Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image

Adiguzel, Emre; GOKTEPE, Ahmet Salim; Sarısoy, Gökhan; URAN, Ayça; DURMUŞ, Dilek; TAN, ARİF KENAN; SAFAZ, İsmail

Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image

Dilek DURMUŞ, (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Samsun, Türkiye)

İsmail SAFAZ, (GATA Fizik Tedavi ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Emre ADIGÜZEL, (GATA Fizik Tedavi ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Ayça URAN, (GATA Fizik Tedavi ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Gökhan SARISOY, (GATA Psikiyatri Anabilim Dalı, Ankara, Türkiye)

Ahmet Salim GOKTEPE, (GATA Fizik Tedavi ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Arif Kenan TAN (GATA Fizik Tedavi ve Rehabilitasyon Bölümü, Ankara, Türkiye)

Journal of Mood Disorders

3 1

Yıl: 2015 Cilt: 5 Sayı: 4 Sayfa Aralığı: 164 - 172 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image

Öz:

Amaç: Bu çalışmanın amacı nöropatik ağrısı olan ve olmayan alt ekstremite amputasyonlu erkek hastaları psikiyatrikbelirtiler açısından karşılaştırmak ve bu belirtilerin işlevselkapasite ve beden algısı ile ilişkisini belirlemektir. Yöntem: Çalışmaya 50 travmatik alt ekstremite amputasyonlu erkek hasta alınmıştır. Bunların 27sinde nöropatikağrı saptanırken (Grup 1), diğer 23ünde saptanmamıştır(Grup 2). Hastaların yaş, kilo, boy ve amputasyondansonra geçen süre gibi demografik bilgileri, kaydedilmiştir.Çalışmaya katılan her bir hastanın amputeler için bedenalgısı skoru ve lokomotor kapasite indeksi skoru hesaplanmıştır. Tüm hastalar ayrıca Belirti tarama testi-90R,Beck Depresyon Envanteri, Pittsburg Uyku Kalitesi Ölçeği,Rosenberg Benlik Saygısı Ölçeği, Durumluk-Sürekli KaygıEnvanteri ve Kısa Form-36 yaşam kalitesi ölçeğini tamamlamıştır.Bulgular: Nöropatik grupta somatizasyon, kişilerarası duyarlılık, depresyon, anksiyete, öfke-kızgınlık, uykubozukluğu ve yaşam kalitesi düşüklüğü belirtileri anlamlıolarak daha yüksek saptanmıştır. Psikiyatrik belirti puanlarıile ampute beden algısı ölçeği ve lokomotor kapasite ölçeğipuanları arasında anlamlı korelasyon saptanmıştır. Sonuç: Nöropatik ağrısı olan ampute hastalarda anksiyeteve depresyon belirtilerinin yanısıra başka psikiyatrik belirtiler da görülebilir. Artmış fiziksel aktivite ve olumlu bedenalgısı psikiyatrik belirtilerde azalma ile ilişkili olabilir.

Anahtar Kelime:

Konular: Psikiyatri

Travmatik alt ekstremite amputasyonlu erkeklerde psikiyatrik belirtiler ve bu belir- tilerin nöropatik ağrı, lokomotor kapasite ve beden algısı ile ilişkisi

Öz:

Aims: The aim of this study was to compare psychiatricsymptoms of male lower limb amputation (LLA) patientswith neuropathic pain and without neuropathic pain;to show the relationship between these outcomes andfunctional status and body image disturbances. Methods: Fifty male traumatic LLA patients were includedinto the study. Twenty-seven were diagnosed withneuropathic pain (Group 1), while 23 had no neuropathicpain (Group 2). Demographic data including age, height,weight, and duration of amputation were recorded. Theamputee body image scale (ABIS) score, and locomotorcapabilities index (LCI) score were calculated for eachparticipant. They have also completed the SymptomChecklist-90-R, Beck Depression Inventory, Pittsburgh SleepQuality Index, Rosenberg Self-Esteem Scale, State TraitAnxiety Inventory, and Short Form 36.Results: Intergroup comparison revealed significantdifferences in somatization, interpersonal sensitivity,depression, anxiety, anger-hostility, sleep quality, sleepduration, sleep disturbance, daytime sleepiness, traitanxiety and QOL. The differences were statisticallysignificantly higher in Group 1 when compared to Group 2.There were significant correlations among the ABIS and LCIscores and psychiatric symptom severity.Conclusion: Psychiatric symptoms other than depressionand anxiety may also be present in amputees withneuropathic pain. Increasing physical activity and a positivebody image perception may be associated with diminishedpsychiatric symptoms.

