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

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-demographi...

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Autores principales: Chapman, Zahra, Shuttleworth, Charles Matthew James, Huber, Jörg Wolfgang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999891/
https://www.ncbi.nlm.nih.gov/pubmed/24650435
http://dx.doi.org/10.1186/1757-1146-7-22
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author Chapman, Zahra
Shuttleworth, Charles Matthew James
Huber, Jörg Wolfgang
author_facet Chapman, Zahra
Shuttleworth, Charles Matthew James
Huber, Jörg Wolfgang
author_sort Chapman, Zahra
collection PubMed
description 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.
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spelling pubmed-39998912014-04-26 High levels of anxiety and depression in diabetic patients with Charcot foot Chapman, Zahra Shuttleworth, Charles Matthew James Huber, Jörg Wolfgang J Foot Ankle Res Research 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. BioMed Central 2014-03-21 /pmc/articles/PMC3999891/ /pubmed/24650435 http://dx.doi.org/10.1186/1757-1146-7-22 Text en Copyright © 2014 Chapman et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Research
Chapman, Zahra
Shuttleworth, Charles Matthew James
Huber, Jörg Wolfgang
High levels of anxiety and depression in diabetic patients with Charcot foot
title High levels of anxiety and depression in diabetic patients with Charcot foot
title_full High levels of anxiety and depression in diabetic patients with Charcot foot
title_fullStr High levels of anxiety and depression in diabetic patients with Charcot foot
title_full_unstemmed High levels of anxiety and depression in diabetic patients with Charcot foot
title_short High levels of anxiety and depression in diabetic patients with Charcot foot
title_sort high levels of anxiety and depression in diabetic patients with charcot foot
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999891/
https://www.ncbi.nlm.nih.gov/pubmed/24650435
http://dx.doi.org/10.1186/1757-1146-7-22
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