A predictive model of anxiety and depression symptoms after a lower limb amputation
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/1822/69852 |
Resumo: | Patients with Diabetic Foot Ulcer (DFU) show high levels of depression and anxiety symptoms. The loss of a limb is undoubtedly a devastating experience and several studies have shown that anxiety and depression symptoms are a common reaction after a lower limb amputation (LLA). However, no study has focused on the immediate emotional reactions to LLA as a personal factor based on the ICF Model. Objective: This study focused on the characterization of anxiety and depression levels, before and after surgery, differences in levels of depression and anxiety before and after surgery and the predictors of anxiety and depression one month after surgery, in a sample of patients with DFU. Methods: This was a longitudinal study with 179 patients with Diabetes Mellitus Type 2 and DFU indicated for amputation, screened for the presence of anxiety and depression symptoms during the hospitalization that preceded amputation and one month after surgery, during a follow-up consultation. Results: The results showed a significant effect of anxiety and depression symptoms at pre-surgery in the prediction of anxiety and depression symptoms one month after LLA. Patients showed higher levels of anxiety than depression symptoms at pre-surgery, although anxiety significantly decreased on month after surgery. Both anxiety and depression symptoms contributed to depression after LLA, although anxiety at pre-surgery was the only predictor of anxiety at post-surgery. Conclusions: Tailored multidisciplinary interventions need to be developed providing support before and after an amputation surgery, in order to reduce anxiety and depression symptoms and promote psychological adjustment to limb loss. |
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A predictive model of anxiety and depression symptoms after a lower limb amputationAdultAgedAged, 80 and overAmputationAmputeesAnxietyAnxiety DisordersDepressionDepressive DisorderDiabetes Mellitus, Type 2Diabetic Foot UlcerDisabled PersonsFemaleHumansLongitudinal StudiesLower ExtremityMaleMiddle AgedPre-surgeryPost- surgeryCiências Sociais::PsicologiaScience & TechnologySaúde de qualidadePatients with Diabetic Foot Ulcer (DFU) show high levels of depression and anxiety symptoms. The loss of a limb is undoubtedly a devastating experience and several studies have shown that anxiety and depression symptoms are a common reaction after a lower limb amputation (LLA). However, no study has focused on the immediate emotional reactions to LLA as a personal factor based on the ICF Model. Objective: This study focused on the characterization of anxiety and depression levels, before and after surgery, differences in levels of depression and anxiety before and after surgery and the predictors of anxiety and depression one month after surgery, in a sample of patients with DFU. Methods: This was a longitudinal study with 179 patients with Diabetes Mellitus Type 2 and DFU indicated for amputation, screened for the presence of anxiety and depression symptoms during the hospitalization that preceded amputation and one month after surgery, during a follow-up consultation. Results: The results showed a significant effect of anxiety and depression symptoms at pre-surgery in the prediction of anxiety and depression symptoms one month after LLA. Patients showed higher levels of anxiety than depression symptoms at pre-surgery, although anxiety significantly decreased on month after surgery. Both anxiety and depression symptoms contributed to depression after LLA, although anxiety at pre-surgery was the only predictor of anxiety at post-surgery. Conclusions: Tailored multidisciplinary interventions need to be developed providing support before and after an amputation surgery, in order to reduce anxiety and depression symptoms and promote psychological adjustment to limb loss.POCI-01-0145-FEDER-007653. Portuguese Foundation for Science and Technology and the Portuguese Ministry of Science, Technology and Higher Education through national funds and cofinanced by FEDER through COMPETE2020 under the PT2020 Partnership Agreement (POCI-01-0145-FEDER-007653). This work was supported by a grant (SFRH/BD/87704/2012) from the Portuguese Foundation for Science and TechnologyElsevierUniversidade do MinhoPedras, Carla Susana AbreuCarvalho, RuiPereira, M. Graça2018-012018-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/69852engPedras, S., Carvalho, R., & Pereira, M. G. (2018). A predictive model of anxiety and depression symptoms after a lower limb amputation. Disability and health journal, 11(1), 79-851936-657410.1016/j.dhjo.2017.03.01328395911https://www.sciencedirect.com/science/article/pii/S1936657417300559info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:21:33Zoai:repositorium.sdum.uminho.pt:1822/69852Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:14:49.465996Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