Anahtar Kelime:

Konular: Psikiyatri

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Spichler ER, Spichler D, Lessa I, Costa e Forti A, Franco LJ, LaPorte RE. Capture-recapture method to estimate lower extremity amputation rates in Rio de Janeiro, Brazil. Rev Panam Salud Publica. 2001;10:334-40.
2. Hanley MA, Ehde DM, Jensen M, Czerniecki J, Smith DG, Robinson LR. Chronic pain associated with upper-limb loss. Am J Phys Med Rehabil. 2009;88:742-51.
3. Rommers GM, Vos LDW, Groothoff JW, Schuiling CH and Eisma WH. Epidemiology of lower limb amputees in the north of the Netherlands: aetiology, discharge, destination and prosthetic use. Prosthet Orthot Int. 1997;21:92-9.
4. Esquenazi A . Amputation rehabilitation and prosthetic restoration: from surgery to community reintegration. Disabil Rehabil. 2004;26:831-6.
5. Horgan O, MacLachlan M. Psychosocial adjustment to lower limb amputation: A review. Disabil Rehabil. 2004;26:837-50.
6. Deans SA, McFadyen AK, Rowe PJ. Physical activity and quality of life: A study of a lower-limb amputee population. Prosthet Orthot Int. 2008;32:186-200.
7. Rahimi A, Mousavi B, Soroush M, Masumi M, Montazeri A. Pain and Health-Related Quality of Life in War Veterans with Bilateral Lower Limb Amputations. Trauma Mon. 2012;17:282-6.
8. van der Schans CP, Geertzen JH, Schoppen T, Dijkstra PU. Phantom pain and health-related quality of life in lower limb amputees. J Pain Symptom Manage. 2002;24:429-36.
9. Demet K, Martinet N, Guillemin F, Paysant J, Andre JM. Health related quality of life and related factors in 539 persons with amputation of upper and lower limb. Disabil Rehabil. 2003;25:480-6.
10. Sherman RA. Locations, characteristics, and descriptions. In: Sherman RA, Devor M, Heermann-Do K, editors. Phantom Pain New York: Plenum Press; 1997.
11. Ehde DM, Czerniecki JM, Smith DG, Campbell KM, Edwards WT, Jensen MP, et al. Chronic phantom sensations, phantom pain, residual limb pain, and other regional pain after lower limb amputation. Arch Phys Med Rehabil. 2000;81:1039-44.
12. Dijkstra PU, Geertzen JH, Stewart R, van der Schans CP. Phantom pain and risk factors: a multivariate analysis. J Pain Symptom Manage. 2002;24:578-85.
13. Smith E, Comiskey C, Ryall N. Prevalence and patterns of back pain and residual limb pain in lower limb amputees at the National Rehabilitation Hospital. Ir J Med Sci. 2008;177:53-7.
14. Kashani J, Frank R, Kashina S, Wonderlich S, Reid J. Depression among amputees. J Clin Psychiatry. 1983;44:256-8.
15. Cansever A, Uzun O, Yildiz C, Ates A, Atesalp A. Depression in men with traumatic lower part amputation: A comparison to men with surgical lower part amputation. Mil Med. 2003;168:106-9.
16. Blazer D, Kessler R, McGonagle K, Swartz M. The prevalence and distribution of major depression in a national community sample: The National Comorbidity Survey. Am J Psychiatry. 1994;151:979- 86.
17. Coffey L, Gallagher P, Horgan O, Desmond D, MacLachlan M. Psychosocial adjustment to diabetes-related lower limb amputation. Diabet Med. 2009; 26:1063-7.
18. Yucel A, Senocak M, Kocasoy OE, Cimen A, Ertas M. Results of the Leeds assessment of neuropathic symptoms and signs pain scale in Turkey: a validation study. J Pain. 2004;5:427-32.
19. Chan AW, MacFarlane IA, Bowsher D, Campbell JA. Weighted needle pinprick sensory thresholds: a simple test of sensory function in diabetic peripheral neuropathy. J Neurol Neurosurg Psychiatry. 1992;55:56-9.
20. Huskisson EC. Visual analogue scales. Pain Measurement and Assessment. Edited by RMelzac. Raven, New York, 1983, pp. 33-37.
21. Franchignoni F, Giordano A, Ferriero G, Munoz S, Orlandini D, Amoresano A. Rasch analysis of the Locomotor Capabilities Index-5 in people with lower limb amputation. Prosthet Orthot Int. 2007;31:394-404.
22. Safaz I, Goktepe AS, Yılmaz B, Taskaynatan MA, Yazıcıoglu K. Reliability of locomotor capabilities index, Houghton Scale in young people with lower limb amputation. JPMR Sci. 2009;12:15-8.
23. Safaz I, Yılmaz B, Goktepe AS, Yazıcıoğlu K. Turkish version of the amputee body image scale and relationship with quality of life. Klinik Psikofarmakoloji Bulteni. 2010;20:79-83.
24. Kvien TK, Kaasa S, Smedstad LM. Performance of the Norwegian SF-36 Health Survey in patients with rheumatoid arthritis. II. A comparison of the SF-36 with disease-specific measures. J Clin Epidemiol. 1998;51:1077-86.
25. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28:193-213.
26. Ağargün MY, Tekeoğlu I, Güneş A, Adak B, Kara H, Ercan M. Sleep quality and pain threshold in patients with fibromyalgia. Compr Psychiatry. 1999;40:226-8.
27. Derogatis LR, Rickels K, Rock AF. The SCL-90 and the MMPI: a step in the validation of a new self-report scale. Br J Psychol. 1976;128:280-9.
28. Dağ I. Belirti Tarama Listesi (SCL-90-R)nin üniversite öğrencileri için güvenirliği ve geçerliği. Turk Psikiyatri Derg. 1991:5-12.
29. Beck AT, Ward CN, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71.
30. Hisli N. Beck Depresyon Envanterinin geçerliği üzerine bir çalışma. Psikoloji Dergisi. 1998;6:118-26.
31. Spielberg CD, Gersuch RL, Lushene RE. Manual for the statetrait anxiety inventory. Palo Alto, CA: Consulting Psychologist Press; 1970.
32. Oner N, Le Compte A. Durumluk-Surekli Kaygi Envanteri El kitabi. Istanbul: Boğaziçi Yayinları; 1985.
33. Rosenberg M. Society and the adolescent self-image. Princeton, New Jersey: Princeton University Press; 1965. p. 12-32.
34. Cuhadaroğlu F. Adolesanlarda benlik saygısı. Uzmanlık tezi. Hacettepe Üniversitesi Tıp Fakültesi, Ankara, 1986.
35. Manchikanti L, Singh V: Managing phantom pain. Pain Physician. 2004;7:365-75.
36. Ephraim PL, Wegener ST, MacKenzie EJ, Dillingham TR, Pezzin LE: Phantom pain, residual limb pain, and back pain in amputees: results of a national survey. Arch Phys Med Rehabil. 2005;86:1910-9.
37. Maletic V, Raison CL: Neurobiology of depression, fibromyalgia and neuropathic pain. Front Biosci. 2009;14:5291-338.
38. Kazemi H, Ghassemi S, Fereshtehnejad SM, Amini A, Kolivand PH, Doroudi T. Anxiety and depression in patients with amputated limbs suffering from phantom pain: a comparative study with non-phantom chronic pain. Int J Prev Med. 2013;4:218-25.
39. Yamashita A, Hamada A, Suhara Y, Kawabe R, Yanase M, Kuzumaki N, Narita M, Matsui R, Okano H, Narita M. Astrocytic activation in the anterior cingulate cortex is critical for sleep disorder under neuropathic pain. Synapse. 2014;68:235-47.
40. van Seventer R, Serpell M, Bach FW, Morlion B, Zlateva G, Bushmakin AG, Cappelleri JC, Nimour M. Relationships between changes in pain severity and other patient-reported outcomes: an analysis in patients with posttraumatic peripheral neuropathic pain. Health Qual Life Outcomes. 2011;25;9:17.
41. Cohen SP, Mao J. Neuropathic pain: mechanisms and their clinical implications. BMJ. 2014;5;348:7656.
42. Stuifbergen AK, Phillips L, Carter P, Morrison J, Todd A. Subjective and objective sleep difficulties in women with fibromyalgia syndrome. J Am Acad Nurse Pract. 2010; 22:548-56.
43. Giummarra MJ, Bradshaw JL. The phantom of the night: restless legs syndrome in amputees. Med Hypotheses. 2010;74:968-72.
44. Kern U, Busch V, Rockland M, Kohl M, Birklein F. Prevalence and risk factors of phantom limb pain and phantom limb sensations in Germany. A nationwide field survey. Schmerz. 2009;23:479-88.
45. Pell JP, Donnan PT, Fowkes FG, Ruckley CV. Quality of life following lower limb amputation for peripheral arterial disease. Eur J Vasc Surg. 1993;7:448-51.
46. Rajmohan V, Kumar SK. Psychiatric Morbidity, Pain Perception, and Functional Status of Chronic Pain Patients in Palliative Care. Indian J Palliat Care. 2013;19:146-51.
47. Akyol Y, Tander B, Goktepe AS, Safaz I, Kuru O, Tan AK. Quality of Life in Patients with Lower Limb Amputation: Does It Affect Post-amputation Pain, Functional Status, Emotional Status and Perception of Body Image? Journal of Musculoskeletal pain. 2013;21:334-40.
48. Norvell DC1, Turner AP, Williams RM, Hakimi KN, Czerniecki JM. Defining successful mobility after lower extremity amputation for complications of peripheral vascular disease and diabetes. J Vasc Surg. 2011;54:412-9.
49. Graham L, Parke RC, Paterson MC, Stevenson M. A study of the physical rehabilitation and psychological state of patients who sustained limb loss as a result of terrorist activity in Northern Ireland 1969-2003. Disabil Rehabil. 2006;30;28:797-801.
50. Taleporos G, McCabe MP. Body image and physical disability Personal perspectives. Soc Sci Med. 2002;54:971-80.
51. Rybarczyk BD, Nyenhuis DR, Nicholas JJ, Cash SM, Kaiser J. Body image, perceived social stigma and the prediction of psychosocial adjustment to leg amputation. Rehabil Psychol. 1995;40:95-110.
52. Breakey JW. Body image: The lower limb amputee. J Prosthet Orthot. 1997;9:58-66.

