Related Experiment Video
Updated: Jun 1, 2026
07:59
Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
Published on: October 29, 2021
Psychiatric sequelae of amputation : ii long term effects
J K Trivedi1, C P Mall, U S Mishra
1J.K. TRIVEDI, M.D., Professor, Department of Psychiatry, K.G. Medical College, Lucknow.
Indian Journal of Psychiatry
|May 18, 2011
Summary
Psychiatric issues like depression are common after amputation. Right-sided amputations and phantom limb pain are linked to worse mental health outcomes in amputees.
Area of Science:
- Psychiatry
- Rehabilitation Medicine
- Clinical Psychology
Background:
- Amputation can lead to significant psychological distress.
- Understanding long-term psychiatric sequelae is crucial for patient care.
Purpose of the Study:
- To investigate psychiatric conditions in amputees 6 months to 2 years post-amputation.
- To identify factors associated with psychiatric illness after limb loss.
Main Methods:
- Screening of 25 amputees using SCID, HRSD, and HARS.
- Analysis of psychiatric diagnoses and their correlation with amputation side and phantom limb experiences.
Main Results:
- Depressive disorders (NOS and major) were the most frequent diagnoses.
- Right-sided amputations were associated with higher psychiatric morbidity.
- Phantom limb phenomena were more prevalent in psychiatrically affected individuals.
Conclusions:
- Amputation sequelae include significant psychiatric disorders, particularly depression.
- Amputation side and phantom limb pain are important clinical indicators for psychiatric risk.
Related Concept Videos
01:24Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
01:25Secondary Spinal Cord Injury llI: Pathophysiology
Early Ischemia and Ionic ImbalanceWithin minutes of spinal cord injury, a secondary cascade begins, progressing over hours to weeks. Vascular damage reduces blood flow, causing ischemia and mitochondrial dysfunction. ATP depletion leads to ion pump failure, membrane depolarization, sodium influx, potassium efflux, and water accumulation, resulting in cellular swelling. Increased intracellular calcium further disrupts mitochondria and accelerates cellular injury.Excitotoxicity and Neuronal...
01:03Long-term Depression
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over time, all...
Calcium Ion Concentration Mechanism
If over time, all...
01:05Long-term Depression
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:27Post-traumatic Stress Disorder
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events, are a...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events, are a...