Skip to main content
Erschienen in: European Journal of Trauma and Emergency Surgery 2/2011

01.04.2011 | Original Article

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

verfasst von: M. Ide

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 2/2011

Einloggen, um Zugang zu erhalten

Abstract

Introduction

The purpose of this study was to evaluate the relationship between pain and depressive mood amongst persons with limb amputations, and to examine the relationship between the etiology (work-related trauma or other types) and depressive mood.

Methods

Mailed questionnaires were used to collect personal information from 69 limb amputees living in the community. The severity of limb amputation-related pain was rated using the Chronic Pain Grade scale. Eighteen (26.1%) of the participants referred their pain as Grade 0 (no pain) and 25 (36.2%) referred as Grade I (mild pain). Depressive mood was classified using the Zung Self-Rating Depression Scale.

Results

Eighteen (26.1%) of the participants were classified as having mild depression, 16 (23.2%) as having moderate depression, and 7 (10.1%) as having severe depressive mood. A significant proportion of participants with moderate or severe depression were amputees with work-related etiology for their loss of limbs. In addition, amputees with more severe depressive mood tended to experience a higher level of amputation-related pain than amputees with less severe depressive mood.

Conclusions

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.
Literatur
1.
Zurück zum Zitat Wartan SW, Hamann W, Wedley JR, McColl I. Phantom pain and sensation among British veteran amputees. Br J Anaesth. 1997;78:652–9.PubMed Wartan SW, Hamann W, Wedley JR, McColl I. Phantom pain and sensation among British veteran amputees. Br J Anaesth. 1997;78:652–9.PubMed
2.
Zurück zum Zitat Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE. Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil. 2005;86:1910–9.PubMedCrossRef Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE. Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil. 2005;86:1910–9.PubMedCrossRef
3.
Zurück zum Zitat Desmond DM, MacLachian M. Affective distress and amputation-related pain among older men with long-term, traumatic limb amputations. J Pain Symptom Manage. 2006;31:362–8.PubMedCrossRef Desmond DM, MacLachian M. Affective distress and amputation-related pain among older men with long-term, traumatic limb amputations. J Pain Symptom Manage. 2006;31:362–8.PubMedCrossRef
4.
Zurück zum Zitat Cansever A, Uzun O, Yildiz C, Ates A, Atesalp AS. Depression in men with traumatic lower part amputation: A comparison to men with surgical lower part amputation. Mil Med. 2003;168:106–9.PubMed Cansever A, Uzun O, Yildiz C, Ates A, Atesalp AS. Depression in men with traumatic lower part amputation: A comparison to men with surgical lower part amputation. Mil Med. 2003;168:106–9.PubMed
5.
Zurück zum Zitat Strine TW, Chapman DP, Kobau R, Balluz H, Mokdad AH. Depression, anxiety, and physical impairments and quality of life in the U.S. noninstitutionalized population. Psychiatr Serv. 2004;55:1408–13.PubMedCrossRef Strine TW, Chapman DP, Kobau R, Balluz H, Mokdad AH. Depression, anxiety, and physical impairments and quality of life in the U.S. noninstitutionalized population. Psychiatr Serv. 2004;55:1408–13.PubMedCrossRef
6.
Zurück zum Zitat Ide M, Obayashi T, Toyonaga T. Association of pain with employment status and satisfaction among amputees in Japan. Arch Phys Med Rehabil. 2002;83:1394–8.PubMedCrossRef Ide M, Obayashi T, Toyonaga T. Association of pain with employment status and satisfaction among amputees in Japan. Arch Phys Med Rehabil. 2002;83:1394–8.PubMedCrossRef
