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 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

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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
URI:

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