Anxiety and depression following traumatic limb amputation: A systematic review

Mckechnie, P.S.; John, Ann

doi:10.1016/j.injury.2014.09.015

Cited by 131 publications

(89 citation statements)

References 24 publications

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“…studies 94 Meta‐analysis: yes 4007 adults age 18 + in palliative care; 10,071 adults 18 + in palliative care and oncological settings Patients from oncological, hematological, and palliative‐care settings Mostly Western studies Psychiatric interviews9.8% (6.8–13.2) in palliative‐care, and 10.3% (5.1–17.0) in oncological and hematological settingsJanssen 2008 – previously described Murtagh 2007 Search: April 2005 # incl. studies 60 Meta‐analysis: No Adult patients diagnosis of end‐stage renal disease Range: 19–5256 Clinical settingsStandardized psychiatric interview, survey, validated screening toolsAnxiety prev: 38% (12–52)Solano 2006 – previously described Trauma Mckechnie 2014 Search: June 2013 # incl. studies 13 Meta‐analysis: no Traumatic limb amputees, age 18 + Range: NR Military patients (including veterans from Vietnam, Iraq, Afghanistan) Mostly UK and US studies ICD or DSM diagnoses, symptom checklistsAnxiety ranged from 25.4–57% in this pop Chen 2010 Search: Dec. 2008 # incl.…”

Section: Embasementioning

confidence: 99%

“…studies 94 Meta‐analysis: yes Original studies No consensus about optimum psychiatric diagnostic approach in cancer settings Studies of variable quality, mostly cross‐sectional designs, some used convenience sampling, different anxiety measurement methods Could not determine correlates of anxiety Few studies with defined period of prevalence Review Possible publication bias 8Janssen 2008 – previously described Murtagh 2007 Search: April 2005 # incl. studies 60 Meta‐analysis: No Studies on incidence and prevalence of symptoms in ESRD, their causes, and interventions Population‐based, longitudinal studies More information on generalizability of available studies How do symptoms vary between those managed without dialysis and those withdrawing from dialysis? Symptom burden in ESRD Symptoms experienced at end of life Identify what is common and different between those dying from ESRD and other palliative populations Original studies Heterogeneity: symptom definition, who defines a symptom (reporting), different periods over which prevalence is measured, different tools used No population‐based studies Review Search strategy 6Solano 2006 – previously described Trauma Mckechnie 2014 Search: June 2013 # incl. studies 13 Meta‐analysis: no Prospective studies assessing long‐term levels of anxiety in post‐traumatic amputees, and whether rehab programmes are successful and mental health issues continue after the programme ends Original No info on how prev changes with time since amputation (anxiety assessed at fixed time point) Different scoring systems in different populations at various follow‐up times Selected specialist samples not representative of all traumatic amputees Sampling – possible selection bias Attrition during follow‐up Review Some studies may have been missed 8 Chen 2010 Search: Dec. 2008 # incl.…”

Section: Embasementioning

confidence: 99%

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A systematic review of reviews on the prevalence of anxiety disorders in adult populations

et al. 2016

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BackgroundA fragmented research field exists on the prevalence of anxiety disorders. Here, we present the results of a systematic review of reviews on this topic. We included the highest quality studies to inform practice and policy on this issue.MethodUsing PRISMA methodology, extensive electronic and manual citation searches were performed to identify relevant reviews. Screening, data extraction, and quality assessment were undertaken by two reviewers. Inclusion criteria consisted of systematic reviews or meta‐analyses on the prevalence of anxiety disorders that fulfilled at least half of the AMSTAR quality criteria.ResultsWe identified a total of 48 reviews and described the prevalence of anxiety across population subgroups and settings, as reported by these studies. Despite the high heterogeneity of prevalence estimates across primary studies, there was emerging and compelling evidence of substantial prevalence of anxiety disorders generally (3.8–25%), and particularly in women (5.2–8.7%); young adults (2.5–9.1%); people with chronic diseases (1.4–70%); and individuals from Euro/Anglo cultures (3.8–10.4%) versus individuals from Indo/Asian (2.8%), African (4.4%), Central/Eastern European (3.2%), North African/Middle Eastern (4.9%), and Ibero/Latin cultures (6.2%).ConclusionsThe prevalence of anxiety disorders is high in population subgroups across the globe. Recent research has expanded its focus to Asian countries, an increasingly greater number of physical and psychiatric conditions, and traumatic events associated with anxiety. Further research on illness trajectories and anxiety levels pre‐ and post‐treatment is needed. Few studies have been conducted in developing and under‐developed parts of the world and have little representation in the global literature.

