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Coping, affective distress and psychosocial adjustment among people with traumatic upper limb amputations

Desmond, Deirdre M. (2007) Coping, affective distress and psychosocial adjustment among people with traumatic upper limb amputations. Journal of Psychosomatic Research, 62 (1). pp. 15-21. ISSN 0022-3999

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Abstract

Objective: This study investigated the prevalence of symptoms of depression and anxiety in a sample of predominantly elderly males with acquired upper limb amputations (n = 138) and examined the contribution of coping strategies to the prediction of psychosocial adjustment. Method: One-hundred and thirty-eight men with injury-related upper limb amputations completed self-report questionnaires assessing coping strategies, symptoms of anxiety and depression, and psychosocial adaptation to prosthesis use. Results: Prevalence of significant depressive symptoms was 28.3% (HADS-D score ≥8). Prevalence of significant anxiety symptoms was 35.5% (HADS-A score ≥8). Coping styles emerged as important predictors of psychosocial adaptation. In particular, avoidance was strongly associated with psychological distress and poor adjustment. Conclusions: These findings suggest the potential benefits of interventions to reduce reliance on avoidant coping and stimulate more problem-focused approaches to coping with difficulties and challenges in order to facilitate adaptation and prevent problems in psychosocial functioning post-amputation.

Item Type: Article
Additional Information: Preprint version of article. The definitive version of this article is available at Journal of Psychosomatic Research (ISSN: 0022-3999), 2007, Vol.62 No.1, pp.15-21. doi:10.1016/j.jpsychores.2006.07.027
Keywords: Amputation; Coping; Psychosocial Adjustment; Upper limb;
Subjects: Science & Engineering > Psychology
Item ID: 3811
Depositing User: Dr. Deirdre Desmond
Date Deposited: 08 Aug 2012 14:02
Journal or Publication Title: Journal of Psychosomatic Research
Publisher: Elsevier
Refereed: No
URI:

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