AIM: To examine psychosocial adjustment in persons with lower limb amputations related to diabetes. METHODS: Thirty-eight participants with diabetes-related lower limb amputations, recruited from two limb-fitting centres, completed three psychological self-report assessments: the Trinity Amputation and Prosthesis Experience Scales (TAPES); the Hospital Anxiety and Depression Scale (HADS); and the Amputation Body Image Scale-Revised (ABIS-R). RESULTS: Over 18% of participants scored above the normal range (> 8) for depression on the HADS and 18.5% scored above the normal range for anxiety. Both depression (rho = 0.75, P < 0.01) and anxiety (rho = 0.62, P < 0.01) scores were significantly associated with body image disturbance, as measured using the ABIS-R. Significant relationships were also observed between body image disturbance and three TAPES subscales measuring psychosocial adjustment [general adjustment (rho = -0.48, P < 0.01), social adjustment (rho = -0.51, P < 0.01), adjustment to limitations (rho = -0.45, P < 0.05)]. CONCLUSIONS: Individuals with diabetes-related amputations may be at elevated risk for psychological distress as a result of their co-morbid medical condition. Regular screening for anxiety and depression and the provision of appropriate follow-up care may therefore be advisable in this population.
AIM: To examine psychosocial adjustment in persons with lower limb amputations related to diabetes. METHODS: Thirty-eight participants with diabetes-related lower limb amputations, recruited from two limb-fitting centres, completed three psychological self-report assessments: the Trinity Amputation and Prosthesis Experience Scales (TAPES); the Hospital Anxiety and Depression Scale (HADS); and the Amputation Body Image Scale-Revised (ABIS-R). RESULTS: Over 18% of participants scored above the normal range (> 8) for depression on the HADS and 18.5% scored above the normal range for anxiety. Both depression (rho = 0.75, P < 0.01) and anxiety (rho = 0.62, P < 0.01) scores were significantly associated with body image disturbance, as measured using the ABIS-R. Significant relationships were also observed between body image disturbance and three TAPES subscales measuring psychosocial adjustment [general adjustment (rho = -0.48, P < 0.01), social adjustment (rho = -0.51, P < 0.01), adjustment to limitations (rho = -0.45, P < 0.05)]. CONCLUSIONS: Individuals with diabetes-related amputations may be at elevated risk for psychological distress as a result of their co-morbid medical condition. Regular screening for anxiety and depression and the provision of appropriate follow-up care may therefore be advisable in this population.
Authors: Joshua D Auerbach; Baron S Lonner; Canice E Crerand; Suken A Shah; John M Flynn; Tracey Bastrom; Phedra Penn; Jennifer Ahn; Courtney Toombs; Neil Bharucha; Whitney P Bowe; Peter O Newton Journal: J Bone Joint Surg Am Date: 2014-04-16 Impact factor: 5.284
Authors: Martina Luchetti; Ornella Montebarocci; Nicolino Rossi; Andrea G Cutti; Angelina R Sutin Journal: PLoS One Date: 2014-06-12 Impact factor: 3.240
Authors: Claire M Buckley; Anne O'Farrell; Ronan J Canavan; Anthony D Lynch; Davida V De La Harpe; Colin P Bradley; Ivan J Perry Journal: PLoS One Date: 2012-07-31 Impact factor: 3.240