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Section: Embasementioning

confidence: 99%

Section: Embasementioning

confidence: 99%

A systematic review of reviews on the prevalence of anxiety disorders in adult populations

et al. 2016

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“…The positive role of spirituality has been recently highlighted for the female gender in particular [25]. Levels of anxiety and depression have been extensively studied, being significantly higher than in the general population and also influencing quality of life [26,27].…”

Section: Resultsmentioning

confidence: 99%

Distortion of Body Image Following Lower Limb Amputation: Implications for Comprehensive Rehabilitation

Peroni¹,

Cornaggia²,

Cerri³

et al. 2017

CANN

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“…Egy traumás amputáltakat vizsgáló összefoglaló tanulmány 20,6-63%-ra teszi a depresszió, míg 25,45-57%-ra a szorongás prevalenciáját [12]. Rizikófaktort jelent a válás vagy az egyedül élés, az alacsonyabb szocioökonómiai státus, a fantomfájdalom és a komorbid betegségek megléte, valamint, ha az illető a megelőző évben mentálhigiénés kezelésben részesült.…”

Section: Depresszió Szorongásunclassified

Pszichológiai alkalmazkodás alsóvégtag-amputációt követően. Kvantitatív és kvalitatív kutatási eredmények

Panyi

Lábadi

2015

Orvosi Hetilap

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Az amputációt követő rehabilitáció hatékonysága, a protézis beválása jelentős mértékben függ az egyén pszichológi-ai alkalmazkodásától. A végtag amputációja komoly veszteségélmény, amely számos pszichés problémát hívhat elő. Gyakoriak a depresszív és a szorongásos tünetek, nehézségek a szociális helyzetekben (függőség másoktól, diszkomfortérzés, elszigetelődés, stigmatizáció), a testkép, énkép, identitás negatív irányú változása, valamint alacsonyabb színvonalú jóllét és életminőség a korábbi életvitelhez viszonyítva. Az alkalmazkodás folyamata során a betegeknek meg kell küzdenie a felmerülő testi és lelki problémákkal, újratanulni mindennapi aktivitásaik kivitelezését, elfogadni a testképükben bekövetkezett alterációkat és mindezt beépíteni egy merőben új szelfkoncepcióba. Az összefoglaló tanulmány végtagamputált egyének rehabilitációja során fellépő pszichológiai tényezők számbavétele mellett javaslatot kínál a sikeres integratív szemléletű rehabilitációhoz. Orv. Hetil., 2015, 156(39), 1563-1568. Kulcsszavak: alsóvégtag-amputáció, rehabilitáció, pszichés funkcionálás Psychological adjustment following lower limb amputation Results from qualitative and quantitative researchRehabilitation of lower limb amputees and the fi tting of their prosthesis depend highly on the psychological adjustment process and motivational state of the patient. The loss of a limb is extremely challenging and can cause various physical and psychological problems. Depression, anxiety, decreased well-being and quality of life, body image dissatisfaction and changes in self-concept and identity are frequent after lower limb amputation. In the interest of adjustment patients have to cope with the emerging changes and diffi culties in their lifes as well as the problems in psychological functioning. It is important for them to accept the alterations in their body and identity, and integrate them in a new self-concept in which process motivation is a fundamental issue. The aim of this article is to review the literature on psychological consequences of lower limb amputation, and to propose an integrative way of rehabilitation for lower limb amputees. Hetil., 2015, 156(39), 1563-1568. (Beérkezett: 2015 elfogadva: 2015. augusztus 6.) ÖSSZEFOGLALÓ KÖZLEMÉNYMagyarországon évente körülbelül 3000 amputációt vé-geznek. Ezek döntő része -78%-a -krónikus betegsé-gekből (érbetegség, diabetes) kifolyólag történik, de okozhatja baleset (17%), tumor (3%), illetve fertőzés vagy végtagfejlődési rendellenesség is (2%) [1]. Az elmúlt évtizedekben egyre elterjedtebbé vált pszichológu-sok bevonása különböző orvosi tevékenységekbe. Az amputáción átesett emberek esetében is számos terüle-ten szükséges a pszichés támogatás, kezdve a műtéttel kapcsolatos információadástól a rehabilitáción és új élet-

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Anxiety and depression following traumatic limb amputation: A systematic review

Cited by 131 publications

References 24 publications

A systematic review of reviews on the prevalence of anxiety disorders in adult populations

A systematic review of reviews on the prevalence of anxiety disorders in adult populations

Distortion of Body Image Following Lower Limb Amputation: Implications for Comprehensive Rehabilitation

Pszichológiai alkalmazkodás alsóvégtag-amputációt követően. Kvantitatív és kvalitatív kutatási eredmények

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