Letter to the Editor Impact of Diabetic Foot on Selected Psychological or Social Characteristics Ugur Cakir, 1 Ertugrul Kargi, 2 Hakan Sarman, 3 and Cengiz Isik 3 1 Department of Psychiatry, Abant Izzet Baysal University, School of Medicine, Bolu, Turkey 2 Department of General Surgery, Abant Izzet Baysal University, School of Medicine, Bolu, Turkey 3 Department of Orthopaedics and Traumatology, Abant Izzet Baysal University, School of Medicine, Golkoy, 14280 Bolu, Turkey Correspondence should be addressed to Hakan Sarman; hakansarman@yahoo.com Received 11 July 2014; Accepted 27 August 2014; Published 21 October 2014 Academic Editor: James Wrobel Copyright © 2014 Ugur Cakir et al. his 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. With great interest, we read the recent paper [1]“Does the diabetic foot have a signiicant impact on selected psychological or social characteristics of patients with diabetes mellitus?”. he authors aimed to compare selected psychological and social characteristics between diabetic patients with and without the diabetic foot (DF). hey have concluded that patients with DF had a predominantly worse standard of living and patients with DF appeared to have good stress tolerability and mental health and did not reveal severe forms of depression or any associated consequences. It is very well known that comorbidity of depression with diabetes mellitus is related to poor glycemic control, higher severity of diabetic complications, increased risk of cardiovascular diseases, higher functional disability, and poor treatment adherence [2, 3]. In contradiction to what is mentioned above and the authors’ expectation, the study results showed no signiicant diferences between the two groups regarding depression scores. In addition to the authors’ reasonable discussion, we want to stress another possible factor not mentioned in the study which is that the patients in both groups may be on or have history of antidepressant treatment. We believe it seems important to assess the presence of antidepressant treatment in the future studies to assess presence of depressive symptoms. Conflict of Interests he authors declare that there is no conlict of interests regarding the publication of this paper. References [1] V. Fejfarov´ a, A. Jirkovsk´ a, E. Dragomireck´ a et al., “Does the dia- betic foot have a signiicant impact on selected psychological or social characteristics of patients with diabetes mellitus?” Journal of Diabetes Research, vol. 2014, Article ID 371938, 7 pages, 2014. [2] J. K. Rustad, D. L. Musselman, and C. B. Nemerof, “he rela- tionship of depression and diabetes: pathophysiological and treatment implications,” Psychoneuroendocrinology, vol. 36, no. 9, pp. 1276–1286, 2011. [3] J. Zhang, C.-P. Xu, H.-X. Wu et al., “Comparative study of the inluence of diabetes distress and depression on treatment adherence in Chinese patients with type 2 diabetes: a cross- sectional survey in the People’s Republic of China,” Neuropsy- chiatric Disease and Treatment, vol. 9, pp. 1289–1294, 2013. Hindawi Publishing Corporation Journal of Diabetes Research Volume 2014, Article ID 981721, 1 page http://dx.doi.org/10.1155/2014/981721