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Psychosocial predictors of long-term adjustment to lower-limb amputation and phantom limb pain.
- Source :
-
Disability and rehabilitation [Disabil Rehabil] 2004 Jul 22-Aug 5; Vol. 26 (14-15), pp. 882-93. - Publication Year :
- 2004
-
Abstract
- Purpose: To evaluate the utility of a biopsychosocial model to predict long-term adjustment to lower-limb amputation and phantom limb pain (PLP).<br />Method: One month after lower-limb amputation, 70 participants completed measures of PLP intensity, cognitions (catastrophizing, perceived control over pain), coping (pain-contingent rest), social environment (social support, solicitous responding), and functioning (pain interference, depressive symptoms). The measures of functioning were administered again at 1- and 2-years post-amputation. Multiple regression analyses were used to examine the ability of the psychosocial variables at 1-month post-amputation to predict changes in the functioning measures over time.<br />Results: The psychosocial variables at 1-month post-amputation, controlling for initial PLP intensity, accounted for 21% of the variance in change in depressive symptoms at 1-year (p < 0.05), and 27% and 22% (p's < 0.01 and 0.05, respectively) of the variance in change in pain interference and depressive symptoms, respectively, at 2-years post-amputation. Catastrophizing and social support were associated with decreases (improvement) in both criterion measures, while solicitous responding was associated with increases (worsening) in both measures.<br />Discussion: 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.
- Subjects :
- Activities of Daily Living
Adolescent
Adult
Aged
Aged, 80 and over
Amputation, Surgical rehabilitation
Cohort Studies
Female
Follow-Up Studies
Humans
Lower Extremity
Male
Middle Aged
Multivariate Analysis
Pain Measurement
Phantom Limb epidemiology
Predictive Value of Tests
Probability
Regression Analysis
Risk Assessment
Severity of Illness Index
Sickness Impact Profile
Socioeconomic Factors
Time Factors
Adaptation, Psychological
Amputation, Surgical methods
Amputation, Surgical psychology
Phantom Limb diagnosis
Social Adjustment
Subjects
Details
- Language :
- English
- ISSN :
- 0963-8288
- Volume :
- 26
- Issue :
- 14-15
- Database :
- MEDLINE
- Journal :
- Disability and rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 15497917
- Full Text :
- https://doi.org/10.1080/09638280410001708896