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Adolescent adjustment to amputation

M Boyle, C K Tebbi, E R Mindell

    Medical and Pediatric Oncology
    |January 1, 1982
    PubMed
    Summary
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    Adolescent cancer amputees often show better psychological adjustment and a positive outlook compared to trauma amputees. Despite challenges, most cancer survivors lead fulfilling lives post-limb loss.

    Area of Science:

    • Psychology
    • Oncology
    • Rehabilitation Medicine

    Background:

    • Adolescent limb amputation presents unique psychological challenges.
    • Understanding the long-term psychological effects is crucial for patient care.

    Purpose of the Study:

    • To investigate and compare the psychological adjustment of adolescent limb amputees due to cancer versus trauma.
    • To identify key factors influencing adjustment in cancer-related amputees.

    Main Methods:

    • Qualitative interviews with 27 adolescent cancer amputees.
    • Comparison with data from 8 adolescent trauma amputees.
    • Assessment of psychological adjustment, social factors, and future outlook.

    Main Results:

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  • Cancer amputees prioritized mobility and social interactions but reported functional independence and minimal future concern.
  • 85% of cancer amputees demonstrated adequate overall psychological adjustment.
  • Cancer amputees generally showed better adaptation to disability than trauma amputees.

    • Conclusions:

    • Adolescent cancer amputees often exhibit a positive life view and adapt well to limb loss.
    • Differences in adjustment may stem from varying backgrounds and social orientations between cancer and trauma groups.
    • The majority of cancer amputees lead productive lives, indicating successful adaptation to their circumstances.