Peer-Reviewed Journal Details
Mandatory Fields
Coffey, L;Gallagher, P;Horgan, O;Desmond, D;MacLachlan, M
2009
October
Diabetic Medicine
Psychosocial adjustment to diabetes-related lower limb amputation
Published
47 ()
Optional Fields
DEPRESSION SCALE ANXIETY PEOPLE DISABILITY ILLNESS
26
1063
1067
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.
MALDEN
0742-3071
10.1111/j.1464-5491.2009.02802.x
Grant Details