Cansever Adnan, Uzun Ozcan, Yildiz Cemil, Ates Alpay, Atesalp A Sabri
Department of Psychiatry, Gulhane Military Medicine Faculty, 06018 Etlik Ankara, Turkey.
Mil Med. 2003 Feb;168(2):106-9.
This study aimed at comparing the prevalence of depression among traumatic and surgical amputees and examining the relationship between depression and sociodemographic/clinical characteristics of amputees. Participants were 49 patients with traumatic lower part amputation and 35 patients with surgical lower part amputation. The diagnosis of depression in each participating patient was confirmed by means of the Structured Clinical Interview for DSM-IV, Turkish version. The level of depression was assessed by using the Hamilton Depression Rating Scale. The prevalence of depression was 34.7% in the traumatic amputee group and 51.4% in the surgical amputee group (p > 0.05). In the traumatic group, depression was associated with time since amputation but not with other variables. However, in the surgical group, depression was associated with age, education level, marital status, economic status, time since amputation, and whether the patient was treated with prosthesis. Our data indicated that depression is a common clinical condition among amputees. Clinicians may be advised to schedule periodic contacts with amputees over long periods to identify those in need of psychiatric intervention.
本研究旨在比较创伤性截肢者和手术截肢者中抑郁症的患病率，并探讨抑郁症与截肢者社会人口学/临床特征之间的关系。研究对象为49例创伤性下肢截肢患者和35例手术性下肢截肢患者。每位参与研究的患者的抑郁症诊断均通过《精神疾病诊断与统计手册》第四版（DSM-IV）土耳其语版的结构化临床访谈得以确认。采用汉密尔顿抑郁量表评估抑郁程度。创伤性截肢组的抑郁症患病率为34.7%，手术性截肢组为51.4%（p>0.05）。在创伤性截肢组中，抑郁症与截肢后的时间有关，但与其他变量无关。然而，在手术性截肢组中，抑郁症与年龄、教育水平、婚姻状况、经济状况、截肢后的时间以及患者是否接受假肢治疗有关。我们的数据表明，抑郁症在截肢者中是一种常见的临床状况。建议临床医生长期安排与截肢者的定期接触，以识别那些需要精神科干预的患者。
