{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T00:50:00Z","timestamp":1780707000196,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2009,7,31]],"date-time":"2009-07-31T00:00:00Z","timestamp":1248998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetic Medicine"],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> To examine psychosocial adjustment in persons with lower limb amputations related to diabetes.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> Thirty\u2010eight participants with diabetes\u2010related lower limb amputations, recruited from two limb\u2010fitting centres, completed three psychological self\u2010report assessments: the Trinity Amputation and Prosthesis Experience Scales (TAPES); the Hospital Anxiety and Depression Scale (HADS); and the Amputation Body Image Scale\u2014Revised (ABIS\u2010R).<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Over 18% of participants scored above the normal range (&gt;\u20038) for depression on the HADS and 18.5% scored above the normal range for anxiety. Both depression (<jats:italic>\u03c1<\/jats:italic>\u2003=\u20030.75, <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.01) and anxiety (<jats:italic>\u03c1<\/jats:italic>\u2003=\u20030.62, <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.01) scores were significantly associated with body image disturbance, as measured using the ABIS\u2010R. Significant relationships were also observed between body image disturbance and three TAPES subscales measuring psychosocial adjustment [general adjustment (<jats:italic>\u03c1<\/jats:italic>\u2003=\u2003\u22120.48, <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.01), social adjustment (<jats:italic>\u03c1<\/jats:italic>\u2003=\u2003\u22120.51, <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.01), adjustment to limitations (<jats:italic>\u03c1<\/jats:italic>\u2003=\u2003\u22120.45, <jats:italic>P<\/jats:italic>\u2003&lt;\u20030.05)].<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> Individuals with diabetes\u2010related amputations may be at elevated risk for psychological distress as a result of their co\u2010morbid medical condition. Regular screening for anxiety and depression and the provision of appropriate follow\u2010up care may therefore be advisable in this population.<\/jats:p>","DOI":"10.1111\/j.1464-5491.2009.02802.x","type":"journal-article","created":{"date-parts":[[2009,7,31]],"date-time":"2009-07-31T08:07:50Z","timestamp":1249027670000},"page":"1063-1067","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":85,"title":["Psychosocial adjustment to diabetes\u2010related lower limb amputation"],"prefix":"10.1111","volume":"26","author":[{"given":"L.","family":"Coffey","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Gallagher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Horgan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Desmond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"MacLachlan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,9,25]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-1159"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2009.02698.x"},{"key":"e_1_2_8_4_2","first-page":"409","volume-title":"Lower Extremity Foot Ulcers and Amputations in Diabetes. 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