Coffey, Laura and 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

Preview

Download (438kB) | Preview

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:	https://doi.org/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
URI:	https://uk.sagepub.com/en-gb/eur/clinica...
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)

Item control page

Downloads

Origin of downloads