Coffey, Laura, Gallagher, Pamela and Desmond, Deirdre (2014) A prospective study of the importance of life goal characteristics and goal adjustment capacities in longer term psychosocial adjustment to lower limb amputation. Clinical Rehabilitation, 28 (2). pp. 196-205. ISSN 0269-2155
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Abstract
Objective: To explore the life goal characteristics and goal adjustment capacities of persons with lower limb amputation on admission to rehabilitation, and to examine their efficacy as predictors of psychosocial outcomes 6 months post-discharge.
Design: Prospective, descriptive.
Setting: Two specialist inpatient rehabilitation facilities in Ireland.
Subjects: A consecutive sample of 64 patients with lower limb amputation.
Main measures: On admission to rehabilitation, life goal characteristics (goal importance, goal disturbance) were assessed using the Goal Facilitation Index and goal adjustment capacities (goal disengagement, goal re-engagement) were measured using the Goal Adjustment Scale. The Beck Depression Inventory-II and the Trinity Amputation and Prosthesis Experience Scales-Revised assessed depressive symptomatology and psychosocial adjustment to amputation at 6 months post-discharge. Results: The highest average importance ratings were assigned to goals associated with interpersonal relationships, independence, and subjective well-being. Goals related to physical limitations and disruptions in daily activities received the highest hindrance ratings. Goal importance (β = -0.33) and goal disengagement (β = -0.29) on admission significantly predicted depressive symptomatology 6 months post-discharge (p ≤ .05). Goal importance (β = 0.32), goal disturbance (β = -0.26), and goal re-engagement (β = -0.21) on admission significantly predicted general adjustment to lower limb amputation at 6 months post-discharge (p ≤ .05), while goal importance (β = -0.32) and goal disturbance (β = 0.30) significantly predicted social adjustment (p ≤ .05).
Conclusions: Life goal characteristics and goal adjustment capacities on admission to rehabilitation predicted psychosocial outcomes 6 months post-discharge among individuals with lower limb amputation.
Item Type: | Article |
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Additional Information: | This is the preprint version of the published article, which is available at DOI: 10.1177/0269215513497736 |
Keywords: | Amputation; depression; goal importance; goal adjustment; prospective studies; |
Academic Unit: | Faculty of Science and Engineering > Psychology |
Item ID: | 6806 |
Identification Number: | 10.1177/0269215513497736 |
Depositing User: | Dr. Deirdre Desmond |
Date Deposited: | 14 Jan 2016 14:56 |
Journal or Publication Title: | Clinical Rehabilitation |
Publisher: | SAGE Publications |
Refereed: | Yes |
Related URLs: | |
URI: | https://mu.eprints-hosting.org/id/eprint/6806 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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