PSYC 4270 Chapter Notes - Chapter 2: Spasm, Posttraumatic Stress Disorder

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Psychological adjustment (from trauma, vulnerability, emotional distress, etc. ) among individuals with amputations. Factors in adjustment to an amputation physical factors of the amputation are much less influential in the adaptation process than the psychological and social context in which such adaptation occurs. Amputation related factors: time since an amputation, medical cause of amputation (trauma related amputations more likely to report depression; in vascular-related amputation, quality of life can actually improve following amputation) Initial period most distressing: anticipatory grief, ptsd (not to the amputation but the stress) Pain factors: phantom limb pain (associated with (a) preamputation pain, (b) persistent stump pain, (c) bilateral amputations, and (d) lower limb amputation); depression rates 3 times as high. Incision pain: residual limb pain also associated with depression, muscle spasms, discomforts. Developmental factors: psychosocial issues support system, family cohesion, etc, younger children cope fairly well with loss of limb adaption becomes more difficult with age, older adults have less adjustment problems compared to younger adults.

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