APA	DURMUŞ D, SAFAZ İ, Adiguzel E, URAN A, Sarısoy G, GOKTEPE A, TAN A (2015). Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image. , 164 - 172.
Chicago	DURMUŞ Dilek,SAFAZ İsmail,Adiguzel Emre,URAN Ayça,Sarısoy Gökhan,GOKTEPE Ahmet Salim,TAN ARİF KENAN Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image. (2015): 164 - 172.
MLA	DURMUŞ Dilek,SAFAZ İsmail,Adiguzel Emre,URAN Ayça,Sarısoy Gökhan,GOKTEPE Ahmet Salim,TAN ARİF KENAN Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image. , 2015, ss.164 - 172.
AMA	DURMUŞ D,SAFAZ İ,Adiguzel E,URAN A,Sarısoy G,GOKTEPE A,TAN A Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image. . 2015; 164 - 172.
Vancouver	DURMUŞ D,SAFAZ İ,Adiguzel E,URAN A,Sarısoy G,GOKTEPE A,TAN A Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image. . 2015; 164 - 172.
IEEE	DURMUŞ D,SAFAZ İ,Adiguzel E,URAN A,Sarısoy G,GOKTEPE A,TAN A "Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image." , ss.164 - 172, 2015.
ISNAD	DURMUŞ, Dilek vd. "Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image". (2015), 164-172.

APA	DURMUŞ D, SAFAZ İ, Adiguzel E, URAN A, Sarısoy G, GOKTEPE A, TAN A (2015). Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image. Journal of Mood Disorders, 5(4), 164 - 172.
Chicago	DURMUŞ Dilek,SAFAZ İsmail,Adiguzel Emre,URAN Ayça,Sarısoy Gökhan,GOKTEPE Ahmet Salim,TAN ARİF KENAN Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image. Journal of Mood Disorders 5, no.4 (2015): 164 - 172.
MLA	DURMUŞ Dilek,SAFAZ İsmail,Adiguzel Emre,URAN Ayça,Sarısoy Gökhan,GOKTEPE Ahmet Salim,TAN ARİF KENAN Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image. Journal of Mood Disorders, vol.5, no.4, 2015, ss.164 - 172.
AMA	DURMUŞ D,SAFAZ İ,Adiguzel E,URAN A,Sarısoy G,GOKTEPE A,TAN A Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image. Journal of Mood Disorders. 2015; 5(4): 164 - 172.
Vancouver	DURMUŞ D,SAFAZ İ,Adiguzel E,URAN A,Sarısoy G,GOKTEPE A,TAN A Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image. Journal of Mood Disorders. 2015; 5(4): 164 - 172.
IEEE	DURMUŞ D,SAFAZ İ,Adiguzel E,URAN A,Sarısoy G,GOKTEPE A,TAN A "Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image." Journal of Mood Disorders, 5, ss.164 - 172, 2015.
ISNAD	DURMUŞ, Dilek vd. "Psychiatric Symptoms in Male Traumatic Lower Limb Amputees: Associations with Neuropathic Pain, Locomotor Capabilities, and Perception of Body Image". Journal of Mood Disorders 5/4 (2015), 164-172.