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A Psychiatric Study of Amputees

Published online by Cambridge University Press:  29 January 2018

G. D. Shukla ,
S. C. Sahu ,
R. P. Tripathi  and
D. K. Gupta
G. D. Shukla
Affiliation:
M.L.B. Medical College, Jhansi (U–P), India
S. C. Sahu
Affiliation:
M.L.B. Medical College, Jhansi (U–P), India
R. P. Tripathi
Affiliation:
M.L.B. Medical College, Jhansi (U–P), India
D. K. Gupta
Affiliation:
M.L.B. Medical College, Jhansi (U–P), India
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Summary

Psychiatric manifestations were studied in 72 amputees in the post-operative period. All were right handed. Besides phantom limb phenomena, which were observed in nearly four-fifths of the cases and are described in another paper, nearly two-thirds had psychiatric symptoms in the form of depression (45 patients), anxiety (38), crying spells (38), insomnia (34), loss of appetite (23), suicidal ideas (21) and psychotic behaviour (2). Right arm amputees had phantom phenomena and insomnia significantly more often than left.

Nearly one-fifth of the cases were diagnosed as having psychotic depressive reactions, two-fifths as having depressive neurosis and two, both with right upper limb amputations, as schizophrenic.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 141 , Issue 1 , July 1982 , pp. 50 - 53
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Abrams, H. S. (1975) Psychiatry and surgery. In Comprehensive Textbook of Psychiatry (eds. Freedman, A. M., Kaplan, H. I. and Sadock, B. J.). Vol. II. Baltimore: Williams & Wilkins Google Scholar
American Psychiatric Association (1968) Diagnostic and Statistical Manual (D.S.M.-2). Washington: American Psychiatric Association.Google Scholar
Carlen, P. L., Wall, P. D., Hadvorna, M. D. & Steinbach, T. (1978) Phantom limb and related phenomena in recent traumatic amputations. Neurology, 28, 211–7.Google Scholar
Cronholm, B. (1951) Phantom limb in amputees. Acta Psychiatrica Neurologica Scandinavica (Supplement), 72, 1–310.Google Scholar
De Gutierrez-Mahoney, C. G. (1970) The treatment of painful phantom limb. Surgical Clinics of North America, 28, 705–8.Google Scholar
Freedman, A. M., Kaplan, H. I. & Sadock, B. J. (1976) Modern Synopsis of Comprehensive Textbook of Psychiatry. Baltimore: Williams & Wilkins.Google Scholar
Handerson, A. M. & Smyth, G. E. (1948) Phantom limb. Journal of Neurology, Neurosurgery and Psychiatry, 11, 88–112.Google Scholar
Kolb, L. C. (1954) The Painful Phantom: Psychology, Physiology and Treatment. Springfield, Illinois: Charles C. Thomas.Google Scholar
Melzack, R. (1971) Phantom limb pain. Anaesthesiology, 35, 409–19.CrossRefGoogle ScholarPubMed
Parkes, C. M. (1973) Factors determining the persistance of phantom pain in amputees. Journal of Psychosomatic Research, 17, 87–108.CrossRefGoogle Scholar
Shukla, G. D., Sahu, S. C., Tripathi, R. P. & Gupta, D. K. (1982) Phantom limb: A phenomenological study. British Journal of Psychiatry. (Accepted for publication). 141, 54–58.CrossRefGoogle ScholarPubMed
Solomon, P. F. & Schmidt, K. M. (1978) A burning issue: Phantom limb pain and psychological preparation of the patient for amputation. Archives of Surgery, 113, 185–6.Google Scholar
Sunderland, S. (1968) Nerves and Nerve Injuries. Baltimore: Williams & Wilkins.Google Scholar
Tooms, R. F. (1971) Amputations. In Campbell's Operative Orthopedics (ed. Crenshaw, A. H.). Vol. I. Tokyo: Igaku Shoin Google Scholar
Wilson, P. R., Person, J. R., Su, D. W. & Wang, J. K. (1978) Herpes zoster reactivation of phantom limb pain. Mayo Clinic Proceedings, 53, 336–8.Google ScholarPubMed
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