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Depression and quality of life in patients with chronic wounds: ways to measure their influence and their effect on daily life

Authors Renner R, Erfurt-Berge C

Received 26 May 2017

Accepted for publication 25 September 2017

Published 21 November 2017 Volume 2017:4 Pages 143—151

DOI https://doi.org/10.2147/CWCMR.S124917

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 2

Editor who approved publication: Professor Marco Romanelli


R Renner, C Erfurt-Berge

Department of Dermatology, Universitätsklinikum Erlangen, Erlangen, Germany

Abstract: Depression is a very common comorbidity in patients with chronic wounds. At least 30% of those patients suffer from depressive symptoms or anxiety. To measure impairment on daily life, different quality of life (QoL) questionnaires can be used as well as specialized questionnaires to evaluate different levels of depression. In this review, we present some of the current measurement tools and effects of depression on QoL. Depression is often associated with wound duration, odor of wounds, and furthermore with pain and immobility. On the other hand, depression might reduce wound healing itself via psychoimmunological effects. QoL, in general, is reduced in patients with chronic wounds, but especially in the case of pain, immobility and older age, and sometimes independent to wound status (healed or active). Treating medical and health care personnel should establish depression and QoL questionnaires in daily practice and should consider the psychological health of their patients as part of their treatment.

Keywords: quality of life questionnaire, depression assessments, pain, chronic wounds, anxiety, depression

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