Navigation Links
Mental health linked to amputation risk in diabetic veterans
Date:12/20/2007

Philadelphia, PA, December 20, 2007 For U.S. veterans with diabetes, lower scores on a test of mental health functioning are associated with an increased risk of major amputations, reports a study in the November/December issue of the journal General Hospital Psychiatry.

"Our findings suggest that foot care programs need to assess individuals for mental health functioning as a risk factor and to develop appropriate interventions to counteract this higher risk of major amputation," write the study authors, led by Chin-Lin Tseng, Dr.P.H., of the VA New Jersey Health Care System, East Orange, N.J.

Dr. Tseng and colleagues analyzed a database of nearly 115,000 patients with diabetes who received care at Veterans Health Administration clinics from 1998 to 2000. All of the veterans were asked to complete a measure of mental health functioning.

Scores for mental health functioning were evaluated as a risk factor for diabetes-related amputations of the foot and leg. During 2000, "major" amputations (ankle or above) were required in 450 patients, while 431 underwent "minor" amputations (toes to ankle).

Veterans with lower scores for mental health functioning were at increased risk for amputations. This was so even when other important risk factorsincluding poor control of diabetes, smoking, less-frequent health care, and obesitywere taken into account. The overall rate of major amputations was 0.5 percent in veterans with below-average mental health scores, compared to 0.3 percent in those with above average scores and 0.2 percent for those at the highest level of mental health functioning.

On analysis including all risk factors, each five-point increase in mental health score was associated with a five percent decrease in the risk of major amputations. After adjustment, mental health functioning was no longer a significant risk factor for minor amputations.

Mental health scores were higher for veterans who had above a high school education, who were not obese, and who were not considered poor.

Amputations are a major complication of diabetes. Most studies of amputation risk factors have focused on medical conditionsfor example, foot problems such as ulcers or infections or control of diabetes. Although some research has suggested that mental health care may affect the risk of diabetes-related amputations, the new study is the first to address this issue directly.

The results suggest that poor mental health functioning is an important risk factor for major amputations in diabetic veterans. Although the study cannot prove any cause-and-effect relationship, Dr. Tseng and colleagues believe that problems with mental health may interfere with needed diabetes care, including foot care.

The researchers urge medical professionals and patients to be aware of the possible link between mental health and amputation risk. They conclude, "Identifying patients who are at higher risk for major amputations due to poor mental health functioning may allow the dedication of resources and services to more closely supervise and manage their podiatric needs, perhaps leading to fewer amputations."


'/>"/>

Contact: Jayne Dawkins
ja.dawkins@elsevier.com
215-129-3674
Elsevier
Source:Eurekalert

Related medicine news :

1. Experimental anti-cancer drug made from corn lillies kills brain tumor stem cells
2. College Mental Health Expert and Sister of Student Who Died By Suicide Available to Discuss College Mental Health Issues
3. HHS Announces $75 Million in Supplemental Funding to States for Pandemic Flu Preparedness
4. Virginia Tech Review Panel Calls For Reform of Mental Health Treatment Law
5. Therap Services Continues to Hire Experienced Developmental Disability Industry Clinicians for its Customer Support Team
6. The Philadelphia Walk Now for Autism Expected to Draw 10,000 Walkers and Raise $1 Million to Help Find Answers About the Nations Fastest-Growing Developmental Disorder
7. How Best to Treat Preschoolers With ADHD? The Harvard Mental Health Letter Discusses the Options
8. Experimental Antidepressants Offer Faster Relief
9. Environmental stress probed in cardiovascular disease, diabetes
10. UCLA receives $22.5 million to explore the fundamental biology of mental disorders
11. Mental Health Woes Strike Half of Cancer Patients
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:1/24/2017)... ... January 24, 2017 , ... “Speaking With God’s Voice”: ... God’s Voice” is the creation of published author, Louis A. Miraglia, a born-again believer, ... best to deliver God’s great, impactful Word. , “There is little doubt that ...
(Date:1/24/2017)... ... 24, 2017 , ... “Mysteries Revealed On Speaking In Tongues”: an engaging ... to all Christians. “Mysteries Revealed On Speaking In Tongues” is the creation of published ... talk show located in Michigan. , “We need to partner with Jesus and ...
(Date:1/24/2017)... ... January 23, 2017 , ... ... house-caliber protein and espresso drink, announced its CLICK® Coffee Protein Drink is now ... Coffee Protein Drink Mix has become popular among health-conscious consumers who love coffee ...
(Date:1/24/2017)... Utah (PRWEB) , ... January 23, 2017 , ... The ... now) features a three-year outcome study on how outdoor behavioral healthcare (OBH) – also ... of distress and interpersonal difficulties while experiencing an increased sense of purpose both during ...
(Date:1/24/2017)... ... January 23, 2017 , ... Somnoware, a leading provider of ... centers to automatically connect and initialize all their devices with one click. This ... quickly installed on first use and then monitors device changes automatically. With this ...
Breaking Medicine News(10 mins):
(Date:1/24/2017)... Jan. 23, 2017 The global peripheral I.V. ... and it is expected to grow at a CAGR ... segment accounted for larger share in the global market ... various end users, the hospital segment accounted for the ... year. The global peripheral I.V. catheter market is witnessing ...
(Date:1/23/2017)... DUBLIN , Jan. 23, 2017 Endo ... Federal Trade Commission (FTC) today filed a joint motion ... of California seeking the entry ... Stipulated Order resolves all disputes between the FTC and ... into in connection with its Opana® ER and Lidoderm® ...
(Date:1/23/2017)... YORK , Jan. 23, 2017 MouthWatch LLC ... Camera was ranked as the best intraoral camera on ... taking the #2 spot overall. The #1 product was the ... said the MouthWatch intraoral camera was "…incredibly popular because it ... the camera has a small sticker price, it doesn,t sacrifice ...
Breaking Medicine Technology: