Anna Zaheer, Faiza Sharif, Nida Fatima, Ayesha Shaque, Zeeshan Khan.
Correlation Between Level of Depression, Sleep Disturbance and Suicidal Thoughts among Lower Limb Amputees.
Pak J Physical Therapy Jan ;1(1):14-8.

Highlights:Current study is a cross sectional survey to and level of depression and its correlation with sleep and suicidal thoughts among lower limb amputees. Patient health questionnaire-9 (PHQ-9) was used and data was calculated from registered hospitals and rehabilitation centers in Lahore, Pakistan. It was concluded that amputees suffered from depression of varying severities and there was a significant correlation between depression, sleep and suicidal thoughts Abstract: Amputation is an operative removal of a particular part of the body. Types of this surgical process vary from patient to patient depending upon the condition of a patient. Amputees face various psychological consequences which may lead to depression. Objective: To find the correlation between sleep, suicidal thoughts and depression among lower limb amputees. Methodology: It was a cross sectional survey conducted on amputees. Data were collected from registered government hospitals and rehabilitation centers of Lahore, Pakistan. Modified Patient Health Questionnaire (PHQ-9) was used to find frequency score of depression. Patient with Transtibial and transfemoral amputation were included in the study. People with other disabilities, pregnancy, infectious stump, upper motor disease, lower motor disease and ongoing malignancy were excluded. Results: This study was conducted on 70 patients with Lower limb amputation that was either transtibial or trans-femoral. Among all participants 53(75.7%) were males and 17(24.3%) were females. Depression was presented in 55 (78.57%) amputees, among those 21 (30%) participants were suffering from mild depression, 20 (28.6%) from moderate, 12 (17.1%) with moderately severe and only 2 (2.9%) participants were presented with severe depression. Correlation of depression score with sleep disturbance was 0.492( p 0.000) and that of depression score and frequency of suicidal thought was 0.452 (p 0.000). Conclusions: Patients who underwent amputation suffered from various psychological consequences such as depression. They had sleep disturbances and suicidal thoughts found to be directly associated to depression.

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