Anxiety and Depression Scores in Patients Subjected to Arterial Revascularization for Critical Limb Ischemia

Fioranelli, Alexandre; Wolosker, Nelson; Mello, Ricardo Abreu Feijó de; Caffaro, Roberto Augusto; Leiderman, Dafne Braga Diamante; Portugal, Maria Fernanda Cassino; Mendes, Cynthia de Almeida; Pinheiro, Lucas Lembrança; Teivelis, Marcelo Passos

doi:10.1016/j.avsg.2021.04.024

Cited by 7 publications

(1 citation statement)

References 27 publications

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“…However, a Brazilian study reported a prevalence of around 68.5% [ 24 ]. In general, the prevalence of symptoms of anxiety and depression after MLLA gradually decreases, whether at three months [ 18 ], six months [ 21 ], or one year and more [ 11 , 14 , 21 , 25 - 27 ]. This reduction can be explained by the relief of pain, and the absence of fear and worry after the MLLA.…”

Section: Discussionmentioning

confidence: 99%

Anxiety and Depressive Symptoms in Moroccan Patients Following Major Lower Limb Amputation: A Three-Month Follow-Up

Elaatmani,

Ahizoune,

El Maqrout

et al. 2024

Cureus

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Objective: Major amputation of a lower limb is a traumatic experience that causes physical and psychosocial disabilities. This study set out to ascertain how anxiety and depression symptoms changed during the three months following the amputation. Materials and methods: A prospective longitudinal observational study was conducted between October 1, 2019, and January 1, 2021, in the Department of Vascular Surgery and the Department of Orthopedic Traumatology of the Ibn Sina Hospital Center in Rabat, Morocco. The study assesses symptoms of anxiety and depression in patients who have undergone a major lower limb amputation over a three-month interval. Results: In patients who had undergone a major lower limb amputation, the prevalence of anxiety and depression symptoms was very high immediately postoperatively (47.4% and 79.2%, respectively), with a significant decrease in these symptoms. Three months later, anxiety was reported in 24.4% of cases, and depressive symptoms in 65.1% of cases. Age, amputation level, stump pain, phantom limb pain, re-amputation, and emergency amputation were all associated with an increased risk of anxiety and depression. The patient's psychological preparation prior to the amputation, the anesthetic technique used during the procedure, the patient's mobility, and the patient's post-amputation professional status were all protective factors. Conclusion: Our research findings bolster the necessity of promptly evaluating and managing anxiety and depression in the initial three months following major lower limb amputation. Thus, we believe that amputee patients ought to receive a formal psychological evaluation, which could be helpful, particularly for those whose anxiety or depression symptoms did not improve after three months.

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