Coping with amputation and phantom limb pain

Pucher, Ingeborg; Kickinger, Wolfgang; Frischenschlager, Oskar

doi:10.1016/s0022-3999(98)00111-1

Cited by 30 publications

(14 citation statements)

References 10 publications

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“…Finally, a positive correlation was found between emotion-focused mechanisms and PLP at six months post surgery, showing that this mechanism is associated with PLP a considerable period of time following the surgical intervention. Our results complement findings by Pucher et al [1] who concluded that patients' coping strategies affect their experience of pain, denial, in particular, was found to be associated with less reported pain in the initial phase of trauma following surgery [36,37]. By disregarding the implications of the disability, denial may enable other mental resources to surface in order to cope with the physical aspects of the amputation.…”

Section: Discussionsupporting

confidence: 88%

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Phantom Fighters: Coping Mechanisms of Amputee Patients with Phantom Limb Pain: A Longitudinal Study

Margalit

Heled²,

Berger³

et al. 2013

OJO

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Phantom Limb Pain (PLP) is a phenomenon commonly observed in orthopedic rehabilitation units that can have detrimental effects on patients' functioning. Psychological aspects of PLP have been widely investigated showing that some coping mechanisms are advantageous at certain points but not at others. However, the mechanisms related to positive adjustment to PLP during the course of rehabilitation have not been adequately examined. The aim of the study was to investigate the relationship between PLP and coping mechanism at two points during the rehabilitation process. Thirty one orthopedic inpatients, who had undergone lower-limb amputation following diabetic complications, rated their pain levels and mental coping strategies. The Ways of Coping Checklist, Life Orientation Test, and the McGill Pain Questionnaire, 1 -15 days post-surgery and six months post-surgery were used for evaluation. Denial was found to be negatively correlated with PLP shortly after amputation. In contrast, optimism was found to be negatively correlated with PLP six months after the surgery. Emotion-focused coping mechanisms were found to be positively correlated with PLP. It is concluded that denial during the early stages of recuperation and optimism at later stages of rehabilitation is associated with reduced PLP. Awareness of these mental processes by both medical staff and family members may enable acceptance of these processes and thus facilitate patients' rehabilitation.

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Section: Discussionsupporting

confidence: 88%

“…Phantom Limb Pain (PLP) refers to painful sensations in an amputated or denervated part of the body [1]. These painful sensations are reported by 50% -85% of limb amputees beginning a short period after the procedure, with the reported episodes ranging from a minimum of several weeks per year to daily occurrences [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Phantom Fighters: Coping Mechanisms of Amputee Patients with Phantom Limb Pain: A Longitudinal Study

Margalit

Heled²,

Berger³

et al. 2013

OJO

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“…One possible explanation, in line with Pucher et al, 34 is that females did not`cope' as well as men with limb loss, and hence experience more phantom pain. The heightened importance given to the aesthetic aspects of a prosthesis by females could be seen as evidence of this, and a failure to accept an altered body.…”

Section: Number Of Hours Of Prosthesis Use Per Daymentioning

confidence: 61%

“…Correlations between coping with limb loss, body image, and the occurrence of phantom limb pain have been examined. 34 Patients who coped better with the loss su V ered less from phantom limb pain. A di V erence was also noted in subjective representation of the body image: patients su V ering from phantom limb pain tended to have an image of their bodies as a complete and undamaged entity.…”

Section: Introductionmentioning

confidence: 99%

Body image and prosthesis satisfaction in the lower limb amputee

Murray

Fox

2002

Disability and Rehabilitation

151

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“…. Pucher, Kickinger &Frischenschlager (1999) have found a significant correlation between some coping strategies and the pain felt in the phatom limb. Hill, Niven & Knussen (1993) have found a significant correlation between the coping strategy called "dramatizing" and PLP, as well as with psychological distress.…”

Section: Psychological Theories Regarding Phantom Limb Syndrome Originmentioning

confidence: 93%

Etiopathogenetic Explanations and Treatment Options in Phantom Limb Syndrome. A Literature Review

Ardelean

Dafinoiu

2015

Procedia - Social and Behavioral Sciences

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Phantom limb syndrome is a controversial subject when talking about its etiopathogenetic mechanisms and efficient treatment modalities. The article reviews different etiology mechanisms, both neurological and psychological, as there is no consensus among specialists in these fields, as well as different ways of dealing with reducing pain in people that suffer from phantom limb syndrome. It also highlights the gasps on the subject and the need for future research on certain aspects of the phenomenon.

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Coping with amputation and phantom limb pain

Cited by 30 publications

References 10 publications

Phantom Fighters: Coping Mechanisms of Amputee Patients with Phantom Limb Pain: A Longitudinal Study

Phantom Fighters: Coping Mechanisms of Amputee Patients with Phantom Limb Pain: A Longitudinal Study

Body image and prosthesis satisfaction in the lower limb amputee

Etiopathogenetic Explanations and Treatment Options in Phantom Limb Syndrome. A Literature Review

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