The association between depressive mood and pain amongst individuals with limb amputations

Ide, Makoto

doi:10.1007/s00068-010-0043-8

Cited by 10 publications

(10 citation statements)

References 16 publications

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“…Trauma and changes in physical body characteristics are risk factors for depression [12], and TLA leads to permanent changes in physical appearance or function. Young traumatic amputees tend to get worse psychologically with increasing time since amputation as compared with older amputees [1,2,13]. Our findings therefore agree that the risk of psychological consequences of TLA is substantial.…”

Section: Discussionsupporting

confidence: 80%

Risk of depression following traumatic limb amputation—a general population-based cohort study

Lindner

Montgomery

Hiyoshi

2019

Scand J Public Health

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Background: Individuals with traumatic limb amputation (TLA) may be at risk of depression, but evidence of increased depression after TLA from longitudinal studies has been limited. It is also unknown whether physical function, cognitive function, and employment prior to amputation affects depression risk. We aimed to examine longitudinal associations between TLA and depression in working age men, and to explore the role of pre-amputation occupational and individual characteristics. Methods: A Swedish national register-based cohort of 189,220 men born between 1952 and 1956, and who attended conscription assessments in adolescence, was followed from 1985 to 2009. Physical, cognitive, and psychological characteristics were measured at the conscription examination, and occupational information was obtained from the 1985 census. Main outcome measures were hospital inpatient and outpatient admissions for depression. Results: In total, 401 men underwent TLA; mean age at amputation was 42.5 years (SD 7.4). Cox regression produced an unadjusted hazard ratio (95% confidence interval) of 2.61 (1.62–4.21) for risk of subsequent depression associated with TLA compared with the general population. Adjustment for occupational, physical, cognitive, and psychological characteristics did not change the association much, producing a hazard ratio of 2.53 (1.57–4.08). Conclusions: TLA is associated with an increased risk of depression in men over more than two decades of follow up. Occupational and individual characteristics prior to amputation did not greatly change depression risk following amputation. We speculate that a coordinated combination of social support and medical management may help reduce persistent depression risk in men who experience amputation.

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Section: Discussionsupporting

confidence: 80%

Risk of depression following traumatic limb amputation—a general population-based cohort study

Lindner

Montgomery

Hiyoshi

2019

Scand J Public Health

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“…A large majority of the patients with complaints of depression reported that they had to undergo amputation owing to work-related trauma, and patients in this group also stated that their most significant complaint was pain in the amputated extremity. 26 In our study group, the rate of patients with depressive symptoms was 37.1%. The lack of difference in the depression scores between patients who have undergone amputations at different levels may be related with the using prostheses for walking.…”

Section: Discussionmentioning

confidence: 54%

The Effect of the Level of Amputation on Depression, Body Image Perception and Locomotor Capacity in Patients Using Lower Extremity Prosthesis

Gökşenoğlu¹

2019

J PMR Sci

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The aim of the study was to evaluate the effects of the amputation levels on depression, body image perception and locomotor capacity in patients using lower extremity prosthesis. M Ma at te er ri ia al l a an nd d M Me et th ho od d: : In total, 62 patients were included in the study. The demographic data and clinical characteristics of the patients were recorded.The patients were divided into four groups depending on the level of amputation: transfemoral, transtibial, foot amputation and knee disarticulation. The locomotor capabilities index-5 was used to grade the locomotor capacity of the patients, amputee body image scale was used to measure the body image perception and beck depression inventory was used to assess the symptoms of depression. R Re es su ul lt ts s: : The mean age of the 62 patients (74.2% male, 25.8% female) was 43.8±14.6 years. No significant difference was found between the mean scores for the amputee body image scale and Beck depression inventory scores that were determined according to the amputation levels, whereas a significant difference was observed with respect to the locomotor capabilities index-5 scores. When the mean the locomotor capabilities index-5 scores of the four amputee groups were compared, significant differences were found between scores of patients with knee disarticulation and transfemoral amputation, transtibial amputation, foot amputation. It was determined that patients with knee disarticulation had significantly lower locomotor capabilities than that of other amputation levels. C Co on nc cl lu us si io on n: : In our study, although body image and locomotor capabilities were found to be lower among patients with knee disarticulation compared with other amputation levels, no significant difference was found in terms of depression and body image perception.

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“…The severity of depression in previous studies in which amputees were evaluated with BDI-II has been observed as 12.7-23.2% moderate and 7.3-10.1% severe. [20][21][22] The rate of extremely severe depression was reported as 8.2%. 20 In this study, only 6.5% of the patients had severe depression and 8% had moderate depression, indicating that the Syrian refugee amputees were partially in a good condition based on BDIS.…”

Section: Discussionmentioning

confidence: 99%

“…The patient is asked to choose the statement that best describes how he/she felt during the last week, including the day of the survey. 17 Depression levels according to the total score obtained from the answers of all questions are defined as minimal (0-13), mild (14)(15)(16)(17)(18)(19), moderate (20)(21)(22)(23)(24)(25)(26)(27)(28) and severe (29-63). 18 The validity study of the Arabic version of the inventory was conducted by Ghareeb.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of the Depression Status of Syrian Refugee Amputees Living in Turkey

Kablan¹,

Tatar²

2020

J PMR Sci

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Amputation affects the life multifunctionally, psychologically and socially. 1 In addition, it is also known to cause a series of emotional, perceptual, and psychological reactions mainly by altering the body image. 2 It is accepted that more than half of the amputees develop psychological disorders in the medium and long term after amputation. 3 Although rehabilitation practices after amputation mostly focus

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The association between depressive mood and pain amongst individuals with limb amputations

Abstract: The results of this study revealed the validity of optional approaches such as prescription of antidepressants or psychological counseling to improve mental health of individuals with limb amputations.

Cited by 10 publications

References 16 publications

Risk of depression following traumatic limb amputation—a general population-based cohort study

Risk of depression following traumatic limb amputation—a general population-based cohort study

The Effect of the Level of Amputation on Depression, Body Image Perception and Locomotor Capacity in Patients Using Lower Extremity Prosthesis

Evaluation of the Depression Status of Syrian Refugee Amputees Living in Turkey

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