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Journal of Diabetes Research
Volume 2014, Article ID 371938, 7 pages
Research Article

Does the Diabetic Foot Have a Significant Impact on Selected Psychological or Social Characteristics of Patients with Diabetes Mellitus?

1Diabetes Center, Institute for Clinical and Experimental Medicine, Vídeňská 1958, 140 21 Prague, Czech Republic
2Department of Social Work, Faculty of Arts, Charles University, 116 42 Prague, Czech Republic
3Diabetes Unit, Derby Hospitals NHS Foundation Trust, Derby DU22 3NE, UK
4Center for Lower Extremity Ambulatory Research, Dr. William M. Scholl College of Podiatric Medicine, Rosalind Franklin University of Medicine and Science, Chicago, IL 60064, USA

Received 25 October 2013; Revised 27 January 2014; Accepted 19 February 2014; Published 25 March 2014

Academic Editor: James Wrobel

Copyright © 2014 Vladimíra Fejfarová et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The aim of our case-control study was to compare selected psychological and social characteristics between diabetic patients with and without the DF (controls). Methods. 104 patients with and 48 without DF were included into our study. Both study groups were compared in terms of selected psychosocial characteristics. Results. Compared to controls, patients with DF had a significantly worse quality of life in the area of health and standard of living as shown by lower physical health domain ( versus ; ) and environment domain ( versus ; ) that negatively correlated with diabetes duration ( ; ). Patients with DF subjectively felt more depressed in contrast to controls (24.5 versus 7.3%; ); however, the depressive tuning was objectively proven in higher percentage in both study groups (83.2 versus 89.6; NS). We observed a significantly lower level of achieved education ( ), more patients with disability pensions ( ), and low self-support ( ) in patients with the DF compared to controls. In the subgroup of patients with a previous major amputation and DF ( ), there were significantly worse outcomes as in the environment domain ( ), employment status, and stress readaptation ( ) in contrast to the main study groups. Conclusions. Patients with DF had a predominantly worse standard of living. In contrast to our expectations, patients with DF appeared to have good stress tolerability and mental health (with the exception of patients with previous major amputation) and did not reveal severe forms of depression or any associated consequences.