7.
Zurück zum Zitat Von Korff M, Ormel J, Keefe FJ, Dworkin SF. Grading the severity of chronic pain. Pain. 1992;50:133–49.CrossRef Von Korff M, Ormel J, Keefe FJ, Dworkin SF. Grading the severity of chronic pain. Pain. 1992;50:133–49.CrossRef
8.
Zurück zum Zitat Ehde DM, Czemiecki JM, Smith DG, Campbell KM, Edwards WT, Jensen MP, Robinson LR. Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation. Arch Phys Med Rehabil. 2000;81:1039–44.PubMedCrossRef Ehde DM, Czemiecki JM, Smith DG, Campbell KM, Edwards WT, Jensen MP, Robinson LR. Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation. Arch Phys Med Rehabil. 2000;81:1039–44.PubMedCrossRef
9.
Zurück zum Zitat Zung WW. A self-rating depression scale. Arch Gen Psychiatry. 1965;12:63–70.PubMed Zung WW. A self-rating depression scale. Arch Gen Psychiatry. 1965;12:63–70.PubMed
10.
Zurück zum Zitat KaNGa T, Suzuki S. Factor structure of self-rating depression scale by Zung and prevalence of depressive state of night shift workers. Sangyo Igaku. 1992;34:131–6.PubMed KaNGa T, Suzuki S. Factor structure of self-rating depression scale by Zung and prevalence of depressive state of night shift workers. Sangyo Igaku. 1992;34:131–6.PubMed
11.
Zurück zum Zitat Ide M, Watanabe T, Toyonaga T. Sexuality in persons with limb amputation. Prosthe Orthot Int. 2002;26:182–9.CrossRef Ide M, Watanabe T, Toyonaga T. Sexuality in persons with limb amputation. Prosthe Orthot Int. 2002;26:182–9.CrossRef
12.
Zurück zum Zitat Zung WW, Broadhead WE, Roth ME. Prevalence of depressive symptoms in primary care. J Fam Pract. 1993;37:337–44.PubMed Zung WW, Broadhead WE, Roth ME. Prevalence of depressive symptoms in primary care. J Fam Pract. 1993;37:337–44.PubMed
13.
Zurück zum Zitat Darnall BD, Ephraim P, Wegener ST, Dillingham T, Pezzin L, Rossbach P, MacKenzie EJ. Depressive symptoms and mental health service utilization among persons with limb loss: results of a national survey. Arch Phys Med Rehabil. 2005;86:650–8.PubMedCrossRef Darnall BD, Ephraim P, Wegener ST, Dillingham T, Pezzin L, Rossbach P, MacKenzie EJ. Depressive symptoms and mental health service utilization among persons with limb loss: results of a national survey. Arch Phys Med Rehabil. 2005;86:650–8.PubMedCrossRef
14.
Zurück zum Zitat Hanley MA, Jensen MP, Ehde DM, Hoffman AJ, Patterson DR, Robinson LR. Psychosocial predictors of long-term adjustment to lower-limb amputation and phantom limb pain. Disabil Rehabil. 2004;26(14/15):882–93.PubMedCrossRef Hanley MA, Jensen MP, Ehde DM, Hoffman AJ, Patterson DR, Robinson LR. Psychosocial predictors of long-term adjustment to lower-limb amputation and phantom limb pain. Disabil Rehabil. 2004;26(14/15):882–93.PubMedCrossRef
15.
Zurück zum Zitat Pirente N, Ottlick Y, Lefering R, Boullion B, Neugebauer E. Quality of life in multiply injured patients development of the trauma outcome profile (TOP) as part of the modular polytrauma outcome (POLO) chart. Eur J Trauma. 2006;32:44–62.CrossRef Pirente N, Ottlick Y, Lefering R, Boullion B, Neugebauer E. Quality of life in multiply injured patients development of the trauma outcome profile (TOP) as part of the modular polytrauma outcome (POLO) chart. Eur J Trauma. 2006;32:44–62.CrossRef
Metadaten
Titel
The association between depressive mood and pain amongst individuals with limb amputations
verfasst von
M. Ide
Publikationsdatum
01.04.2011
Verlag
Springer-Verlag
Erschienen in
European Journal of Trauma and Emergency Surgery / Ausgabe 2/2011
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-010-0043-8

Weitere Artikel der Ausgabe 2/2011

European Journal of Trauma and Emergency Surgery 2/2011 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.