Communication Affichée: Appareil locomoteur SOFMER/ SOFCOT

Le 02/12/2022 de 08:00 à 09:30

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Evaluation psychologique des amputes des membres inferieurs suite a un traumatisme balistique

kais ben amor (tunis, Tunisie), Meriam Hfaidh (tunis, Tunisie), Najla Mouhli (tunis, Tunisie), Jihen Bahri (tunis, Tunisie), Hajer Rahali (tunis, Tunisie), Imene Ksibi (tunis, Tunisie), Rim Maaoui (tunis, Tunisie)

Objective :
The particularity of amputation following a ballistic trauma is that it occurs in a particular context and in a young population. This suggests a significant psychological impact.

The objective of our study is to make a psychological assessement in this population.


Material / Patients and Methods : We conducted a cross-sectional, descriptive study in the Physical Rehabilitation Medicine (PRM) Department of the Military Hospital of Tunis, over a period between September and December 2019, on a population of patients with lower limb amputation following a ballistic trauma fitted for at least 1 year.  We screened for anxiety and depressive disorders by the HAD and studied the initial psychological status by consulting patients' records.

Results : We included 36 exclusively male patients in this study. The mean age was 29.4±6.9 years with extremes ranging from 22 to 49 years. After amputation, 16 patients had developed PTSD requiring cognitive behavioral therapy(CBT). 42% of the patients were treated with antidepressant and 36% were treated with on an anxiolytic.
At the time of evaluation, only 1 patient was on an antidepressant. The mean of HAD anxiety value was 6±4.3 with extremes ranging from 0 to 14. The mean HAD depression value was 4.7±3.9 with extremes ranging from 0 to 14. Definite depression symptomatology was detected in 4 patients and definite anxiety symptomatology in 7 patients.

Discussion - Conclusion : Amputation had a psychological impact in this young population, which implies early psychological and social assistance and support.

Keywords : Amputation - psychological impact - ballistic trauma