Psychological status of diabetic people with or without lower limb disability

Mental health issues associated with foot complications of diabetes mellitus

“…This finding is consistent with previous research that demonstrated marked physical limitations associated with diabetic foot ulcers that may decrease patient mobility and independence, precluding work activity [3,7], and a high prevalence of unemployment, early retirement, or inability to work in the majority (50% to 79%) of patients with diabetic foot ulcers [1, 3,6].…”

“…Diabetic patients, especially those with severe functional impairment, have more frequent symptoms of psychological depression than the general population [7][8][9][10]. One-third of all patients who develop their first diabetic foot ulcer concurrently suffer from clinical depression, and diabetic patients with minor and major depressive disorders have a three-fold hazard risk for mortality [9].…”

A study on the impact of smoking and alcoholism as determinant factors in the prognosis and outcome of diabetic foot ulcer disease

“…In addition to functional limitations that amputees experience, there is also a significant psychological impact. 19 Depression has been shown to increase the number of macro and micro vascular complications in diabetics. 20 Recently, comorbid depression in diabetics has been shown to increase mortality, excluding cardiovascular complications caused by depression.…”

Diabetic Foot Ulcer – Diagnosis and Management

“…The incidence and importance of this complication is highlighted by the fact that papers on diabetic foot in Pub-Med have increased from 0.7% in the 1980-88 to 2.6% in 1998-2004 [6]. DFU is prone to infections, chronicity and recurrence which eventually affect the mental health of patients [7]. A benign looking ulcer in a patient with diabetes often ends up in amputation.…”