Prosthesis use is associated with reduced physical self-disgust in limb amputees

Burden, Nic; Simpson, Jane; Murray, Craig; Overton, Paul G.; Powell, Philip A.

doi:10.1016/j.bodyim.2018.08.001

Cited by 16 publications

(10 citation statements)

References 49 publications

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“…In addition, we expected that perceived stigmatization by others would increase the patients’ self‐disgust. The finding that personal disgust had a greater effect than behavioural disgust on patients with colostomy was consistent with a study with limb amputees (Burden, Simpson, Murray, Overton, & Powell, 2018). The main reason is that for this type of patients, the primary change to the self is physical rather than one's character or behavioural standards.…”

Section: Discussionsupporting

confidence: 88%

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Self‐disgust and stigma both mediate the relationship between stoma acceptance and stoma care self‐efficacy

Jin

Jiménez-Herrera

2020

Journal of Advanced Nursing

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Aim: This paper is a report of a study exploring the relationship between stoma acceptance and stoma care self-efficacy in patients with colostomy and whether selfdisgust and stigma play mediating roles in this relationship. Design: A cross-sectional survey design. Method: In all, 476 participants were recruited from a tertiary hospital and completed structured, anonymous, self-report measures of stoma acceptance, self-disgust, stigma, and stoma care self-efficacy between January 2016-March 2017. Results: Stoma acceptance was significantly negatively associated with personal disgust (r = −.640, p<.001), behavioural disgust (r = −.384, p<.001), and stigma (r = −.309, p<.001) and significantly positively associated with stoma care self-efficacy (r = .689, p<.001). Furthermore, regression-based mediation modelling showed that personal disgust and stigma had significant mediating effects on stoma acceptance and stoma care self-efficacy. Conclusion: We demonstrated, for the first time, that emotional responses (self-disgust and stigma) play important roles in the association between stoma acceptance and stoma care self-efficacy. Addressing concerns about emotional disorder should become part of the routine care for patients with stoma. Impact: Patients with colostomy must cope with many challenges and undergo profound changes in daily life. Acceptance of the existence of the stoma and effective management of the stoma can aid patients in the return to a full and active life. Illness acceptance and psychological states have been widely reported to be correlates of the ability to successfully reconstitute a meaning of life, but these have not been specifically explored in patients with colostomy. This study examined the effect of stoma acceptance on stoma care self-efficacy with the mediation role of self-disgust and stigma. Evidence of the relationship between illness acceptance and self-efficacy could offer practitioners to consider emotional factors like self-disgust and stigma when aiming to improve stoma care and management.

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Section: Discussionsupporting

confidence: 88%

“…In addition, we expected that perceived stigmatization by others would increase the patients' self-disgust. The finding that personal disgust had a greater effect than behavioural disgust on patients with colostomy was consistent with a study with limb amputees (Burden, Simpson, Murray, Overton, & Powell, 2018).…”

Section: Summary Of Findingssupporting

confidence: 88%

Self‐disgust and stigma both mediate the relationship between stoma acceptance and stoma care self‐efficacy

Jin

Jiménez-Herrera

2020

Journal of Advanced Nursing

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“…A satisfação da pessoa amputada com a sua prótese é fundamental para o sucesso da reabilitação protésica e uso efetivo da prótese, [17][18][19][20] o que justifica a necessidade de existirem instrumentos para serem utilizados por profissionais e pesquisadores brasileiros. Neste sentido, a versão final do SAT-PRO/Br foi elaborado através de processos para adaptação transcultural à realidade da população a quem se destina.…”

Section: Discussionunclassified

“…14,17 A satisfação com a prótese é um fator fundamental na adesão do paciente ao processo terapêutico, na otimização do uso da prótese e diminuição da rejeição. [18][19][20] Para o profissional de saúde, o conhecimento da satisfação do seu paciente com a prótese, é fundamental para o estabelecimento de programas de avaliação e acompanhamentos clínicos, assim como, para o desenvolvimento de pesquisas. Por isso, com o intuito de criar um instrumento para avaliar a satisfação com a prótese, Bilodeau et al 21 desenvolveram um questionário autoadministrado, com preenchimento pouco demorado, para ser aplicado a idosos amputados de membro inferior: Questionnaire de Satisfaction de la Personne Amputée face à sa Prothèse (SAT-PRO).…”

