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Chapman Z, Shuttleworth CM, Huber JW. High levels of anxiety and depression in diabetic patients with Charcot foot. J Foot Ankle Res. 2014;7:22doi: 10.1186/1757-1146-7-22.
Chapman, Z., Shuttleworth, C. M., & Huber, J. W. (2014). High levels of anxiety and depression in diabetic patients with Charcot foot. Journal of foot and ankle research, 722. https://doi.org/10.1186/1757-1146-7-22
Chapman, Zahra, et al. "High levels of anxiety and depression in diabetic patients with Charcot foot." Journal of foot and ankle research vol. 7 (2014): 22. doi: https://doi.org/10.1186/1757-1146-7-22
Chapman Z, Shuttleworth CM, Huber JW. High levels of anxiety and depression in diabetic patients with Charcot foot. J Foot Ankle Res. 2014 Mar 21;7:22. doi: 10.1186/1757-1146-7-22. eCollection 2014. PMID: 24650435; PMCID: PMC3999891.
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J Foot Ankle Res. 2014 Mar 21;7:22. doi: 10.1186/1757-1146-7-22. eCollection 2014.

High levels of anxiety and depression in diabetic patients with Charcot foot.

Journal of foot and ankle research

Zahra Chapman, Charles Matthew James Shuttleworth, Jörg Wolfgang Huber

Affiliations

  1. Department of Foot Health, Mile End Hospital, Barts and London Trust, Bancroft Road, London E1 4DG, UK.
  2. Community Mental Health Team, Surrey and Borders Partnership Foundation NHS Trust, Randalls Park Drive, Leatherhead KT22 7AD, UK.
  3. Centre for Health & Wellbeing Research, University of Northampton, Northampton, UK, now Centre for Health Research, University of Brighton, Falmer, Brighton BN1 9PH, UK.

PMID: 24650435 PMCID: PMC3999891 DOI: 10.1186/1757-1146-7-22

Abstract

BACKGROUND/AIMS: Charcot foot is a rare but devastating complication of diabetes. Little research is available on the mental health impact of Charcot foot. Aim of the study is to assess mental health in diabetes patients with Charcot foot and to investigate the moderating effects of socio-demographic factors. The severity of the problem will be statistically evaluated with the help of a reference data set.

METHODS: Cross-sectional questionnaire data using the Hospital Anxiety and Depression Scale (HADS) and demographic background were collected from 50 patients with diabetes and Charcot complications (males 62%; mean age 62.2 ± 8.5 years). Statistical comparisons with a large data set of general diabetes patients acting as a point of reference were carried out.

RESULTS: Anxiety and depression levels were high, (anxiety and depression scores 6.4 ± 4 and 6.3 ± 3.6 respectively). Females reported more severe anxiety and depression. Ethnic minorities and patients out of work reported more severe anxiety. Comparisons with published HADS data indicate that diabetes patients with Charcot foot experience more serious levels of anxiety and depression.

CONCLUSIONS: The high levels of mental health problems which were found in this study in diabetes patients with Charcot foot require recognition by researchers and clinicians. The findings imply the need to screen for mental health problems in diabetes patients with Charcot foot.

Keywords: Anxiety; Charcot foot; Depression; Diabetes; Diabetic foot

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