Journal of Yeungnam Medical Science

영남대 의대 학술지 편집위원회 (Yeungnam University College of Medicine, Yeungnam University Institute Medical Science)
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Psychiatric understanding and treatment of patients with amputations

  • Jo, So-Hye (Department of Psychiatry, Yeungnam University Hospital) ;
  • Kang, Suk-Hun (Department of Psychiatry, Yeungnam University Hospital) ;
  • Seo, Wan-Seok (Department of Psychiatry, Yeungnam University College of Medicine) ;
  • Koo, Bon-Hoon (Department of Psychiatry, Yeungnam University College of Medicine) ;
  • Kim, Hye-Geum (Department of Psychiatry, Yeungnam University College of Medicine) ;
  • Yun, Seok-Ho (Department of Psychiatry, Yeungnam University Hospital)
  • 투고 : 2021.02.20
  • 심사 : 2021.04.02
  • 발행 : 2021.07.31
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초록

Amputation changes the lives of patients and their families. Consequently, the patient must adapt to altered body function and image. During this adaptation process, psychological problems, such as depression, anxiety, and posttraumatic stress disorder, can occur. The psychological difficulties of patients with amputation are often accepted as normal responses that are often poorly recognized by patients, family members, and their primary physicians. Psychological problems can interfere with rehabilitation and cause additional psychosocial problems. Therefore, their early detection and treatment are important. A multidisciplinary team approach, including mental health professionals, is ideal for comprehensive and biopsychosocial management. Mental health professionals could help patients set realistic goals and use adaptive coping styles. Psychiatric approaches should consider the physical, cognitive, psychological, social, and spiritual functions and social support systems before and after amputation. The abilities and limitations of physical, cognitive, psychological, and social functions should also be considered. To improve the patient's adaptation, psychological interventions such as short-term psychotherapy, cognitive behavioral therapy, mindfulness meditation, biofeedback, and group psychotherapy can be helpful.

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