Psychosocial predictors of long-term adjustment to lower-limb amputation and phantom limb pain

Abstract

The findings support a biopsychosocial model of long-term adjustment to amputation and PLP. In addition, results suggest that some psychosocial variables are more important than others for predicting adjustment, providing important implications for early interventions after amputation.

Potential strategies for preventing chronic postoperative pain: a practical approach: Continuing Professional Development

“…Preoperative questionnaires designed to identify patients likely to develop PPSP as well as QSTs are impractical in the daily clinical context. [9][10][11] Anesthesiologists facing fragile patients should be given more time to make a proper evaluation of their anxiety level during an appropriate consultation. Nevertheless, QSTs are still controversial in their ability to make a strong prediction regarding the development of PPSP.…”

Acute pain after total hip arthroplasty does not predict the development of chronic postsurgical pain 6 months later

“…Given the finding that intense acute pain predicts the development of CPSP 14,9-121, the mild to moderate intensity of the maximal movement evoked pain intensity ( [32]. Psychological variables such as preoperative state anxiety [16], an introverted personality [33], high catastrophizing, greater social support, and solicitous responding in the week after amputation [34,35], higher concurrent emotional numbing scores at 6 and 12 months [18], greater preoperative catastrophizing [30,31], feal of surgery l2ll, and "psychic vulnerability" [36], a construct similar to neuroticism [37] have all been associated with the development of CPSP [4]. Further research is needed with respect to determining the extent to which these risk factors predict the development of CPSP after total hip arthroplasty.…”

Coping strategies as predictors of psychosocial adaptation in a sample of elderly veterans with acquired lower limb amputations

“…Second, much available research is premised exclusively on coping with phantom limb pain (e.g. Hanley et al, 2004;Hill et al, 1995;Jensen et al, 2002;Whyte & Carroll, 2004). Although phantom limb pain, i.e.…”