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    A prospective study of the importance of life goal characteristics and goal adjustment capacities in longer term psychosocial adjustment to lower limb amputation


    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
    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://mural.maynoothuniversity.ie/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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