A predictive model of anxiety and depression symptoms after a lower limb amputation

Abstract

Tailored multidisciplinary interventions need to be developed providing support before and after an amputation surgery, in order to reduce anxiety and depression symptoms and promote psychological adjustment to limb loss.

Effectiveness of a Collaborative Nursing Care Model for the Treatment of Patients with Diabetic Foot Disease by Transverse Tibial Bone Transport Technique: A Pilot Study

“…Pain is a well-known predictor of depression and anxiety in patients with diabetic foot and has a deleterious effect on postoperative wound healing and usually contributes to delayed wound healing in patients experiencing elevated levels of anxiety. 49 Strong evidence suggests that with time, the patient copes better with his or her situation and sees his or her level of anxiety dropping down to an acceptable level. 48,49 Findings have also shown that health care providers without psychological or psychiatric training often fail to diagnose or to adequately address clinical depression and anxiety.…”

“…49 Strong evidence suggests that with time, the patient copes better with his or her situation and sees his or her level of anxiety dropping down to an acceptable level. 48,49 Findings have also shown that health care providers without psychological or psychiatric training often fail to diagnose or to adequately address clinical depression and anxiety. 50 In the context of the collaborative care model, which is composed of a multidisciplinary team, during the rehabilitation process, health care professionals are more likely aware that patients may experience these symptoms which may be confused with diabetes symptoms.…”

Educational and Psychological Support Combined with Minimally Invasive Surgery Reduces Perioperative Depression and Anxiety in Patients with Bladder Cancer Treated with Radical Cystectomy.

“…Most studies investigating emotional response to surgery have demonstrated an elevated risk of anxiety and depression before surgery, followed by a signi cant decrease thereafter. This phenomenon was described amongst patients subjected to emergency and major elective surgeries, including RC [6,8]. In our study more than one third of patients who were scheduled to RC had anxiety and depression symptoms within the mild to severe range (HADS score ≥ 8).…”

Prevalence of comorbidity and its association with demographic and clinical characteristics in persons wearing a prosthesis after a lower-limb amputation

“…The incidence of angina pectoris and heart failure was higher in their study, but they showed a substantial mortality after revascularization (29). A recent study regarding the incidence of anxiety or depression amongst persons after a LLA, due to diabetes, showed even higher incidences of anxiety or depression (30). For future research, we recommend a standardized description of comorbid conditions in studies of persons with a LLA.…”