Goal management tendencies predict trajectories of adjustment to lower limb amputation up to 15 months post rehabilitation discharge

Laura Coffey, Pamela Gallagher, Deirdre Desmond, Nicola Ryall, Stephen T. Wegener

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives To explore patterns of change in positive affect, general adjustment to lower-limb amputation, and self-reported disability from rehabilitation admission to 15 months postdischarge, and to examine whether goal pursuit and goal adjustment tendencies predict either initial status or rates of change in these outcomes, controlling for sociodemographic and clinical covariates.

Design Prospective cohort study with 4 time points (t1: on admission; t2: 6wk postdischarge; t3: 6mo postdischarge; t4: 15mo postdischarge).

Setting Inpatient rehabilitation.

Participants Consecutive sample (N=98) of persons aged ≥18 years with major lower-limb amputation.

Interventions Not applicable.

Main Outcome Measures Positive affect subscale of the Positive and Negative Affect Schedule; general adjustment subscale of the Trinity Amputation and Prosthesis Experience Scales-Revised; and World Health Organization Disability Assessment Schedule 2.0.

Results Positive affect decreased from t1 to t4 for the overall sample, whereas general adjustment increased. Self-reported disability scores remained stable over this period. Stronger goal pursuit tendencies were associated with greater positive affect at t1, and stronger goal adjustment tendencies were associated with more favorable initial scores on each outcome examined. With regard to rates of change, stronger goal pursuit tendencies buffered against decreases in positive affect and promoted decreases in self-reported disability over time, whereas stronger goal adjustment tendencies enhanced increases in general adjustment to lower-limb amputation.

Conclusions Greater use of goal pursuit and goal adjustment strategies appears to promote more favorable adjustment to lower-limb amputation over time across a range of important rehabilitation outcomes.

Original languageEnglish (US)
Pages (from-to)1895-1902
Number of pages8
JournalArchives of physical medicine and rehabilitation
Volume95
Issue number10
DOIs
StatePublished - Oct 1 2014

Keywords

  • Adaptation, psychological
  • Amputation
  • Goals
  • Longitudinal studies
  • Rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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