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A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor

A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor

Published on: July 24, 2012

Psychiatric sequelae of amputation : I immediate effects.

C P Mall¹, J K Trivedi, U S Mishra

¹C.P. MALL, MD., Psychiatrist, Medical Officer, Provincial Medical Services, Basti.

Indian Journal of Psychiatry

|May 18, 2011

Summary

Psychiatric complications like PTSD and major depression affect over a third of recent amputation patients. Phantom limb sensations occur frequently but don't predict psychiatric issues, though limb location matters.

Keywords:

Amputation phantom limb psychiatric aspects

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Last Updated: Jun 1, 2026

A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor

A Contusive Model of Unilateral Cervical Spinal Cord Injury Using the Infinite Horizon Impactor

Published on: July 24, 2012

Area of Science:

Psychiatry
Rehabilitation Medicine
Clinical Psychology

Background:

Amputation can lead to significant psychological distress and phantom limb phenomena.
Early identification of psychiatric complications is crucial for effective patient management.

Purpose of the Study:

To investigate the prevalence of psychiatric complications in patients recently undergoing amputation.
To explore the relationship between phantom limb phenomena and psychiatric disorders post-amputation.

Main Methods:

Utilized Structured Clinical Interview for DSM-5 (SCID), Hamilton Rating Scale for Depression (HRSD), and Hamilton Anxiety Rating Scale (HARS).
Assessed 25 subjects within 6 weeks of amputation for psychiatric disorders and phantom limb experiences.
Categorized subjects into 'sick' (diagnosed psychiatric disorder) and 'nonsick' groups.

Main Results:

Over one-third of subjects (34.6%) developed psychiatric disorders, primarily Post-Traumatic Stress Disorder (PTSD) and major depression.
Phantom limb phenomena were reported by 88% of subjects, with no significant difference in presence or associated pain, telescoping, or movement between psychiatric groups.
A statistically significant difference in psychiatric complications was observed based on the location of the amputated limb (upper vs. lower).

Conclusions:

Recent amputation is associated with a high incidence of psychiatric complications, including PTSD and depression.
Phantom limb phenomena are common but not directly predictive of psychiatric disorders in this population.
Limb location appears to be a significant factor influencing the development of psychiatric sickness after amputation.