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Eur J Trauma Emerg Surg. 2011 Apr;37(2):191-5. doi: 10.1007/s00068-010-0043-8. Epub 2010 Sep 01.

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

European journal of trauma and emergency surgery : official publication of the European Trauma Society

M Ide

Affiliations

  1. St Mary's Hospital Rehabilitation Center, 422 Tsubukuhonmachi, Kurume, 830-8543, Japan. [email protected].

PMID: 26814955 DOI: 10.1007/s00068-010-0043-8

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.

Keywords: Depression; Limb amputation; Pain

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