Utilize este identificador para referenciar este registo:
https://hdl.handle.net/1822/72054
Título: | Psychosocial adjustment to a lower limb amputation ten months after surgery |
Autor(es): | Pedras, Carla Susana Abreu Vilhena, Estela Carvalho, Rui Pereira, M. Graça |
Palavras-chave: | Psychological reactions Functionality Social support Psychosocial adjustment Amputation |
Data: | Ago-2018 |
Editora: | American Psychological Association (APA) |
Revista: | Rehabilitation Psychology |
Citação: | Pedras, S., Vilhena, E., Carvalho, R., & Pereira, M. G. (2018, August). Psychosocial adjustment to a lower limb amputation ten months after surgery. Rehabilitation Psychology. American Psychological Association (APA). http://doi.org/10.1037/rep0000189 |
Resumo(s): | Objective: This longitudinal multisite study examined the influence of demographic characteristics psychological reactions, functionality coping strategies, and social support on psychosocial adjustment to lower limb amputation 10 months after suigery. Method: Of an initial referral of 206 Portuguese patients, a sample of 86 patients who underwent a lower limb amputation due to Diabetes Mellitus Type II were evaluated during the hospitalization that preceded surgery (t0) and at inpatient follow-up consultations, 1 (tl) 6 (t2), and 10 months (t3) after surgery. Results: Higher levels of anxiety symptoms and functionality at presurgery were associated with lower social adjustment to amputation and with higher adjustment to the limitations (t3) respectively. Traumatic stress symptoms (tl) were negatively associated with general and social adjustment, and with the adjustment to the limitations (t3). Perceived social support (t2) mediated the relationship between traumatic stress symptoms (tl) and adjustment to the limitations (t3). Male gender was associated with a higher anxiety and depression symptoms (t0) and with a higher level of functionality (tl). Male gender was associated with functionality at presurgery and postsurgery, and with anxiety and depression symptoms of presurgery. Implications: Results support the need to improve psychological screening and early treatment of anxiety symptoms before the surgery, as well a.s depression and traumatic stress symptoms after a lower limb amputation, and the promotion of social support over time, in order to promote psychosocial adjustment to amputation. This set of psychosocial variables should be included when planning postamputation rehabilitation and psychosocial intervention programs for this target population. |
Tipo: | Artigo |
URI: | https://hdl.handle.net/1822/72054 |
DOI: | 10.1037/rep0000189 |
ISSN: | 0090-5550 |
Versão da editora: | https://psycnet.apa.org/record/2018-40005-002?doi=1 |
Arbitragem científica: | yes |
Acesso: | Acesso aberto |
Aparece nas coleções: | CIPsi - Artigos (Papers) |
Ficheiros deste registo:
Ficheiro | Descrição | Tamanho | Formato | |
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Psychosocial Adjustment to a Lower Limb Amputation Ten Months.pdf | 304,1 kB | Adobe PDF | Ver/Abrir |