Depression symptoms in people with diabetes attending outpatient podiatry clinics for the treatment of foot ulcers

Pearson, Sue; Nash, Toni; Ireland, Vanessa

doi:10.1186/s13047-014-0047-4

Cited by 31 publications

(21 citation statements)

References 55 publications

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“…Schunk et al (19) evaluated many variables, such as age, gender, duration of DM, use of insulin, and body mass index using the SF-12 as a measure of QOL. Several other studies have used the SF-12 as an outcome instrument for patients with diabetic foot ulcers (16,18,20). Many other studies of QOL in diabetic foot disease have used the SF-36 as an outcome instrument (3,21–27).…”

Section: Discussionmentioning

confidence: 99%

Correlation of SF-36 and SF-12 Component Scores in Patients With Diabetic Foot Disease

Wukich

Sambenedetto

Mota

et al. 2016

The Journal of Foot and Ankle Surgery

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The assessment of patient outcomes is becoming increasingly important in all areas of medicine, including foot and ankle surgery. The Medical Outcomes Study Short Form 36-item (SF-36) is widely used as a generic measure of quality of life; however, patients often find answering 36 questions cumbersome. Consequently, the Short Form 12 (SF-12) was developed. We hypothesized that the agreement between the SF-12 and SF-36 component scores would be substantial in patients with diabetic foot disease. We retrospectively reviewed the data from 300 patients with diabetes mellitus (DM) and foot and ankle pathology who completed the SF-36 questionnaire. Of the 300 patients, 155 (51.7%) had problems directly related to complications of DM and 145 (48.3%) had routine foot complaints that were unrelated to complications of DM. The 12 questions of the SF-12 were abstracted from the SF-36. The overall median score for the SF-36 physical component summary was 34.70 compared with the overall SF-12 physical component summary of 36.75 (p = .04). The intraclass correlation coefficient was 0.93688. The overall median score for the SF-36 mental component summary was 52.40 compared with the overall SF-12 mental component summary of 51.25 (p = .34). The intraclass correlation coefficient was 0.95449. Substantial agreement was observed when comparing the component scores of the SF-12 and the SF-36. From our study results of 300 patients with DM, it appears that the SF-36 and SF-12 are comparable outcome instruments for use with patients with diabetic foot disease.

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Section: Discussionmentioning

confidence: 99%

Correlation of SF-36 and SF-12 Component Scores in Patients With Diabetic Foot Disease

Wukich

Sambenedetto

Mota

et al. 2016

The Journal of Foot and Ankle Surgery

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“…Interestingly, diabetic patients who suffer from depression are twice as likely to develop a chronic foot ulcer, and depression is also a risk factor for infection in the chronic wound . Depression and cognitive impairment are associated with decreased treatment compliance and adherence to self‐care tasks . Treatment compliance and persistent self‐care are critical for optimal wound healing.…”

Section: Introductionmentioning

confidence: 99%

Microbiome‐skin‐brain axis: A novel paradigm for cutaneous wounds

Hadian

Fregoso

Nguyen

et al. 2020

Wound Repair Regeneration

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Chronic wounds cause a significant burden on society financially, medically, and psychologically. Unfortunately, patients with nonhealing wounds often suffer from comorbidities that further compound their disability. Given the high rate of depressive symptoms experienced by patients with chronic wounds, further studies are needed to investigate the potentially linked pathophysiological changes in wounds and depression in order to improve patient care. The English literature on wound healing, inflammatory and microbial changes in chronic wounds and depression, and antiinflammatory and probiotic therapy was reviewed on PubMed. Chronic wound conditions and depression were demonstrated to share common pathologic features of dysregulated inflammation and altered microbiome, indicating a possible relationship. Furthermore, alternative treatment strategies such as immune-targeted and probiotic therapy showed promising potential by addressing both pathophysiological pathways. However, many existing studies are limited to a small study population, a cross-sectional design that does not establish temporality, or a wide range of confounding variables in the context of a highly complex and multifactorial disease process. Therefore, additional preclinical studies in suitable wound models, as well as larger clinical cohort studies and trials are necessary to elucidate the relationship between wound microbiome, healing, and depression, and ultimately guide the most effective therapeutic and management plan for chronic wound patients.

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“…For example, it has been demonstrated that a third of people with diabetic foot ulcers suffer from clinical depression. Depressive symptoms are associated with more compromised overall diabetic self-care and health-related quality of life (Pearson et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Quality of life of Czech patients with diabetic foot ulcers

Vymětalová¹,

Zeleníková²

2019

Kontakt

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The aim of this study was to assess the quality of life of patients with diabetic foot ulcers, and its dependence on the duration of ulceration, the use of insulin therapy, smoking and Body Mass Index. Design: Cross-sectional study. Methods: A standardized questionnaire, the Diabetic Foot Ulcer Scale, was used for data collection. A quantitative study included 247 adults with diabetic foot ulcers. Data collection was performed between April 2014 and December 2014 in 18 podiatric outpatient and chronic wound outpatient clinics spread out over the entire Czech Republic. Results: The study found that the highest average index of quality of life was in the domain of noncompliance (84.6), while the lowest was in the domain of leisure (49.2). The duration of diabetic foot ulcer has significant influence on three domains of quality of life: physical health (p = 0.022), noncompliance (p = 0.044) and positive attitude (p = 0.018). The use of insulin therapy has an important influence on three domains of quality of life: physical health (p = 0.002), daily activities (p = 0.012) and emotions (p = 0.029). Statistically significant differences in quality of life scores have been found between smokers and non-smokers in two domains: noncompliance (p < 0.0001) and positive attitude (p = 0.003). Conclusions: In our sample it was demonstrated that quality of life is dependent on the duration of diabetic foot ulcers-the longer the duration, the lower the quality of life. The dependence was revealed in three domains: physical health, noncompliance and positive attitude. The use of insulin therapy as well as smoking proved to have an impact on the quality of life of patients with diabetic foot ulcers. The use of insulin therapy as well as smoking proved to have an impact on the quality of life of patients with diabetic foot ulcers. Prevention, early detection and monitoring of diabetic foot ulcers is necessary in order to prevent continuing deterioration of quality of life of diabetic patients.

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Depression symptoms in people with diabetes attending outpatient podiatry clinics for the treatment of foot ulcers

Cited by 31 publications

References 55 publications

Correlation of SF-36 and SF-12 Component Scores in Patients With Diabetic Foot Disease

Correlation of SF-36 and SF-12 Component Scores in Patients With Diabetic Foot Disease

Microbiome‐skin‐brain axis: A novel paradigm for cutaneous wounds

Quality of life of Czech patients with diabetic foot ulcers

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