UNLABELLED: The aim of our case-control study was to compare selected psychological and social characteristics between diabetic patients with and without the DF (controls). METHODS: 104 patients with and 48 without DF were included into our study. Both study groups were compared in terms of selected psychosocial characteristics. RESULTS: Compared to controls, patients with DF had a significantly worse quality of life in the area of health and standard of living as shown by lower physical health domain (12.7 ± 2.8 versus 14.7 ± 2.5; P < 0.001) and environment domain (14.1 ± 2.2 versus 15 ± 1.8; P < 0.01) that negatively correlated with diabetes duration (r = -0.061; P = 0.003). Patients with DF subjectively felt more depressed in contrast to controls (24.5 versus 7.3%; P < 0.05); however, the depressive tuning was objectively proven in higher percentage in both study groups (83.2 versus 89.6; NS). We observed a significantly lower level of achieved education (P < 0.01), more patients with disability pensions (P < 0.01), and low self-support (P < 0.001) in patients with the DF compared to controls. In the subgroup of patients with a previous major amputation and DF (n = 6), there were significantly worse outcomes as in the environment domain (P < 0.01), employment status, and stress readaptation (P < 0.01) in contrast to the main study groups. CONCLUSIONS: Patients with DF had a predominantly worse standard of living. In contrast to our expectations, patients with DF appeared to have good stress tolerability and mental health (with the exception of patients with previous major amputation) and did not reveal severe forms of depression or any associated consequences.

Center for Lower Extremity Ambulatory Research Dr William M Scholl College of Podiatric Medicine Rosalind Franklin University of Medicine and Science Chicago IL 60064 USA

Department of Social Work Faculty of Arts Charles University 116 42 Prague Czech Republic

Diabetes Center Institute for Clinical and Experimental Medicine Vídeňská 1958 140 21 Prague Czech Republic

Diabetes Unit Derby Hospitals NHS Foundation Trust Derby DU22 3NE UK

000      

00000naa a2200000 a 4500

001      

bmc15008071

003      

CZ-PrNML

005      

20170125093514.0

007      

ta

008      

150306s2014 ua f 000 0|eng||

009      

AR

024    7_

$a 10.1155/2014/371938 $2 doi

035    __

$a (PubMed)24791012

040    __

$a ABA008 $b cze $d ABA008 $e AACR2

041    0_

$a eng

044    __

$a ua

100    1_

$a Fejfarová, Vladimíra $u Diabetes Center, Institute for Clinical and Experimental Medicine, Vídeňská 1958, 140 21 Prague, Czech Republic.

245    10

$a Does the diabetic foot have a significant impact on selected psychological or social characteristics of patients with diabetes mellitus / $c V. Fejfarová, A. Jirkovská, E. Dragomirecká, F. Game, R. Bém, M. Dubský, V. Wosková, M. Křížová, J. Skibová, S. Wu,

520    9_

$a UNLABELLED: The aim of our case-control study was to compare selected psychological and social characteristics between diabetic patients with and without the DF (controls). METHODS: 104 patients with and 48 without DF were included into our study. Both study groups were compared in terms of selected psychosocial characteristics. RESULTS: Compared to controls, patients with DF had a significantly worse quality of life in the area of health and standard of living as shown by lower physical health domain (12.7 ± 2.8 versus 14.7 ± 2.5; P < 0.001) and environment domain (14.1 ± 2.2 versus 15 ± 1.8; P < 0.01) that negatively correlated with diabetes duration (r = -0.061; P = 0.003). Patients with DF subjectively felt more depressed in contrast to controls (24.5 versus 7.3%; P < 0.05); however, the depressive tuning was objectively proven in higher percentage in both study groups (83.2 versus 89.6; NS). We observed a significantly lower level of achieved education (P < 0.01), more patients with disability pensions (P < 0.01), and low self-support (P < 0.001) in patients with the DF compared to controls. In the subgroup of patients with a previous major amputation and DF (n = 6), there were significantly worse outcomes as in the environment domain (P < 0.01), employment status, and stress readaptation (P < 0.01) in contrast to the main study groups. CONCLUSIONS: Patients with DF had a predominantly worse standard of living. In contrast to our expectations, patients with DF appeared to have good stress tolerability and mental health (with the exception of patients with previous major amputation) and did not reveal severe forms of depression or any associated consequences.

