Psychosocial factors in the rehabilitation of elderly amputees

MacBride, Arlene; Rogers, Joy; Whylie, Barbara; Freeman, S. J. J.

doi:10.1016/s0033-3182(80)73701-5

Cited by 22 publications

(25 citation statements)

References 5 publications

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“…12,13 Amongst older participants, high levels of depression have been found at the beginning of a rehabilitation programme and substantially lower rates have been found at discharge from rehabilitation. 14,15 In cross-sectional studies, people who were, on average, 18 months to 2 years post-amputation showed some depressive symptoms. 16 -18 One early study, 17 for example, described 58% of their 12 participants as depressed 18 months post-amputation.…”

Section: Depression Up To 2-years Post-amputationmentioning

confidence: 99%

“…34 The general literature to date has indicated that individuals with a physical disability often experience negative reactions from others, with the result that they may begin to avoid social contact. 126,127 Common reactions of people with amputations to the various functional, physical, and psychological challenges that confront them, have been described during the pre-operative period, 15,27,108 immediately post-operatively. 12,15,19,30,41,108,128 during rehabilitation, 12,15,19,30,108,128 and long-term.…”

Section: Reaction To Amputation: a Phased Modelmentioning

confidence: 99%

“…126,127 Common reactions of people with amputations to the various functional, physical, and psychological challenges that confront them, have been described during the pre-operative period, 15,27,108 immediately post-operatively. 12,15,19,30,41,108,128 during rehabilitation, 12,15,19,30,108,128 and long-term. 19,22,129,130 In the pre-operative phase, just after individuals have been told that an amputation is required, several reactions have been observed.…”

Section: Reaction To Amputation: a Phased Modelmentioning

confidence: 99%

See 2 more Smart Citations

Psychosocial adjustment to lower-limb amputation: A review

Horgan¹,

MacLachlan²

2004

Disability and Rehabilitation

443

350

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The majority of studies on adjustment to amputation are cross-sectional in design and have used noncomparable measures. Furthermore, they have neglected to study many important areas of rehabilitation, including immediate reaction to amputation, adjustment during and shortly after the rehabilitation period, and development of a changed sense of self and identity. In order to address these concerns, more longitudinal and qualitative research is called for. We end by outlining the components of a descriptive phased model of the rehabilitation process.

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Section: Depression Up To 2-years Post-amputationmentioning

confidence: 99%

Section: Reaction To Amputation: a Phased Modelmentioning

confidence: 99%

Section: Reaction To Amputation: a Phased Modelmentioning

confidence: 99%

See 1 more Smart Citation

Psychosocial adjustment to lower-limb amputation: A review

Horgan¹,

MacLachlan²

2004

Disability and Rehabilitation

443

350

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“…13 Amputees, with a history of painful and disappointing surgical or medical procedures prior to the amputation, who feel relief from pain and illness may consider a positive gain after amputation. 14,15 Others may feel that loss of a limb includes feelings of lost identity as well as loss of mobility, bringing on feelings of helplessness and lack of self-esteem. 16 During in-hospital rehabilitation some amputees experience and express various kinds of denial.…”

Section: Coping and Coping Strategiesmentioning

confidence: 99%

Coping after trans-femoral amputation due to trauma or tumour—a phenomenological approach

Sjödahl

Gard

Jarnlo

2004

Disability and Rehabilitation

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“…Horgan and MacLachlan [31] demonstrated that respondents with high levels of optimism were more likely to search for positive meanings for their amputations. Furthermore, additional research showed a correlation between optimism and good rehabilitation outcomes [32,33].…”

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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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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Psychosocial factors in the rehabilitation of elderly amputees

Cited by 22 publications

References 5 publications

Psychosocial adjustment to lower-limb amputation: A review

Psychosocial adjustment to lower-limb amputation: A review

Coping after trans-femoral amputation due to trauma or tumour—a phenomenological approach

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

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