sensitivity and specificity of 83.1% and 71.2%, respectively (<jats:italic>P<\/jats:italic>\u2010value &lt;.001), and diagnostic accuracy of 76.8%, for HADS score\u2009&gt;\u200914 in the detection of non\u2010healing ulcers. Chronic leg ulcers should be subjected to HADS assessment and if found significant corrective measures must be instituted for improving wound healing.<\/jats:p>","DOI":"10.1111\/iwj.13485","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T20:44:19Z","timestamp":1598474659000},"page":"1941-1947","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Role of hospital anxiety and depression on the healing of chronic leg ulcer: A prospective study"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3397-1386","authenticated-orcid":false,"given":"Navin","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of General Surgery AIIMS Rishikesh  Uttarakhand India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhanul","family":"Huda","sequence":"additional","affiliation":[{"name":"Department of General Surgery AIIMS Rishikesh  Uttarakhand India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishit","family":"Mani","sequence":"additional","affiliation":[{"name":"Department of General Surgery AIIMS Rishikesh  Uttarakhand India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4736-4058","authenticated-orcid":false,"given":"Tanuj","family":"Singla","sequence":"additional","affiliation":[{"name":"Department of General Surgery AIIMS Rishikesh  Uttarakhand India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashikesh","family":"Kundal","sequence":"additional","affiliation":[{"name":"Department of General Surgery AIIMS Rishikesh  Uttarakhand India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyoti","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of General Surgery AIIMS Rishikesh  Uttarakhand India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhargav","family":"Gajula","sequence":"additional","affiliation":[{"name":"Department of General Surgery AIIMS Rishikesh  Uttarakhand India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(97)80179-7"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-200103000-00004"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"issue":"29","key":"e_1_2_10_5_1","first-page":"1","article-title":"The hospital anxiety and depression scale","volume":"1","author":"Snaith RP","year":"2003","journal-title":"Health Qual Life Outcomes"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1534734604273660"},{"key":"e_1_2_10_7_1","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/0741-5214(91)90251-O","article-title":"Leg ulcer etiology \u2010 a cross sectional population study","volume":"14","author":"Nelzi NO","year":"1991","journal-title":"J Vasc Surg"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-821X(05)80313-5"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800730905"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.1992.tb03513.x"},{"issue":"3","key":"e_1_2_10_11_1","first-page":"32","article-title":"Phases of wound healing. 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