The importance of cognitive processing to adjustment in the 1st year following amputation

被引：70

作者：

Phelps, Lori F. ^{[1
]}

Williams, Rhonda M. ^{[1
,2
]}

Raichle, Katherine A. ^{[3
]}

Turner, Aaron P. ^{[1
,2
]}

Ehde, Dawn M. ^{[2
]}

机构：

[1] VA Puget Sound Hlth Care Syst, Seattle Div, Seattle, WA USA

[2] Univ Washington, Sch Med, Dept Rehabil Med, Seattle, WA 98195 USA

[3] Seattle Univ, Dept Psychol, Seattle, WA USA

来源：

REHABILITATION PSYCHOLOGY | 2008年 / 53卷 / 01期

关键词：

amputees; posttraumatic stress disorder; trauma; adjustment; depression;

D O I：

10.1037/0090-5550.53.1.28

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objective: To describe depressive symptoms, posttraumatic stress disorder (PTSD), and posttraumatic growth at 6 and 12 months following amputation and to explore differences by demographic variables and cognitive processing of trauma. Participants: 83 adults with newly acquired limb loss. Setting: Two large metropolitan hospitals. Main Outcome Measures: The Patient Health Questionnaire depression module, PTSD Checklist, and Posttraumatic Growth Inventory. Results: Significant depressive and PTSD symptoms were reported by 15%-25% of participants. Relatively low levels of posttraumatic growth were reported. Negative cognitive processing predicted depressive and PTSD symptoms at 6 months. Positive cognitive processing predicted posttraumatic growth at 12 months. Conclusion: Cognitive processing appears to be integral to positive and negative psychosocial outcomes following amputation and should be targeted by clinical interventions.

引用

页码：28 / 37

页数：10

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