These results indicate that psychotherapeutic intervention during in-patient treatment can have a positive influence on anxiety, depressive symptoms and diabetes-related problems in patients with diabetic foot syndrome.

At the beginning of the treatment 18% of the inpatients suffered from severe depressive symptoms, and 16.2 % suffered from moderate depressive symptoms. 16.4% of the patients suffered from severe anxiety, and 24.7% suffered from moderate anxiety (HADS). The prevalence rate of the type D pattern was 33.0%. The extent of anxiety and depression was not, as had been anticipated, associated with the severity of the physical symptoms. Although the diabetic foot syndrome improved significantly in most of the patients, the extent of depressive symptoms, anxiety and diabetes-related problems remained almost the same.