Traumatic stress symptoms following a lower limb amputation in diabetic patients: a longitudinal study

• Autor(a) principal: Pedras, Carla Susana Abreu
• Data de Publicação: 2019
• Outros Autores: Preto, Isabel, Carvalho, Rui, Pereira, M. Graça
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://hdl.handle.net/1822/69678
• topic: Traumatic stress symptoms; Anxiety symptoms; Coping strategies; Amputation; Diabetes; Ciências Sociais::Psicologia; Science & Technology; Social Sciences; Saúde de qualidade

Objective: Limited research has focussed on the development of traumatic stress symptoms following an amputation due to a chronic disease such as Diabetes. This study analysed whether coping strategies, anxiety and depression symptoms, sociodemographic and clinical variables were related to traumatic stress symptoms in a sample of patients who had undergone a lower limb amputation. Design: A longitudinal design with three assessments, one month (T1), six (T2) and ten months after an amputation surgery (T3), included 144 patients. Main outcome measures: IES-R, WOC and HADS. Results: Traumatic stress symptoms were prevalent at T1 (M¼15.65, SD¼15.40) and probable PTSD was observed in 13.9% patients. Presence of pain, high level of anxiety symptoms and emotion-focused strategies contributed to traumatic stress symptoms, and the period between T1 and T2, was critical. Six to ten months (K¼0.871, F (2,84) =6.245, p=. 003), after surgery, symptoms tended to decrease 0.122 units (SE¼0.032, p¼0.002) per assessment. Conclusions: Findings raise awareness to the need of urgent identification of traumatic stress symptoms in medically ill patients who underwent a lower limb amputation, given the prevalence of traumatic stress symptoms right after surgery and in the following six months.