Assessment of anxiety and depression after lower limb amputation in Jordanian patients

Ziad M Hawamdeh1, Yasmin S Othman2, Alaa I Ibrahim31Department of Physical Therapy, Faculty of Rehabilitation Sciences, University of Jordan, Amman, Jordan; 2Department of Orthotics and Prosthetics, Faculty of Rehabilitation Sciences, University of Jordan, Amman, Jordan; 3Lecturer, Department of Phy...

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Autores principales:	Ziad M Hawamdeh, Yasmin S Othman, Alaa I Ibrahim
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/eaf394f6ff444787a4d4b9675396ba55
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spelling	oai:doaj.org-article:eaf394f6ff444787a4d4b9675396ba552021-12-02T08:47:21ZAssessment of anxiety and depression after lower limb amputation in Jordanian patients1176-63281178-2021https://doaj.org/article/eaf394f6ff444787a4d4b9675396ba552008-06-01T00:00:00Zhttp://www.dovepress.com/assessment-of-anxiety-and-depression-after-lower-limb-amputation-in-jo-a1872https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Ziad M Hawamdeh1, Yasmin S Othman2, Alaa I Ibrahim31Department of Physical Therapy, Faculty of Rehabilitation Sciences, University of Jordan, Amman, Jordan; 2Department of Orthotics and Prosthetics, Faculty of Rehabilitation Sciences, University of Jordan, Amman, Jordan; 3Lecturer, Department of Physical Therapy for Pediatrics and Pediatric surgery, Faculty of Physical Therapy, Cairo University, Giza, EgyptObjective: This study aimed to assess the prevalence of anxiety and depression among Jordanian lower limb amputees with different clinical characteristics and sociodemographic data (gender, marital status, social support, income, type and level of amputation, and occupation).Methods: Participants were 56 patients with unilateral lower limb amputation with mean duration (8.4 &plusmn; 5.75 years). They were recruited from inpatient and outpatient clinics of Jordan University hospital, Royal Farah Rehabilitation Center, and Al-basheer hospital in Amman, Jordan. Participants responded to a questionnaire that included a battery of questions requesting brief information about sociodemographic variables and characteristics of amputation. The level of depression and anxiety in each participating patient was assessed by the Hospital Anxiety and Depression Scale (HADS).Results: The prevalence of anxiety and depressive symptoms were 37% and 20%, respectively. Factors associated with high prevalence of psychological symptoms included female gender, lack of social support, unemployment, traumatic amputation, shorter time since amputation, and amputation below the knee. These findings were confirmed by a significant reduction of anxiety and depression scores in patients who received social support, patients with amputation due to disease, and patients with amputation above the knee. Presence of pain and use of prosthesis had no effect on the prevalence.Conclusions: The findings of the present study highlight the high incidence of psychiatric disability and depression in amputees; it also showed the importance of sociodemographic factors in psychological adjustment to amputation. It is suggested that psychiatric evaluation and adequate rehabilitation should form a part of their overall management.Keywords: amputees, depression; anxiety, rehabilitation Ziad M HawamdehYasmin S OthmanAlaa I IbrahimDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2008, Iss Issue 3, Pp 627-633 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Ziad M Hawamdeh Yasmin S Othman Alaa I Ibrahim Assessment of anxiety and depression after lower limb amputation in Jordanian patients
description	Ziad M Hawamdeh1, Yasmin S Othman2, Alaa I Ibrahim31Department of Physical Therapy, Faculty of Rehabilitation Sciences, University of Jordan, Amman, Jordan; 2Department of Orthotics and Prosthetics, Faculty of Rehabilitation Sciences, University of Jordan, Amman, Jordan; 3Lecturer, Department of Physical Therapy for Pediatrics and Pediatric surgery, Faculty of Physical Therapy, Cairo University, Giza, EgyptObjective: This study aimed to assess the prevalence of anxiety and depression among Jordanian lower limb amputees with different clinical characteristics and sociodemographic data (gender, marital status, social support, income, type and level of amputation, and occupation).Methods: Participants were 56 patients with unilateral lower limb amputation with mean duration (8.4 &plusmn; 5.75 years). They were recruited from inpatient and outpatient clinics of Jordan University hospital, Royal Farah Rehabilitation Center, and Al-basheer hospital in Amman, Jordan. Participants responded to a questionnaire that included a battery of questions requesting brief information about sociodemographic variables and characteristics of amputation. The level of depression and anxiety in each participating patient was assessed by the Hospital Anxiety and Depression Scale (HADS).Results: The prevalence of anxiety and depressive symptoms were 37% and 20%, respectively. Factors associated with high prevalence of psychological symptoms included female gender, lack of social support, unemployment, traumatic amputation, shorter time since amputation, and amputation below the knee. These findings were confirmed by a significant reduction of anxiety and depression scores in patients who received social support, patients with amputation due to disease, and patients with amputation above the knee. Presence of pain and use of prosthesis had no effect on the prevalence.Conclusions: The findings of the present study highlight the high incidence of psychiatric disability and depression in amputees; it also showed the importance of sociodemographic factors in psychological adjustment to amputation. It is suggested that psychiatric evaluation and adequate rehabilitation should form a part of their overall management.Keywords: amputees, depression; anxiety, rehabilitation
format	article
author	Ziad M Hawamdeh Yasmin S Othman Alaa I Ibrahim
author_facet	Ziad M Hawamdeh Yasmin S Othman Alaa I Ibrahim
author_sort	Ziad M Hawamdeh
title	Assessment of anxiety and depression after lower limb amputation in Jordanian patients
title_short	Assessment of anxiety and depression after lower limb amputation in Jordanian patients
title_full	Assessment of anxiety and depression after lower limb amputation in Jordanian patients
title_fullStr	Assessment of anxiety and depression after lower limb amputation in Jordanian patients
title_full_unstemmed	Assessment of anxiety and depression after lower limb amputation in Jordanian patients
title_sort	assessment of anxiety and depression after lower limb amputation in jordanian patients
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/eaf394f6ff444787a4d4b9675396ba55
work_keys_str_mv	AT ziadmhawamdeh assessmentofanxietyanddepressionafterlowerlimbamputationinjordanianpatients AT yasminsothman assessmentofanxietyanddepressionafterlowerlimbamputationinjordanianpatients AT alaaiibrahim assessmentofanxietyanddepressionafterlowerlimbamputationinjordanianpatients
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Assessment of anxiety and depression after lower limb amputation in Jordanian patients

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