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Understanding DREADD (Diabetes-Related Extremity Amputation Depression and Distress)
Bradley M Brooks1, Cyaandi R Dove2, Brady M Brooks3
1Department of Psychiatry, University of South Alabama Health, Mobile, AL, USA.
None:
Diabetes-related extremity amputation depression and distress (DREADD) is potentially a dangerous phenomenon that can occur following any nontraumatic amputation, including "minor" amputation. Brooks and colleagues conducted semistructured interviews to better understand patients' attitudes and experiences with amputation; they concluded that nontraumatic amputations can be a traumatic experience for patients. To combat DREADD, Brooks and colleagues recommended that surgeons should screen their patients with type 2 diabetes mellitus before and after any (minor or major) nontraumatic amputation and make the appropriate referral if necessary. Additionally, psychiatrists and other mental health clinicians should be included in multidisciplinary limb preservation teams.
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