Diabetes complications

The impact of depression on healing outcomes in people with diabetes-related foot ulcers: A systematic review

Diabetes Res Clin PractPublished Systematic review

Authors' conclusion

Depression may have a significant negative impact on healing outcomes in people with DFUs.

Study context

Population
People with diabetes-related foot ulcers (DFUs); MEDLINE, APA PsycINFO, CINAHL, Embase and Cochrane Library searched from inception (1976) to 11 March 2024
Participants
1,392 people11 studies
Comparison
Depression vs no depression
Outcome
Healing outcomes: healed ulcer, change in ulcer size and/or changes in ulcer severity classification tool scores
Methodological detailsnarrative synthesis, Mixed Methods Appraisal Tool (MMAT) quality appraisal
  • Narrative synthesis
  • MMAT quality appraisal

Pooled result

As reported in the abstract

Impact of depression on DFU healing outcomes

Studies finding a significant negative impact (or association) of depression on healing outcomes

5

45.5 %

Studies finding no significant impact or association

6

54.5 %

Further pooled results

Study quality (MMAT)

High quality
3 studies
Medium quality
4 studies
Low quality
4 studies

Original publication

The impact of depression on healing outcomes in people with diabetes-related foot ulcers: A systematic review. Diabetes Res Clin Pract. Published 22 May 2025. doi:10.1016/j.diabres.2025.112275

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