Beyond the wound: A scoping review of the psychosocialimpact of diabetes-related foot ulcers

Hanlon M, McGuire BE, MacGilchrist C, et al. Beyond the wound: A scoping review of the psychosocial impact of diabetes-related foot ulcers. Diabet Med. 2026;43:e70243. https://doi.org/10.1111/dme.70243

Abstract

Objectives To explore the emotional consequences of diabetes-related foot ulcers (DFUs) and examine the psychosocial factors that influence their progression, management and self care behaviours. Methods A systematic scoping review was conducted following Arksey and O'Malley's six-stage framework and the Joanna Briggs Institute guidelines, and reported in accordance with PRISMA-ScR standards. Studies were eligible if they examined emotional or psychosocial experiences of adults living with DFUs. Results Forty-nine studies were included: 28 cross sectional, 13 qualitative, 5 prospective, 2 randomized controlled trials and 1 case study. Individuals with DFUs experienced heightened emotional distress and substantially reduced health-related quality of life (HRQOL), largely due to physical limitations, challenges in diabetes self management and fear of future complications. Key psychosocial influences included low self-efficacy, feelings of powerlessness, loss of independence and perceived burdensomeness. Disparities related to gender, socio-economic status and cultural background further shaped emotional outcomes and self care behaviours. Conclusions Psychosocial factors substantially influence emotional well-being, treatment adherence and wound healing in people living with DFUs. Integrating psychosocial assessment, tailored education and emotional support into standard care may improve outcomes. Practice Implications Routine psychological screening, health literacy–sensitive education and multidisciplinary counselling should be incorporated into DFU management to enhance self care and quality of life.

Funder

Health Research Board

Publisher

Wiley

Rights

CC BY

cb

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