Psychological status of diabetic people with or without lower limb disability
Abstract
The aim of this study was to compare the quality of life between diabetic people with chronic foot ulceration or lower limb amputation and diabetic controls. Each participant was interviewed using the Psychosocial Adjustment to Illness Scale, the Hospital Anxiety and Depression (HAD) scale, a specifically designed foot questionnaire and a quality of life ladder. Thirteen diabetic unilateral lower limb amputees (DA) were matched for age and sex with 13 unilateral diabetic patients with chronic foot ulceration (DU). Twenty six age- and sex-matched diabetic people with no history of foot ulceration were the controls (DC). Significantly poorer psychosocial adjustments to illness were found in DU and DA compared to diabetic controls (both P < 0.05). DU were also significantly more depressed than the DC (P < 0.05) using the HAD scale. The quality of life ladder revealed that DU were significantly more dissatisfied with their personal lives than DC (P < 0.05). Finally, the foot questionnaire showed that DU had a significantly more negative attitude towards their feet than DC and DA (P < 0.05). This study showed that the psychological status of mobile amputees was better than that of the diabetic foot ulcer patients but not as good as diabetic controls.
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Diabetes complications are linked to depression, anxiety, reduced autonomy, role impairment, and lower overall physical function and quality of life.
“Diabetes complications, including peripheral neuropathy, foot ulcers, limb amputation, diabetic kidney disease, vision impairment, stroke, and heart attack, are associated with depression, anxiety, reduced autonomy, role impairment, and reduced overall physical function and quality of life (119–122).”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [120]
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- Authors
- Carrington, A. L., Mawdsley, S. K. V., Morley, M., Kincey, J., & Boulton, A. J. M.
- Affiliations
- Manchester Royal Infirmary (GB)
- Corresponding author
- Boulton, A.J.M.
- Venue
- Diabetes Research and Clinical Practice
- Publisher
- Elsevier BV
- Published
- 1996-04
- Volume
- 32
- Issue
- 1-2
- Pages
- 19-25
- ISSN
- 0168-8227 (ISSN-L)
- OpenAlex
- W2087273473
- Cited by
- 201
- References
- 17
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 8 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 7 · 2019: 3 · 2018: 8 · 2017: 7 · 2016: 18 · 2015: 5 · 2014: 12 · 2013: 6 · 2012: 9
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Research and Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetic Foot Ulcer Assessment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Dermatology › Skin Diseases and Diabetes
- Keywords
- diabetes mellitus, lower limb amputation, quality of life, psychosocial adjustment to illness, depression, anxiety, psychological state, diabetic foot
- MeSH terms
- Adaptation, Psychological, Aged, Amputation, Surgical, Anxiety, Depression, Diabetes Mellitus, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Diabetic Nephropathies, Diabetic Retinopathy, Female, Humans, Male, Middle Aged, Personality Inventory, Quality of Life, Surveys and Questionnaires, Smoking, Stress, Psychological, Diabetic Foot
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