MURAL - Maynooth University Research Archive Library

    Psychosocial adjustment to lower-limb amputation: A review

    Horgan, Olga and MacLachlan, Malcolm (2004) Psychosocial adjustment to lower-limb amputation: A review. Disability and Rehabilitation, 26 (14-15). pp. 837-850. ISSN 0963-8288

    Download (374kB) | Preview

    Share your research

    Twitter Facebook LinkedIn GooglePlus Email more...

    Add this article to your Mendeley library


    Purpose: To review the existing literature on the social and psychological challenges faced by people with an amputation and to provide a detailed analysis of the literature examining psychological adjustment to these challenges across time. Method: Existing papers on psychological adjustment to amputation were analysed according to their results, methodology, and conclusions. Results: Although depression and anxiety are relatively high up to 2 years post-amputation, they appear to decline thereafter to general population norms. However, social discomfort and body-image anxiety have also been found among some people with amputations, and these have been associated with increased activity restriction, depression, and anxiety. Factors associated with positive adjustment to limb loss include greater time since amputation, more social support, greater satisfaction with the prosthesis, active coping attempts, an optimistic personality disposition, a lower level of amputation in the case of lower limbs, and lower levels of phantom limb pain and stump pain. Conclusion: The majority of studies on adjustment to amputation are cross-sectional in design and have used noncomparable measures. Furthermore, they have neglected to study many important areas of rehabilitation, including immediate reaction to amputation, adjustment during and shortly after the rehabilitation period, and development of a changed sense of self and identity. In order to address these concerns, more longitudinal and qualitative research is called for. We end by outlining the components of a descriptive phased model of the rehabilitation process.

    Item Type: Article
    Keywords: Psychosocial adjustment; lower limb; amputation; review;
    Academic Unit: Assisting Living & Learning,ALL institute
    Faculty of Science and Engineering > Psychology
    Item ID: 16547
    Identification Number:
    Depositing User: Malcolm MacLachlan
    Date Deposited: 20 Sep 2022 14:15
    Journal or Publication Title: Disability and Rehabilitation
    Publisher: Taylor & Francis Group
    Refereed: Yes
    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

    Repository Staff Only(login required)

    View Item Item control page


    Downloads per month over past year

    Origin of downloads