Psychological adjustment to lower limb amputation amongst prosthesis users
Psychological adjustment to lower limb amputation amongst prosthesis users
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DOI：
10.1080/09638280600551674
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发表时间：
2006-10-01
影响因子：
2.2
通讯作者：
Robertson, Noelle
中科院分区：
文献类型：
--
作者：
Atherton, Rachel;Robertson, Noelle
目的。临床报告表明，许多下肢截肢者在心理适应方面存在问题。虽然截肢后的抑郁反应已经得到了很好的研究，但对调整的其他方面关注不够。这项研究旨在确定截肢者群体中心理疾病的流行率，并确定与增加痛苦相关的变量。特别关注情绪的认知模型，这些模型假定自我意识和外表相关信念起着关键作用。一项对67名在过去五年内经历过截肢的成人假肢使用者的横断面调查。结果采用三位一体截肢假体体验量表中的心理社会适应量表、医院焦虑抑郁量表、自我意识量表和外观图式问卷对患者进行测评。按保守分界值计算，焦虑和抑郁的患病率分别为29.9%和13.4%。与外表相关的信念与痛苦和心理社会适应困难有关。公共自我意识与苦恼和心理社会适应困难有关，而与私人自我意识无关。与最初的术后阶段相比，临床医生需要在更长的时间内监测截肢者的痛苦。对焦虑症进行评估尤其重要。针对与外表相关的信仰的干预措施可能会对这一人群有所裨益。
Purpose. Clinical reports indicate that many lower limb amputees experience problems with psychological adjustment. Although depressive responses to amputation have been well investigated, there has been insufficient attention to other aspects of adjustment. This study aimed to determine the prevalence of psychological morbidity in an amputee population and identify variables associated with increased distress. Particular attention was given to cognitive models of emotion which postulate a key role for self-consciousness and appearance-related beliefs.Method. A cross-sectional survey of 67 adult lower limb prosthesis users who had experienced amputation within the last five years. Outcome measures were the Psychosocial Adjustment Scale of the Trinity Amputation and Prosthesis Experience Scales, the Hospital Anxiety and Depression Scale, the Self Consciousness Scale and the Appearance Schemas Inventory.Results. Using conservative cut-off scores the prevalence of anxiety and depression was 29.9 and 13.4%, respectively. Appearance-related beliefs were associated with both distress and psychosocial adjustment difficulties. Public but not private self-consciousness was associated with distress and psychosocial adjustment difficulties.Conclusions. Clinicians need to monitor amputees for distress over a longer time period than the initial post-operative phase. It is particularly important to assess for anxiety. Interventions that target appearance-related beliefs may be of benefit to this population.