Anxio-depressive disorders, traumatic symptoms, and suicidality among limb amputees: A cross-sectional and prospective study

IF 2 Q3 PSYCHIATRY
Jihane Moussaoui , Achraf Tebbaa El Hassali , Manal Gharibi , Omar Agoumi , Adnane Benzirar , Abdeljaouad Najib , Mohammed Barrimi
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Abstract

Introduction

Limb amputation represents an ultimate therapeutic option in certain severe or progressive pathologies. We conducted this study to describe anxio- depressive disorders, traumatic symptoms, and suicidality among limb amputees, as well as factors associated with their occurrence.

Materials and Methods

This was a cross-sectional and prospective descriptive and analytical study conducted over a two-year period from October 2020 to October 2022, at the following departments of the Mohammed VI University Hospital Center in Oujda: Traumatological and Orthopedic Surgery departements A and B, and Peripheral Vascular Surgery departement, involving 122 patients.

Results

The average age of our patients was 46.42 ± 14.76 years, with a predominance of males (male-to-female ratio of 2.21). Preoperative assessment of patients occurred 6 to 24 h before amputation. Immediate postoperative evaluation took place on average 2.18 ± 1.53 days after surgery, ranging from 1 to 8 postoperative days. The prevalence of anxio-depressive disorders according to the MINI scale was 77 %, comprising Depression (9 %), Adjustment Disorder (36.9 %), Acute Stress Disorder (20.5 %), Post-Traumatic Stress Disorder (6.6 %), and Anxiety Disorders (10.7 %), with suicide attempts reported in 16.4 % of cases. The mean score on the Hamilton Depression Rating Scale for our patients was 10.81 ± 3.27, on the Hamilton Anxiety Rating Scale was 16.33 ± 5.54, and on the Ducher Suicide Risk Scale was 0.82 ± 1.33.

Conclusion

The occurrence of postoperative anxio-depressive disorders, traumatic symptoms, and suicidal behavior is associated with the following factors: male sex, personal history of depression, family history of psychiatric disorders, quality of diagnostic disclosure, postoperative sleep disturbances, postoperative panic attacks, psychological support, and socio-professional reintegration.
肢体截肢者的焦虑抑郁障碍、创伤症状和自杀倾向:横断面和前瞻性研究
导言截肢是某些严重或进展性疾病的最终治疗选择。我们开展了这项研究,以描述肢体截肢者的焦虑抑郁症、创伤症状和自杀倾向,以及与之相关的因素。材料与方法这是一项横断面前瞻性描述性分析研究,研究时间为 2020 年 10 月至 2022 年 10 月,为期两年,在乌季达穆罕默德六世大学医院中心的以下部门进行:结果患者平均年龄(46.42 ± 14.76)岁,男性居多(男女比例为 2.21)。患者的术前评估在截肢前 6 至 24 小时进行。术后即时评估平均在术后 2.18 ± 1.53 天进行,时间从术后 1 天到 8 天不等。根据MINI量表,焦虑抑郁症的发病率为77%,包括抑郁症(9%)、适应障碍(36.9%)、急性应激障碍(20.5%)、创伤后应激障碍(6.6%)和焦虑障碍(10.7%),其中16.4%的病例有自杀企图。患者的汉密尔顿抑郁评分量表(Hamilton Depression Rating Scale)平均得分为 10.81 ± 3.27,汉密尔顿焦虑评分量表(Hamilton Anxiety Rating Scale)平均得分为 16.33 ± 5.54,杜彻自杀风险量表(Ducher Suicide Risk Scale)平均得分为 0.82 ± 1.33。结论 术后焦虑抑郁障碍、创伤症状和自杀行为的发生与以下因素有关:男性、个人抑郁史、家族精神病史、诊断披露质量、术后睡眠障碍、术后惊恐发作、心理支持和社会职业重新融入。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.40
自引率
4.80%
发文量
60
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