Limb amputation.

Rybarczyk, Bruce; Szymanski, Lynda; Nicholas, John J.

doi:10.1037/10361-002

Cited by 27 publications

(31 citation statements)

References 56 publications

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“…After many years of suffering with chronic debilitating diabetic foot ulcers, individuals who undergo a lower limb amputation may experience an improved quality of life, therefore they may not view the amputation as a negative event (Rybarczyk et al, 2000). Thirdly, the research methodologies used in these studies are based on tools and numeric values as interpretive concepts rather than a descriptive reality of everyday experiences.…”

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confidence: 99%

A path of perpetual resilience: Exploring the experience of a diabetes-related amputation through grounded theory

2011

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A path of perpetual resilience: Exploring the experience of a diabetes-related amputation through grounded theory

2011

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“…Depression is one of the most common psychiatric disorders, is extremely disabling (Areán & Chatav, 2003), and is listed as a major concern for individuals with SCI, TBI, and amputation (Richards et al, 2000;Rybarczyk et al, 2000;Strom & Kosciulek, 2007). Areán and Chatav (2003) report statistics from the two major epidemiological studies of depression, the Epidemiological Catchment Area Study (ECA) (Robins & Regier, 1991) and the National Comorbidity Study (NCS) (Kessler et al, 1994).…”

Section: Methodological Views and Issuesmentioning

confidence: 99%

“…Research has demonstrated that the acquirement of a disability is a risk factor for various psychological difficulties (Richards, Kewman, & Pierce, 2000;Rybarczyk, Szymanski, & Nicholas, 2000;Strom & Kosciulek, 2007). Social support has been shown to be related to increased resiliency in the general population (Luthar, 2006;Masten, 2001), as well as among individuals with acquired disabilities (Chwalisz & Vaux, 2000).…”

Section: Current Studymentioning

confidence: 99%

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Effects of Adult Romantic Attachment and Social Support on Resilience and Depression in Patients With Acquired Disabilities

Dodd¹

2011

PsycEXTRA Dataset

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Dodd, Zane. Effects of adult romantic attachment and social support on resilience and depression in patients with acquired disabilities. Doctor of Philosophy (Counseling Psychology)August 2010, 84 pp., 7 tables, 6 figures, references, 109 titles.The acquirement of a disability (e.g., spinal cord injury, traumatic brain injury, amputation, multi trauma) is a risk factor for psychological disturbance (e.g., depression).Research has established that social support and secure attachment are protective factors against psychological disturbance. Attachment patterns have also been associated with differences in perceived social support. Secure attachment and higher perceived social support have been implicated in greater levels of resilience but need to be validated with a population of individuals who have acquired a disability.The Experiences in Close Relationships, Social Provisions Scale, Connor-Davidson Resilience Scale, Personal Health Questionnaire -9 Depression Scale, and a Demographic were administered to 102 adult inpatients at a rehabilitation hospital undergoing an individualized rehabilitation program. Two MANOVAs were conducted to examine the direct associations of attachment classifications with the major dependent variables, as well as the various social support subscales. Path analysis tested two mediational models suggested by literature. Model 1 assessed the mediating role of attachment anxiety and attachment avoidance on the effect of social support on depression and resilience. Model 2 assessed the mediating role of social support on the effect of attachment anxiety or attachment avoidance on depression and resilience.Partial support was obtained for both models based on fit indices. A small but significant difference in the fit of the models was found, favoring Model 1. Clinical and research implications for this population and the limitations of the study are discussed.ii Ruocco, Swirsky-Sacchetti, & Choca, 2007). In a review of SCI, Richards, Kewman, and Pierce (2000) report that depression is a common problem for individuals with SCI and is related to longer hospital stays, pressure sores, urinary tract infections, spending more time in bed, and increased overall medical expenses. Richards et al. (2000) also review findings that demonstrate the suicide rates are 5-10 times higher in individuals with SCI than the general population.While anxiety disorders have not received as much attention among the SCI population, evidence suggests anxiety rates, social anxiety, and post traumatic stress disorder are elevated (Richards et al., 2000). Individuals with an amputation are also at increased risk for problematic outcomes, including: insomnia, sadness, clinical depression, body image concerns, perceptions of social stigma, feelings of vulnerability, as well as death within two years of surgery (Rybarczyk, Szymanski, & Nicholas, 2000).The importance of social support to resilience has been established in the general and acquired disability populations (Chwalisz & Vaux, 2000;Luthar, 2006;Masten, 2001)...

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“…Because of technological advances in body armor, rapid evacuation, and early medical attention, the survival rate of servicemembers with combat-related amputation has increased [2]. Relative to previous conflicts, the amount of time and resources dedicated to the healthcare of servicemembers with amputations has also significantly increased because of the relatively larger population of young servicemembers who require substantial care for complex physical and psychological issues [3][4][5][6][7][8][9][10][11][12][13][14][15][16]. Military rehabilitation programs for those with amputation address these unique issues and seek to improve outcomes by benefitting from the servicemembers' youth, fitness, and desire to return to an active lifestyle in conjunction with the availability of advanced prosthetic technologies, sports fitness techniques, and direct access to state-of-theart military healthcare [17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Effect of traumatic brain injury among U.S. servicemembers with amputation

Rauh¹,

Aralis²,

Melcer³

et al. 2013

JRRD

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Abstract-Servicemembers with combat-related limb loss often require substantial rehabilitative care. The prevalence of traumatic brain injury (TBI), which may impair cognitive and functional abilities, among servicemembers has increased. The primary objectives of this study were to determine the frequency of TBI among servicemembers with traumatic amputation and examine whether TBI status was associated with discharge to civilian status and medical and rehabilitative service use postamputation. U.S. servicemembers who had a combat-related amputation while deployed in Iraq or Afghanistan between 2001 and 2006 were followed for 2 yr postamputation. Data collected includes injury mechanism; postinjury complications; Injury Severity Score (ISS); and follow-up data, including military service discharge status and number of medical, physical, occupational therapy, and prosthetic-related visits. Of the 546 servicemembers with combat-related amputations, 127 (23.3%) had a TBI diagnosis. After adjusting for ISS and amputation location, those with TBI had a significantly greater mean number of medical and rehabilitative outpatient and inpatient visits combined (p < 0.01). Those with TBI were also at greater odds of developing certain postinjury complications. We recommend that providers treating servicemembers with limb loss should assess for TBI because those who sustained TBI required increased medical and rehabilitative care.

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Limb amputation.

Cited by 27 publications

References 56 publications

A path of perpetual resilience: Exploring the experience of a diabetes-related amputation through grounded theory

A path of perpetual resilience: Exploring the experience of a diabetes-related amputation through grounded theory

Effects of Adult Romantic Attachment and Social Support on Resilience and Depression in Patients With Acquired Disabilities

Effect of traumatic brain injury among U.S. servicemembers with amputation

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