A Comparison of Psychosocial Functioning and Personality in Amputee and Chronic Pain Populations

Marshall, Maureen; Helmes, Edward; Deathe, A Barry

doi:10.1097/00002508-199212000-00010

Cited by 46 publications

(32 citation statements)

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“…Similarly, our population with PAD reported major decreases in general health-related quality of life, including decreases in the SF-36 scores for physical function, role limitations (physical problem domain), role limitations (emotional problem domain), and general health perceptions. Such major decreases in health-related quality of life have been reported in individuals with severe PAD and amputation or in the post-operative state, 35,36 as well in patients with PAD referred for medical, percutaneous, or surgical interventions. 20,21,[37][38][39] The current study offers new documentation that this impaired quality of life in PAD patients (including both diminished physical function as well as a worsened emotional functional domain) exists in a non-referred, community-derived population.…”

Section: Pad and Quality Of Lifementioning

confidence: 96%

The Minnesota Regional Peripheral Arterial Disease Screening Program: toward a definition of community standards of care

et al. 2001

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Abstract:The Minnesota Regional Peripheral Arterial Disease Screening Program was designed to define the efficacy of community PAD detection efforts, to assess the disease-specific and health-related morbidity, to assess PAD awareness rates, and to determine the magnitude of atherosclerosis disease risk factors and the intensity of their management. The target population was recruited via mass media efforts directed at individuals over 50 years of age and those with leg pain with ambulation. Screening sessions included assessments of the anklebrachial index, blood pressure, fasting lipid profile, and use of validated tools to detect symptomatic claudication (by the Modified WHO-Edinburgh Claudication Questionnaire), walking impairment (Walking Impairment Questionnaire -WIQ), quality of life (MOS SF-36), PAD awareness, and the intensity of PAD medical therapeutic interventions. PAD was defined as any anklebrachial index Յ0.85 or a history of lower extremity revascularization. The program evaluated 347 individuals and identified 92 subjects with PAD and 255 subjects without PAD, yielding a detection rate of 26.5%. Individuals with PAD were older, tended to have higher blood pressures, and had a significant walking impairment and an impaired health-related quality of life compared with the non-PAD subjects. Current rates of tobacco use were low. Lipid-lowering, estrogen replacement, anti-platelet, and antihypertensive medications and exercise therapies were underutilized in the PAD cohort. Peripheral arterial disease awareness was low in these community-identified patients. This Program demonstrated that individuals with PAD can be efficiently identified within the community, but that current standards of medical care are low. These data can assist in the future development of PAD awareness, education, and treatment programs.

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Section: Pad and Quality Of Lifementioning

confidence: 96%

The Minnesota Regional Peripheral Arterial Disease Screening Program: toward a definition of community standards of care

et al. 2001

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“…In the investigation, of all factors describing the group of patients after limb amputation, only the presence of phantom limb pain was significantly linked with decrease of life quality. In patients who experienced phantom limb pain, life quality was deteriorated [26][27][28]. The presence of phantom limb pain may influence physical aptitude, may limit activity and may be a psychological influence, leading to deteriorated life quality.…”

Section: Discussionmentioning

confidence: 99%

Quality of life and sociodemographic data in patients after spine surgery

2012

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“…Amputees with chronic pain report significantly more performance difficulties and disability than persons without pain (Marshall et al 1992) but not psychological distress or negative affect (Whyte and Niven 2001). In addition, over 50% of those with PLP report having residual limb pain (also known as stump pain), which impairs function and is negatively correlated with employment (Schoppen et al 2001;Sherman and Sherman 1983;Whyte and Carroll 2002).…”

Section: Psychological Factors Affecting Phantom Limb Painmentioning

confidence: 99%

Management of Phantom Limb Pain

MacIver

Lloyd²

2009

Amputation, Prosthesis Use, and Phantom Limb Pain

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This chapter provides a comprehensive overview of the management of chronic phantom limb pain (PLP) as it relates to the patient in the prosthesis clinic. The chapter begins with phantom pain assessment. Pharmacological therapies commonly used in the treatment of PLP will be discussed, with a review of the literature relating to success or otherwise of these medications. The side-effects of the drugs are highlighted, and the necessary advice to be given to patients is provided. What follows is a review of non-pharmacological therapies, beginning with Neuromodulation (TENS, spinal cord and deep brain stimulation). Psychological aspects of treatment are identified -how to recognise psychological distress; how to know when to refer on for psychological treatment and useful psychological interventions. The chapter concludes with suggestions for the holistic management of patients suffering from PLP. The role of mental imagery is highlighted.

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A Comparison of Psychosocial Functioning and Personality in Amputee and Chronic Pain Populations

Cited by 46 publications

References 0 publications

The Minnesota Regional Peripheral Arterial Disease Screening Program: toward a definition of community standards of care

The Minnesota Regional Peripheral Arterial Disease Screening Program: toward a definition of community standards of care

Quality of life and sociodemographic data in patients after spine surgery

Management of Phantom Limb Pain

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