Abstract
Psychiatric sequelae present after 6 months to 2 years following amputation were studied in a group of 25 subjects. The subjects were screened on SCID, HRSD and HARS. The most common diagnoses were depressive disorder NOS (20.6%) and major depressive disorder (10.3%). Patients having right sided amputation were more psychiatrically ill than those with loss of a left limb. Phantom limb was seen in about two-thirds of the total sample-more in the sick group (about 88%) than in the non-sick group (about 55%). Pain in the phantom limb was seen more in the sick group, but telescopy and movement were more frequently complained of by subjects of the non-sick group.
Keywords: Amputation, late psychiatric aspects, phantom limb
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Selected References
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- Carlen P. L., Wall P. D., Nadvorna H., Steinbach T. Phantom limbs and related phenomena in recent traumatic amputations. Neurology. 1978 Mar;28(3):211–217. doi: 10.1212/wnl.28.3.211. [DOI] [PubMed] [Google Scholar]
- Frank R. G., Kashani J. H., Kashani S. R., Wonderlich S. A., Umlauf R. L., Ashkanazi G. S. Psychological response to amputation as a function of age and time since amputation. Br J Psychiatry. 1984 May;144:493–497. doi: 10.1192/bjp.144.5.493. [DOI] [PubMed] [Google Scholar]
- Frazier S. H., Kolb L. C. Psychiatric aspects of pain and the phantom limb. Orthop Clin North Am. 1970 Nov;1(2):481–495. [PubMed] [Google Scholar]
- HAMILTON M. A rating scale for depression. J Neurol Neurosurg Psychiatry. 1960 Feb;23:56–62. doi: 10.1136/jnnp.23.1.56. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Katz J., Melzack R. Pain 'memories' in phantom limbs: review and clinical observations. Pain. 1990 Dec;43(3):319–336. doi: 10.1016/0304-3959(90)90029-D. [DOI] [PubMed] [Google Scholar]
- Langer K. G. Depression in disabling illness: severity and patterns of self-reported symptoms in three groups. J Geriatr Psychiatry Neurol. 1994 Apr-Jun;7(2):121–128. doi: 10.1177/089198879400700208. [DOI] [PubMed] [Google Scholar]
- Parkes C. M. Factors determining the persistence of phantom pain in the amputee. J Psychosom Res. 1973 Mar;17(2):97–108. doi: 10.1016/0022-3999(73)90010-x. [DOI] [PubMed] [Google Scholar]
- Pell J. P., Donnan P. T., Fowkes F. G., Ruckley C. V. Quality of life following lower limb amputation for peripheral arterial disease. Eur J Vasc Surg. 1993 Jul;7(4):448–451. doi: 10.1016/s0950-821x(05)80265-8. [DOI] [PubMed] [Google Scholar]
- Pierce R. O., Jr, Kernek C. B., Ambrose T. A., 2nd The plight of the traumatic amputee. Orthopedics. 1993 Jul;16(7):793–797. doi: 10.3928/0147-7447-19930701-08. [DOI] [PubMed] [Google Scholar]
- Shukla G. D., Sahu S. C., Tripathi R. P., Gupta D. K. A psychiatric study of amputees. Br J Psychiatry. 1982 Jul;141:50–53. doi: 10.1192/bjp.141.1.50. [DOI] [PubMed] [Google Scholar]
- Shukla G. D., Sahu S. C., Tripathi R. P., Gupta D. K. Phantom limb: a phenomenological study. Br J Psychiatry. 1982 Jul;141:54–58. doi: 10.1192/bjp.141.1.54. [DOI] [PubMed] [Google Scholar]
- Solomon G. F., Schmidt K. M. A burning issue. Phantom limb pain and psychological preparation of the patient for amputation. Arch Surg. 1978 Feb;113(2):185–186. doi: 10.1001/archsurg.1978.01370140075015. [DOI] [PubMed] [Google Scholar]