Section: Introductionunclassified

Tradução e adaptação transcultural do Questionnaire de Satisfaction de la Personne Amputée face à sa Prothèse (SAT-PRO) para a língua portuguesa do Brasil

et al. 2020

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A satisfação da pessoa amputada com a sua prótese é fundamental para o sucesso da reabilitação protésica, o que justifica a necessidade de existirem instrumentos para serem utilizados pelos profissionais de saúde. Um dos instrumentos que permite realizar esta avaliação é o questionário SAT-PRO, que foi desenvolvido e aplicado no Canadá, em idosos amputados de membro inferior, mas que no Brasil ainda não está traduzido, adaptado ou validado. Objetivo: Realizar a tradução do SAT-PRO para a língua portuguesa, e apresentar uma versão adaptada culturalmente para ser aplicada em idosos brasileiros. Método: A tradução e adaptação transcultural foi realizada em cinco etapas, seguindo-se de uma sexta etapa em que se verificou a validade de conteúdo e confiabilidade do instrumento. Resultados: Durante o processo de tradução e adaptação encontraram-se algumas ambiguidades que foram colmatadas pela realização de ajustes consensuais ao questionário. O índice de validade de conteúdo dos itens variou entre 0,85 e 1, e o índice de validade da escala foi de 0,98. O valor total do coeficiente alfa de Cronbach foi de 0,89. Conclusão: O processo de tradução e adaptação transcultural do SAT-PRO, revelou que este se encontra adaptado à realidade cultural de idosos brasileiros com amputação de membro inferior, apresentando também boa validade de conteúdo e confiabilidade.

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“…As prosthesis use may be associated with body image,19 adults were excluded if they did not use a prosthesis.…”

mentioning

confidence: 99%

Body image and perception among adults with and without phantom limb pain

Beisheim‐Ryan

Hicks

Pohlig

et al. 2022

PM&R

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Background Following lower‐limb amputation, phantom limb pain (i.e., pain perceived as coming from the amputated portion of the limb) is common. Phantom limb pain may be associated with impaired body image and perception, which may be targets for rehabilitative intervention. Objective To compare measures of body image and perception between adults with and without phantom limb pain post amputation and evaluate associations between measures of body image and perception and phantom limb pain. Design Survey. Setting Online, remote assessment. Participants Seventy‐two adults ≥1 year post unilateral lower‐limb loss (n = 42 with phantom limb pain, n = 30 without phantom limb pain or pain in the remaining portion of the limb). Interventions Not applicable. Main Outcome Measures Self‐reported outcome measures assessing body image (i.e., Amputee Body Image Scale‐Revised), perceptual disturbances associated with the phantom limb (i.e., a modified Bath Complex Regional Pain Syndrome Body Perception Disturbance Scale), and prosthesis satisfaction (i.e., Trinity Amputation and Prosthesis Experience Scale) were administered; participants with phantom limb pain reported pain interference via the Brief Pain Inventory‐Short Form. Between‐group comparisons of self‐reported outcome measure scores were conducted using Mann Whitney U or chi‐square tests, as appropriate (a = .05). Results Compared to peers without phantom limb pain, adults with phantom limb pain reported more negative body image; increased phantom limb ownership, attention, and awareness; and reduced prosthesis satisfaction and embodiment (U = 175.50–364.00, p < .001 to .034). Disturbances in phantom limb perception (i.e., size, weight, pressure, temperature) were similar between groups (p = .086 to >.999). More negative body image was associated with increased phantom limb pain interference (τb = .25, p = .026). Conclusions Adults with phantom limb pain demonstrate more negative body image and hypervigilance of the phantom limb as compared to peers with nonpainful phantom sensations. Mind‐body treatments that target impaired body image and perception may be critical interventions for adults with phantom limb pain.

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Prosthesis use is associated with reduced physical self-disgust in limb amputees

Cited by 16 publications

References 49 publications

Self‐disgust and stigma both mediate the relationship between stoma acceptance and stoma care self‐efficacy

Self‐disgust and stigma both mediate the relationship between stoma acceptance and stoma care self‐efficacy

Tradução e adaptação transcultural do Questionnaire de Satisfaction de la Personne Amputée face à sa Prothèse (SAT-PRO) para a língua portuguesa do Brasil

Body image and perception among adults with and without phantom limb pain

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