A predictive model of anxiety and depression symptoms after a lower limb amputation |
title |
A predictive model of anxiety and depression symptoms after a lower limb amputation |
spellingShingle |
A predictive model of anxiety and depression symptoms after a lower limb amputation Pedras, Carla Susana Abreu Adult Aged Aged, 80 and over Amputation Amputees Anxiety Anxiety Disorders Depression Depressive Disorder Diabetes Mellitus, Type 2 Diabetic Foot Ulcer Disabled Persons Female Humans Longitudinal Studies Lower Extremity Male Middle Aged Pre-surgery Post- surgery Ciências Sociais::Psicologia Science & Technology Saúde de qualidade |
title_short |
A predictive model of anxiety and depression symptoms after a lower limb amputation |
title_full |
A predictive model of anxiety and depression symptoms after a lower limb amputation |
title_fullStr |
A predictive model of anxiety and depression symptoms after a lower limb amputation |
title_full_unstemmed |
A predictive model of anxiety and depression symptoms after a lower limb amputation |
title_sort |
A predictive model of anxiety and depression symptoms after a lower limb amputation |
author |
Pedras, Carla Susana Abreu |
author_facet |
Pedras, Carla Susana Abreu Carvalho, Rui Pereira, M. Graça |
author_role |
author |
author2 |
Carvalho, Rui Pereira, M. Graça |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Pedras, Carla Susana Abreu Carvalho, Rui Pereira, M. Graça |
dc.subject.por.fl_str_mv |
Adult Aged Aged, 80 and over Amputation Amputees Anxiety Anxiety Disorders Depression Depressive Disorder Diabetes Mellitus, Type 2 Diabetic Foot Ulcer Disabled Persons Female Humans Longitudinal Studies Lower Extremity Male Middle Aged Pre-surgery Post- surgery Ciências Sociais::Psicologia Science & Technology Saúde de qualidade |
topic |
Adult Aged Aged, 80 and over Amputation Amputees Anxiety Anxiety Disorders Depression Depressive Disorder Diabetes Mellitus, Type 2 Diabetic Foot Ulcer Disabled Persons Female Humans Longitudinal Studies Lower Extremity Male Middle Aged Pre-surgery Post- surgery Ciências Sociais::Psicologia Science & Technology Saúde de qualidade |
description |
Patients with Diabetic Foot Ulcer (DFU) show high levels of depression and anxiety symptoms. The loss of a limb is undoubtedly a devastating experience and several studies have shown that anxiety and depression symptoms are a common reaction after a lower limb amputation (LLA). However, no study has focused on the immediate emotional reactions to LLA as a personal factor based on the ICF Model. Objective: This study focused on the characterization of anxiety and depression levels, before and after surgery, differences in levels of depression and anxiety before and after surgery and the predictors of anxiety and depression one month after surgery, in a sample of patients with DFU. Methods: This was a longitudinal study with 179 patients with Diabetes Mellitus Type 2 and DFU indicated for amputation, screened for the presence of anxiety and depression symptoms during the hospitalization that preceded amputation and one month after surgery, during a follow-up consultation. Results: The results showed a significant effect of anxiety and depression symptoms at pre-surgery in the prediction of anxiety and depression symptoms one month after LLA. Patients showed higher levels of anxiety than depression symptoms at pre-surgery, although anxiety significantly decreased on month after surgery. Both anxiety and depression symptoms contributed to depression after LLA, although anxiety at pre-surgery was the only predictor of anxiety at post-surgery. Conclusions: Tailored multidisciplinary interventions need to be developed providing support before and after an amputation surgery, in order to reduce anxiety and depression symptoms and promote psychological adjustment to limb loss. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01 2018-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1822/69852 |
url |
http://hdl.handle.net/1822/69852 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Pedras, S., Carvalho, R., & Pereira, M. G. (2018). A predictive model of anxiety and depression symptoms after a lower limb amputation. Disability and health journal, 11(1), 79-85 1936-6574 10.1016/j.dhjo.2017.03.013 28395911 https://www.sciencedirect.com/science/article/pii/S1936657417300559 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Elsevier |
publisher.none.fl_str_mv |
Elsevier |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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