Abstract
To find the levels of self-esteem, depression, anxiety and stress among prosthesis users. The cross-sectional study was conducted from June to November 2018 at Chal Foundation centres in Bagh and Swabi, Pakistan, and comprised prosthesis users of both genders aged 15-60 years. Rosenberg self-esteem scale and Depression anxiety and stress scale-21 were used to collect data which was analysed using SPSS 22. Of the 400 subjects, 315(78.8%) were males and 85(21.2%) were females. The overall mean age was 38.03±11.86 years. Low level of self-esteem was found in 350(87.5%), depression in 374(93.4%), anxiety in 388(96.9%) and stress in 338(84.4%). Females showed significant association with stress (p=0.009). The level of self-esteem was low among majority of the participants and psychological well-being was found to be poor.
Highlights
Often traumatic, metabolic, vascular, oncological and infective conditions lead to amputation, especially involving the limbs
A review article revealed a high prevalence of psychiatric disorders (32-84%), including depression (10.463%), posttraumatic stress disorder (PTSD) (3.3–56.3%), and the phenomenon of phantom limb (14–92%)[3]
Low level of self-esteem was found in 350(87.5%), depression in 374(93.4%), anxiety in 388(96.9%) and stress in 338(84.4%) (Table 2)
Summary
Metabolic, vascular, oncological and infective conditions lead to amputation, especially involving the limbs. Persons with amputation (PWAs) face a number of psychosocial and psychiatric issues including loss of self-esteem, depression, stress and anxiety with financial repercussions, leading to economic burden due to medical costs and at times suicidal tendencies develop[2], leading to compromised quality of life (QOL). PWAs need both prosthetic devices and rehabilitative methods after limb removal. Prosthesis is a type of an artificial limb that substitutes for a lost part of body, like arms or legs, and helps replace and, restore the movement of the missing limb. Rehabilitation for successful fitting and use of prosthesis to attain functional mobility are the main goals. A number of medical and psychosocial factors can contribute to fitting, use and function of prosthesis[4]
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