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RÉSUMÉ
Introduction. L’amputation de membre pourrait conduire à divers troubles psychiatriques. Au Cameroun, peu de données existent sur l’épidémiologie des pathologies psychiatriques faisant suites aux amputations de membre. Notre objectif était de déterminer la fréquence des différents troubles psychiatriques liés aux amputations de membres à l’hôpital Central de Yaoundé (HCY). Matériels et méthode. Il s’agissait d’une étude descriptive concernant les patients amputés de membres entre 2016 et 2021 aux services de chirurgie de l’HCY. Après obtention de leur consentement éclairé, nous les avons soumis aux questionnaires d’évaluations de la dépression mentale (PHQ9), de l’anxiété généralisée (GAD7), de l’état de stress post traumatique (PCL5) et à un questionnaire d’évaluation du membre fantôme. Résultats. Les dossiers de 61 patients ont été colligés. Les adultes jeunes, de sexe masculin, chauffeurs de mototaxi représentaient la population la plus atteinte. Les traumatismes par accident de la voie publique ou de travail suivis des complications du diabète étaient les causes les plus fréquentes. 83,6% des patients amputés de membres de l’HCY souffrent d’affections psychiatriques plus spécifiquement, 70,5% des patients souffrent de membres fantômes, 39,3% présentent une dépression mentale, 29,5% souffrent d’anxiété généralisée et 21,3% de stress post traumatique. Seulement 9,8% des patients avaient bénéficiés d’une consultation psychiatrique. Conclusion. L’amputation d’un membre constitue un handicap qui génère de sévères troubles psychiatriques. Une implication des médecins psychiatres pourrait participer à l’amélioration de la qualité de vie de ces patients.
ABSTRACT
Introduction. Amputation is a surgical act consisting in the partial or total ablation of a limb. Amputation of a limb alter considerably the corporal image and is followed by severe functional deficit witch in some cases can lead to psychiatric disorders. In Cameroon there are not many studies in epidemiology of psychiatric correlate to amputation. The aim of this study were to determine the frequency of psychiatric disorders following limb amputation in HCY. Material and Method. It was about a descriptive study concerning all patients having undergone a limb amputation from January 2016 to June 2021 in the department of orthopedic surgery and emergency surgery theater of HCY. After obtaining theirs consent, we look for mental depression, generalized anxiety, post-traumatic stress syndrome and phantom limb using respectively using the PHQ 9, GAD 7, PCL5 and a phantom limb questionnaire. Results. Among the 838 files we consulted, we found 132 cases of amputations. Young adult moto-taxi drivers represented the population most affected by amputations. Major injuries by road traffic accident were the first etiology followed by foot complication of diabetes mellitus. 83,6% of amputated patients of HCY presented psychiatric disorder, specifically: 70,5% had phantom limb sensation, 39,3% had mental depression, 41,8% were suffering of generalized anxiety and 30,3% patients had post-traumatic stress syndrome. These psychiatric disorders were significantly associated with lower limb amputation, the loss of employment. Only 9,8% patients were followed by a psychiatrist. Conclusion. In conclusion, the limb amputation constitute lively handicap leading to functional and professional inability but also generate severe psychiatric disorders. A better implication of psychiatrist and a better accessibility to prosthesis could improve amputated patients quality of life.

Keywords

Amputation, Mental depression, Generalized anxiety, Post-traumatic stress syndrome, Phantom limb Amputation, Dépression, Anxiété, Stress post traumatique, Membre fantôme.

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Ngongang Gilbert Frank Olivier, El Oumar, N. ., Jean Pierre, K. O. ., Tidianie, M. ., Loïc, F. ., Cedric, M. ., Georges Eric, N. E. ., Daniel, H. E. ., & Bertrand, T. . (2024). Forensic Evaluation of Psychiatric Disorders Related to Limb Amputations at Yaoundé Central Hospital: Evaluation Médicolégale des Troubles Psychiatriques Liés aux Amputations de Membres à l’Hôpital Central de Yaoundé. HEALTH SCIENCES AND DISEASE, 25(3 Suppl 1). https://doi.org/10.5281/hsd.v25i3 Suppl 1.5683
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