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Effects of short-term group treatment on rehabilitation outcome of adults with amputations

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Abstract

We explored outcome following a preventive psychoeducational group intervention for patients with amputations using a quasi-experimental design to compare experimental treatment and comparison groups on physical activities and psychological characteristics at 8 months postdischarge. The treatment group (N=20) participated in a minimum of two of three group sessions focused on (a) providing information, (b) anticipating and normalizing future stressors, and (c) building coping strategies. Comparison group participants (N=21) consisted of patients entering the Amputee Program prior to initiation of the group intervention. Treatment group participants showed significantly lower distress levels than comparison group participants, as measured by the SCL-90-R. There was an interaction effect on a second instrument of self-reported stress, with the results indicating that comparison group participants viewed their own stress as significantly greater than that of their spouses, while treatment group members viewed these stress levels as similar. Although treatment group participants consistently reported greater activity levels than did participants in the comparison group, no significant group differences were apparent except for taking holidays. Finally, participating multidisciplinary therapists, as well as patients and family members, rated the clinical relevance of the treatment program.

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Delehanty, R.D., Trachsel, L. Effects of short-term group treatment on rehabilitation outcome of adults with amputations. Int J Rehab Health 1, 61–73 (1995). https://doi.org/10.1007/BF02213887

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Key Words

  • rehabilitation outcome
  • group treatment
  • amputee