• Published Papers
  • Open Access
  • Approach and Means of Support for Mental Disorders Caused by the Traumatic Amputation of a Limb
  • DOI: 10.4236/jss.2015.36005   PP.21 - 24, Pub. Date: May 21 , 2015
  • Author(s)
  • Bogdan Alexandru Ciubară, Ovidiu Alexa, Lucian Ștefan Burlea, Ilinca Untu, Anamaria Ciubară
  • ABSTRACT
  • Amputation, one of the oldest types of surgery performed for therapeutic purposes, has main indication, the severe trauma to a limb that is incompatible to preserve because of the irreversible ischemia. The loss of a limb due to trauma has also a devastating emotional impact on a patient, escalating to genuine mental disorders that stretch out further than the loss of the limb itself produces. Thus, there is a certain sequential order regarding risk for developing mental disorders, starting from the immediate reaction, the acute stress disorder, and ending with the post-traumatic stress disorder, depression and anxiety that is mostly related to one’s perceived image, which further aggravates their disability. The present paper aims to realize a synthesis of the emotional elements that can intensify up to mental disorders; by understanding the impact of squeal produced by the amputation, we can actually improve the multidisciplinary approach before and after surgery for the patient that suffered an amputation.

  • KEYWORDS
  • Amputated Limb, Post-Traumatic Stress Disorder, Acute Stress Disorder, Depression, Anxiety
  • References
  • [1] Copuroglu, C., Ozcan, M. and Ymlaz, B. (2010) Acute Stress Disorder and Post-Traumatic Stress Disorder Following Traumatic Amputation. Acta Orthopaedica Belgica, 76, 90-93.

    [2] Heck, R.K. (2008) General Principles of Amputations. In: Canale, S.T. and Beaty, J.H., Eds., Campbell’s Operative Orthopaedics, 11th Edition, Mosby Elsevier, Philadelphia, 561-578. http://dx.doi.org/10.1016/B978-0-323-03329-9.50012-X

    [3] American Psychiatric Association (2013) DSM-5. Diagnostic and Statistical Manual of Mental Disorders.

    [4] Cavanagh, S.R., Shin, L.M., Karamouz, N. and Rauch, S.L. (2006) Psychiatric and Emotional Sequelae of Surgical Amputation. Psychosomatics, 47, 459-464. http://dx.doi.org/10.1176/appi.psy.47.6.459

    [5] Desmond, D.M. and MacLachlan, M. (2006) Coping Strategies as Predictors of Psychosocial Adaptation in a Sample of Elderly Veterans with Acquired Lower Limb Amputations. Social Science Medicine, 62, 208-216. http://dx.doi.org/10.1016/j.socscimed.2005.05.011

    [6] Ebrahimzadeh, M.H. and Rajabi, M.T. (2007) Long Term Outcomes of Patients Undergoing War-Related Amputations of the Foot and Ankle. Journal of Foot and Ankle Surgery, 46, 429-433. http://dx.doi.org/10.1053/j.jfas.2007.08.011

    [7] Bhuvaneswar, C.G., Epstein, L.A. and Stern, T.A. (2007) Reactions to Amputation: Recognition and Treatment. Journal of Clinical Psychiatry, 9, 303-308. http://dx.doi.org/10.4088/PCC.v09n0408

    [8] Ferguson, A.D., Richie, B.S. and Gomez, M.J. (2008) Psychologicalfactors after Traumatic Amputation in Landmine Survivors: The Bridge between Physical Healing and Full Recovery. Disability and Rehabilitation, 14-15, 931-938.

    [9] Sumer, A., Onur, E. and Alt?nl?, E. (2008) Our Clinical Experiences after Lower Extremity Amputations. In?nü üniversitesi Tip Fakültesi Dergisi, 15, 187-190.


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