Interventions for Psychological Issues in Amputation: A Team Approach

Wegener, Stephen T.; Hofkamp, Susan E.; Ehde, Dawn M.

doi:10.1007/978-1-84628-980-4_7

Cited by 10 publications

(10 citation statements)

References 54 publications

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“…In very general terms, more passive, self-blame and avoidance-escape coping modalities tend to result in poorer psychosocial adaptation and increased psychological distress. Where appropriate, psychological intervention to improve mood and self-esteem, increase adaptive behaviours and facilitate engagement in rehabilitation can be beneficial [43].…”

Section: Individual Adaptation and At Usementioning

confidence: 99%

Assistive technology and people: a position paper from the first global research, innovation and education on assistive technology (GREAT) summit

Desmond

Layton

Bentley

et al. 2018

Disability and Rehabilitation: Assistive Technology

138

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Assistive technology (AT) is a powerful enabler of participation. The World Health Organization's Global Collaboration on Assistive Technology (GATE) programme is actively working towards access to assistive technology for all. Developed through collaborative work as a part of the Global Research, Innovation and Education on Assistive Technology (GREAT) Summit, this position paper provides a "state of the science" view of AT users, conceptualized as "People" within the set of GATE strategic "P"s. People are at the core of policy, products, personnel and provision. AT is an interface between the person and the life they would like to lead. People's preferences, perspectives and goals are fundamental to defining and determining the success of AT. Maximizing the impact of AT in enabling participation requires an individualized and holistic understanding of the value and meaning of AT for the individual, taking a universal model perspective, focusing on the person, in context, and then considering the condition and/or the technology. This paper aims to situate and emphasize people at the centre of AT systems: we highlight personal meanings and perspectives on AT use and consider the role of advocacy, empowerment and co-design in developing and driving AT processes.

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Section: Individual Adaptation and At Usementioning

confidence: 99%

Assistive technology and people: a position paper from the first global research, innovation and education on assistive technology (GREAT) summit

Desmond

Layton

Bentley

et al. 2018

Disability and Rehabilitation: Assistive Technology

138

View full text Add to dashboard Cite

show abstract

“…The LLA population has the particularity of having a chronic disease that requires self-care management over time, along with the adjustment to the disability caused by LLA. Attention to the psychological needs of patients with LLA and their families should be part of a comprehensive rehabilitation program (to become more familiar with the psychological strategies used in this population, see Wegener, Hofkamp, & Ehde, 2008). In addition, recently, Siersma et al (2014) found that HRQoL predicts major amputation and death, in patients with DFU, which emphasizes the importance to assess HRQoL in this risk population.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study

Pedras¹,

Vilhena²,

Carvalho

et al. 2019

Psychiatry

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“…This result raises awareness to the need of urgent identification of traumatic stress symptoms, in this population, and the need for an adequate psychological intervention. Until now, the diagnosis of a chronic disease or a treatment for a medical condition was perceived as traumatic stressor potentially triggering traumatic stress symptoms in diseases such as cancer, multiple sclerosis, following a cardiovascular event and brain injury (Chalfant et al, 2004;Pereira et al, 2012;Tulloch et al, 2014;Van Loey et al, 2003) and in patients who had undergone a traumatic amputation (Cavanagh et al, 2006;de Godoy et al, 2002;Desmond & MacLachlan, 2006a;Giummarra et al, 2015;Martz & Cook, 2001;Phelps et al, 2008;Wegener et al, 2008) but not in amputations due to DFU. In view of this result, efforts should be made to better address the psychological needs of patients indicated for a LLA surgery.…”

Section: Discussionmentioning

confidence: 99%

Traumatic stress symptoms following a lower limb amputation in diabetic patients: a longitudinal study

Pedras

Preto

Carvalho

et al. 2019

Psychology & Health

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Objective: Limited research has focussed on the development of traumatic stress symptoms following an amputation due to a chronic disease such as Diabetes. This study analysed whether coping strategies, anxiety and depression symptoms, sociodemographic and clinical variables were related to traumatic stress symptoms in a sample of patients who had undergone a lower limb amputation. Design: A longitudinal design with three assessments, one month (T1), six (T2) and ten months after an amputation surgery (T3), included 144 patients. Main outcome measures: IES-R, WOC and HADS. Results: Traumatic stress symptoms were prevalent at T1 (M ¼ 15.65, SD ¼ 15.40) and probable PTSD was observed in 13.9% patients. Presence of pain, high level of anxiety symptoms and emotion-focused strategies contributed to traumatic stress symptoms, and the period between T1 and T2, was critical. Six to ten months (K ¼ 0.871, F (2,84) =6.245, p=. 003), after surgery, symptoms tended to decrease 0.122 units (SE ¼ 0.032, p ¼ 0.002) per assessment. Conclusions: Findings raise awareness to the need of urgent identification of traumatic stress symptoms in medically ill patients who underwent a lower limb amputation, given the prevalence of traumatic stress symptoms right after surgery and in the following six months.

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Interventions for Psychological Issues in Amputation: A Team Approach

Cited by 10 publications

References 54 publications

Assistive technology and people: a position paper from the first global research, innovation and education on assistive technology (GREAT) summit

Assistive technology and people: a position paper from the first global research, innovation and education on assistive technology (GREAT) summit

Quality of Life Following a Lower Limb Amputation in Diabetic Patients: A Longitudinal and Multicenter Study

Traumatic stress symptoms following a lower limb amputation in diabetic patients: a longitudinal study

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