Abstract:
:Background: Lower-limb amputations can lead to depression, performance anxiety, altered body image, relationships and sexual well-being. However, there is little published literature investigating how people experience changes to body image and their sexuality post-amputation and minimal literature exploring sexuality specifically from the female perspective post-amputation.Purpose: To gain an in-depth understanding of women's experience of sexuality and body image following amputation of a lower limb to inform rehabilitation and clinical practice.Method: Semi-structured interviews with female amputees (n = 9) were conducted to collect rich contextual data. This qualitative data was analysed using Interpretative Phenomenological Analysis (IPA).Results: Three superordinate themes emerged from IPA data analysis: "I don't like the way I am", which illustrated participants' changed relationship with their embodied selves, "Broken/not wanted" which reflected changes participants experienced in their romantic relationships, and "Same but different" which related to participants' changed societal roles as women.Discussion: Participants' accounts highlighted experiences of decreased sexual well-being, disrupted body image, stigmatisation and resilience. These accounts point to the potential utility of compassion focused approaches in therapeutic intervention, as well as the necessity for health professionals to involve spouses in sexual rehabilitation conversations and encourage patient-led peer support networks.Implications for rehabilitationPsychosexual assessment following limb loss involving open-ended questions will likely capture issues of sexual well-being as well as functioning, ensuring that interventions are comprehensive, targeted and relevant to the individual.Women struggle with reconciling their post-amputation kinetic representations of their selves to new ways of functioning, which may impact body image and prosthesis uptake.Compassion focused psychotherapeutic interventions could be effective in addressing problematic coping strategies post-amputation such as avoidance and disengagement while enhancing more self-compassionate coping styles.Couples distressed about their relationship may not engage in problem-solving discussions around sexuality, highlighting the necessity for health professionals to involve spouses in sexual rehabilitation conversations and interventions.Supporting the creation of gendered, peer-led groups to address issues related to sexual well-being is likely to improve overall quality of life for these individuals.
journal_name
Disabil Rehabiljournal_title
Disability and rehabilitationauthors
Ward Khan Y,O'Keeffe F,Nolan M,Stow J,Davenport Jdoi
10.1080/09638288.2019.1622797subject
Has Abstractpub_date
2021-01-01 00:00:00pages
251-261issue
2eissn
0963-8288issn
1464-5165journal_volume
43pub_type
杂志文章abstract:PURPOSE:To describe the extended Rehabilitation Complexity Scale (RCS-E) and its factor structure, and to determine whether it provides added value over the RCS-version 2 to identify patients with highly complex rehabilitation needs. METHOD:A cohort analysis of prospectively-collected routine clinical data from 331 pa...
journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2011.615880
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:This study investigated differences in impairment, activity limitation, participation restrictions and psychological distress between participants using ankle-foot orthoses (AFOs) as recommended, participants who did not use AFOs as recommended and participants who did not know recommendations for use. METHOD:...
journal_title:Disability and rehabilitation
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abstract:PURPOSE:Walking ability in general and specifically for lower limb amputees is of major importance for social mobility and ADL independence. Walking determines prosthesis prescription. The aim of this study was to mathematically analyse factors influencing claimed walking distance of lower limb amputees of 500 m or mor...
journal_title:Disability and rehabilitation
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doi:10.1080/09638280400009345
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abstract:AIM:Do the clinical findings explain the complaints of longstanding demonstrated widespread pain (DWP) in a group of immigrant patients, or not? SUBJECTS:Consecutive immigrant patients, on long-term sick leave, aged 18 - 45, at a primary healthcare centre in Stockholm, Sweden. METHODS:Interpreters were available. Two...
journal_title:Disability and rehabilitation
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abstract::Purpose: Rehabilitation professionals support people with traumatic brain injury (TBI) to return to meaningful participation in life and society - which now includes the use of social media. However, the role of health professionals in supporting the use of social media by adults with TBI is not yet known. This study ...
journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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doi:10.1080/09638280500476188
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journal_title:Disability and rehabilitation
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abstract:PURPOSE:This meta-analysis was conducted to assess differences in a child's health-related quality of life (HRQOL) as reported by the child and their parents using the Pediatric Quality of Life InventoryTM, and the effects in both children with attention deficit hyperactivity disorder (ADHD) and those with typical deve...
journal_title:Disability and rehabilitation
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abstract:PURPOSE:Appropriate wheelchairs for basic mobility needs are still not commonly available in low-income countries, although several organizations are working toward this goal. After basic mobility is secured it is important to provide more diverse assistive technology to allow people with disabilities to more completel...
journal_title:Disability and rehabilitation
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doi:10.1080/09638280701240714
更新日期:2007-06-15 00:00:00
abstract:PURPOSE:Participation throughout one's life plays a significant role for development and emotional well-being. For this reason, there is a need to identify ways to facilitate participation in family activities for children and adolescents with profound intellectual and multiple disabilities (PIMD). METHODS:The study d...
journal_title:Disability and rehabilitation
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doi:10.3109/09638288.2014.895058
更新日期:2014-01-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2017-11-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2012.726313
更新日期:2013-07-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.1080/09638288.2016.1274341
更新日期:2018-04-01 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2011.591890
更新日期:2012-01-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2020-12-01 00:00:00
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journal_title:Disability and rehabilitation
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doi:10.1080/09638280050207884
更新日期:2000-12-15 00:00:00
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journal_title:Disability and rehabilitation
pub_type: 杂志文章
doi:10.3109/09638288.2010.520802
更新日期:2011-01-01 00:00:00
abstract:PURPOSE/METHOD:The article discusses rehabilitation practices in Zimbabwe from both a local and international perspective. It considers the nature of formal and informal rehabilitation services in the country, and rehabilitation personnel training. RESULTS:Indigenous disability-related practices dominate the informal ...
journal_title:Disability and rehabilitation
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doi:10.1080/09638280010008889
更新日期:2001-07-20 00:00:00
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更新日期:2019-12-01 00:00:00
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journal_title:Disability and rehabilitation
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更新日期:2004-09-02 00:00:00
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journal_title:Disability and rehabilitation
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journal_title:Disability and rehabilitation
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更新日期:2020-03-01 00:00:00