650    _2

$a činnosti denního života $x psychologie $7 D000203

650    12

$a adaptace psychologická $7 D000223

650    _2

$a senioři $7 D000368

650    _2

$a amputace $x škodlivé účinky $x ekonomika $x psychologie $x rehabilitace $7 D000671

650    _2

$a studie případů a kontrol $7 D016022

650    12

$a osobní újma zaviněná nemocí $7 D017281

650    _2

$a deprese $x komplikace $x ekonomika $x epidemiologie $7 D003863

650    _2

$a depresivní porucha unipolární $x komplikace $x ekonomika $x epidemiologie $7 D003865

650    _2

$a diabetes mellitus $x ekonomika $x patofyziologie $x psychologie $7 D003920

650    _2

$a diabetická noha $x komplikace $x patofyziologie $x psychologie $x chirurgie $7 D017719

650    _2

$a ženské pohlaví $7 D005260

650    _2

$a lidé $7 D006801

650    _2

$a incidence $7 D015994

650    _2

$a mužské pohlaví $7 D008297

650    _2

$a lidé středního věku $7 D008875

650    _2

$a neuritida $x komplikace $x epidemiologie $7 D009443

650    _2

$a psychiatrické posuzovací škály $7 D011569

650    _2

$a kvalita života $x psychologie $7 D011788

650    _2

$a stupeň závažnosti nemoci $7 D012720

650    _2

$a socioekonomické faktory $7 D012959

650    _2

$a psychický stres $x komplikace $x ekonomika $x epidemiologie $x rehabilitace $7 D013315

651    _2

$a Česká republika $x epidemiologie $7 D018153

655    _2

$a časopisecké články $7 D016428

655    _2

$a práce podpořená grantem $7 D013485

700    1_

$a Jirkovská, Alexandra $u Diabetes Center, Institute for Clinical and Experimental Medicine, Vídeňská 1958, 140 21 Prague, Czech Republic.

700    1_

$a Dragomirecká, Eva $u Department of Social Work, Faculty of Arts, Charles University, 116 42 Prague, Czech Republic.

700    1_

$a Game, Frances $u Diabetes Unit, Derby Hospitals NHS Foundation Trust, Derby DU22 3NE, UK.

700    1_

$a Bém, Robert $u Diabetes Center, Institute for Clinical and Experimental Medicine, Vídeňská 1958, 140 21 Prague, Czech Republic.

700    1_

$a Dubský, Michal $u Diabetes Center, Institute for Clinical and Experimental Medicine, Vídeňská 1958, 140 21 Prague, Czech Republic.

700    1_

$a Wosková, Veronika $u Diabetes Center, Institute for Clinical and Experimental Medicine, Vídeňská 1958, 140 21 Prague, Czech Republic.

700    1_

$a Křížová, Marta $u Diabetes Center, Institute for Clinical and Experimental Medicine, Vídeňská 1958, 140 21 Prague, Czech Republic. $7 xx0210157

700    1_

$a Skibová, Jelena $u Diabetes Center, Institute for Clinical and Experimental Medicine, Vídeňská 1958, 140 21 Prague, Czech Republic.

700    1_

$a Wu, Stephanie $u Center for Lower Extremity Ambulatory Research, Dr. William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine and Science, Chicago, IL 60064, USA.

773    0_

$w MED00181720 $t Journal of diabetes research $x 2314-6753 $g Roč. 2014, č. - (2014), s. 371938

856    41

$u https://pubmed.ncbi.nlm.nih.gov/24791012 $y Pubmed

910    __

$a ABA008 $b sig $c sign $y a $z 0

990    __

$a 20150306 $b ABA008

991    __

$a 20170125093631 $b ABA008

999    __

$a ok $b bmc $g 1065344 $s 890871

BAS    __

$a 3

BAS    __

$a PreBMC

BMC    __

$a 2014 $b 2014 $c - $d 371938 $i 2314-6753 $m Journal of diabetes research $n J Diabetes Res $x MED00181720

LZP    __

$a Pubmed-20150306