Psychological factors in leg ulceration: a case-control study
Abstract
BACKGROUND: There is increasing recognition of the role that psychological status plays in the development and outcomes of chronic disease, but little understanding of its importance in chronic leg ulceration. OBJECTIVES: To examine psychological health and perceived social support in patients with chronic leg ulceration. METHODS: Patients with leg ulceration within a defined population were matched for age and gender (1:1) with community controls in a matched case-control study. Analysis was by conditional logistic regression and matched t-test analysis. RESULTS: Ninety-five patients (60 women and 35 men; 59% aged over 75 years) were identified and matched to the same number of controls. Cases had significantly poorer health-related quality of life in all domains of the Nottingham Health Profile (all P < or = 0.001), compared with controls. Levels of depression (Hospital Anxiety and Depression Scale) were significantly greater in the patient group (mean 5.3 vs. 3.6, P < 0.001). Social support (Medical Outcomes Study Social Support Survey scale) showed significantly fewer social networks and less perceived social support in patients than controls (P = 0.008). Patients used significantly fewer coping strategies (COPE scale) than controls, particularly with regard to problem-focused coping strategies. CONCLUSIONS: Patients with leg ulceration experience poor psychological health with a greater risk of depression, less perceived social support and greater social isolation. Systems of care should offer an environment that reduces social isolation and increases support to this patient group.
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Patients with chronic leg ulcers are often depressed and isolated.
“These results confirm the psycho-social aspects of chronic leg ulcers: patients with chronic leg ulcers are often depressed and isolated (Moffatt et al., 2009).”
From The Psychological Burden of Skin Diseases: A Cross-Sectional Multicenter Study among Dermatological Out-Patients in 13 European Countries (2015) · cites this paper as Moffatt et al., 2009
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- Authors
- Moffatt, C. J., Franks, P. J., Doherty, D. C., Smithdale, R., & Steptoe, A.
- Affiliations
- University of Glasgow (GB)
- University College London (GB)
- Corresponding author
- Franks, P.J.
- Venue
- British Journal of Dermatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-10
- Volume
- 161
- Issue
- 4
- Pages
- 750-756
- ISSN
- 0007-0963 (ISSN-L)
- 1365-2133
- OpenAlex
- W2035685307
- Cited by
- 81
- References
- 33
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 4 · 2022: 23 · 2021: 2 · 2020: 7 · 2019: 4 · 2018: 2 · 2017: 7 · 2016: 4 · 2015: 6 · 2014: 5 · 2013: 1 · 2012: 6
- FWCI
- 3.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Dermatology (publishedVersion)
- PubMed (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Diagnosis and Treatment of Venous Diseases
- Social Sciences › Psychology › Clinical Psychology › Health and Well-being Studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetic Foot Ulcer Assessment and Management
- Keywords
- mental health, depression, perceived social support, social isolation, coping strategies, problem-focused coping, health-related quality of life, chronic disease
- MeSH terms
- Activities of Daily Living, Aged, Chronic Disease, Depressive Disorder, Female, Humans, Leg Ulcer, Male, Quality of Life, Surveys and Questionnaires, Social Support, Stress, Psychological, Case-Control Studies, Walking
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