‘Loss of self’: a psychosocial study of the quality of life of adults with diabetic foot ulceration

Kinmond, Kathryn; McGee, Paula; Gough, Stephen; Ashford, Robert

doi:10.1016/s0965-206x(03)80025-6

Cited by 72 publications

(93 citation statements)

References 24 publications

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“…13 More depression and poorer psychosocial adjustment by DM patients with DFU compared to those without has been shown in early 14 and recent 15 studies. In general, adverse psychological effects associated with DFU include a sense of loss of self, social isolation, 16 loss of self-esteem, fear, anger, helplessness, and depression. 11,13,17 Patients may worry about the ulcer itself, the potential for new ulcers to develop, and the possibility of amputation.…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of the Greek version of the Diabetic Foot Ulcer Scale - Short Form (DFS-SF)

Kontodimopoulos

Veniou

Tentolouris

et al. 2016

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ObJECTIvE: Diabetic foot ulcer is a critical and costly complication of diabetes mellitus. The aim of this study was to assess the psychometric properties of the greek version of the diabetic foot ulcer scale -short form (DFS-SF). DESIgN: a sample of patients with diabetic foot ulcer (N=110) was surveyed with the DFS-SF and various demographic and disease-related questions. The validated greek SF-36 instrument was used as a "gold standard" for health-related quality of life comparisons. hypothesized scale structure, internal consistency reliability (Cronbach's alpha) and various forms of construct validity (convergent, discriminative, concurrent and known -groups) were assessed. RESUlTS: multitrait scaling confirmed the scale structure of the DFS-SF, with 32 excellent item convergence (100%) and good discrimination (84.1%) rates. Cronbach's alpha was >0.70 for all scales. Spearman's correlations between similar DFS-SF and SF-36 scales ranged between 0.39-0.79 (p<0.001). Expected interscale correlations and knowngroups comparisons supported construct validity. CONClUSIONS: The observed psychometric properties of the greek DFS-SF imply suitability for assessing health-related quality of life in patients with diabetic foot ulcer. Future studies should focus on generalizability of the results, as well as on specific issues such as longitudinal validity and responsiveness.

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Section: Introductionmentioning

confidence: 99%

Validity and reliability of the Greek version of the Diabetic Foot Ulcer Scale - Short Form (DFS-SF)

Kontodimopoulos

Veniou

Tentolouris

et al. 2016

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“…The severity of foot problems in diabetes has been addressed in qualitative research, but only in persons with a diabetic foot ulcer rather than with Charcot foot again suggesting that the latter condition has not been studied specifically in qualitative research either: ‘When you stop to think about it [the ulcer] you could just get up and go and now you can’t; you’re restricted; you have to take care not to knock your leg; you have to be careful that you don’t tread on anything that you know is on the ground.‘ In the same paper a male having lost his job consequent to ulceration is quoted: ‘I would lose my life as well. In fact I think I did.’ [24]. Whether ulceration or Charcot foot is worse, is an open question.…”

Section: Introductionmentioning

confidence: 99%

High levels of anxiety and depression in diabetic patients with Charcot foot

Chapman

Shuttleworth

Huber

2014

Journal of Foot and Ankle Research

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Background/aimsCharcot foot is a rare but devastating complication of diabetes. Little research is available on the mental health impact of Charcot foot. Aim of the study is to assess mental health in diabetes patients with Charcot foot and to investigate the moderating effects of socio-demographic factors. The severity of the problem will be statistically evaluated with the help of a reference data set.MethodsCross-sectional questionnaire data using the Hospital Anxiety and Depression Scale (HADS) and demographic background were collected from 50 patients with diabetes and Charcot complications (males 62%; mean age 62.2 ± 8.5 years). Statistical comparisons with a large data set of general diabetes patients acting as a point of reference were carried out.ResultsAnxiety and depression levels were high, (anxiety and depression scores 6.4 ± 4 and 6.3 ± 3.6 respectively). Females reported more severe anxiety and depression. Ethnic minorities and patients out of work reported more severe anxiety. Comparisons with published HADS data indicate that diabetes patients with Charcot foot experience more serious levels of anxiety and depression.ConclusionsThe high levels of mental health problems which were found in this study in diabetes patients with Charcot foot require recognition by researchers and clinicians. The findings imply the need to screen for mental health problems in diabetes patients with Charcot foot.

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“…She proposed that this loss of self is exacerbated by four psychological conditions: living a restricted life; existing in social isolation; experiencing discredited definitions of self (as the sense of self becomes both altered and diminished); and becoming a burden. The study by Kimmond, McGee, Gough and Ashford (2003) also identified these themes in their study on quality of life of adults with diabetic ulceration.…”

Section: Discussionmentioning

confidence: 99%

Why have you both come? Emotional, relationship, sexual and social issues raised by heterosexual couples seeking sexual therapy (in women referred to a sexual difficulties clinic with a history of vulval pain)

Sheppard

Hallam‐Jones

Wylie

2008

Sexual and Relationship Therapy

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‘Loss of self’: a psychosocial study of the quality of life of adults with diabetic foot ulceration

Cited by 72 publications

References 24 publications

Validity and reliability of the Greek version of the Diabetic Foot Ulcer Scale - Short Form (DFS-SF)

Validity and reliability of the Greek version of the Diabetic Foot Ulcer Scale - Short Form (DFS-SF)

High levels of anxiety and depression in diabetic patients with Charcot foot

Why have you both come? Emotional, relationship, sexual and social issues raised by heterosexual couples seeking sexual therapy (in women referred to a sexual difficulties clinic with a history of vulval pain)

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