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CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2016; 04(01): 017-024
DOI: 10.4103/2321-0656.164792
Review Article
NovoNordisk Education Foundation

Understanding the relationship between depression and diabetic foot ulcers

Andrew Steel
1   Department of Psychology, School of Health Sciences, RMIT University, Bundoora, Australia
2   Department of Orthotics and High Risk Foot Service, Epping, Victoria, Australia
,
John Reece
1   Department of Psychology, School of Health Sciences, RMIT University, Bundoora, Australia
,
Anne-Marie Daw
3   Department of Psychology, Northern Health, Epping, Victoria, Australia
› Author Affiliations
Further Information

Publication History

Publication Date:
23 November 2018 (online)

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Abstract

The prevalence of diabetes is increasing, as is the cost of managing its comorbidities. Diabetic foot ulcers (DFUs) and their complications place a considerable cost burden on the health system, and lead to a significant level of disability. The relationship between depression and diabetes is well-established. The relationship between depression and foot ulcers in diabetic patients is less well-established. The purpose of this article is to provide a current concept review of the literature from 1988 to 2013, linking DFUs and depressive symptoms, with an emphasis on the impact depressive symptoms have on healing rates of DFUs. Articles specifically focusing on the biological relationship, depression′s impact on self-care, screening for depressive symptoms, causes and cost of treating DFUs, and measuring depression were reviewed. A deeper understanding of this relationship is needed to identify causal relationships, improve treatment outcomes, and reduce healing times of DFUs.

Depression - diabetes - diabetic foot ulcer
 

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