{"id":"https://openalex.org/W2097426355","doi":"https://doi.org/10.1177/0269215509339001","title":"A prospective study of positive adjustment to lower limb amputation","display_name":"A prospective study of positive adjustment to lower limb amputation","publication_year":2009,"publication_date":"2009-08-28","ids":{"openalex":"https://openalex.org/W2097426355","doi":"https://doi.org/10.1177/0269215509339001","mag":"2097426355","pmid":"https://pubmed.ncbi.nlm.nih.gov/19717504"},"language":"en","primary_location":{"id":"doi:10.1177/0269215509339001","doi":"https://doi.org/10.1177/0269215509339001","is_oa":false,"landing_page_url":"https://doi.org/10.1177/0269215509339001","pdf_url":null,"source":{"id":"https://openalex.org/S126555207","display_name":"Clinical Rehabilitation","issn_l":"0269-2155","issn":["0269-2155","1477-0873"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Rehabilitation","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055445367","display_name":"Jennifer Unwin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I146655781","display_name":"University of Liverpool","ror":"https://ror.org/04xs57h96","country_code":"GB","type":"education","lineage":["https://openalex.org/I146655781"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Jennifer Unwin","raw_affiliation_strings":["University of Liverpool, Liverpool,","Division of Clinical Psychology, Whelan Building, University of Liverpool, Liverpool L69 3GB, UK. J.unwin@liverpool.ac.uk"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Liverpool, Liverpool,","institution_ids":["https://openalex.org/I146655781"]},{"raw_affiliation_string":"Division of Clinical Psychology, Whelan Building, University of Liverpool, Liverpool L69 3GB, UK. J.unwin@liverpool.ac.uk","institution_ids":["https://openalex.org/I146655781"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015229260","display_name":"Lynn Kacperek","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1293129422","display_name":"Lancashire Teaching Hospitals NHS Foundation Trust","ror":"https://ror.org/02j7n9748","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1293129422"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Lynn Kacperek","raw_affiliation_strings":["Lancashire Teaching Hospitals NHS Foundation Trust","Lancashire Teaching Hospitals NHS Foundation Trust, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Lancashire Teaching Hospitals NHS Foundation Trust","institution_ids":["https://openalex.org/I1293129422"]},{"raw_affiliation_string":"Lancashire Teaching Hospitals NHS Foundation Trust, United Kingdom","institution_ids":["https://openalex.org/I1293129422"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5103196397","display_name":"Chris Clarke","orcid":"https://orcid.org/0000-0001-8957-0795","observed_orcids":["https://orcid.org/0000-0001-8957-0795"]},"institutions":[{"id":"https://openalex.org/I191240316","display_name":"University of Hull","ror":"https://ror.org/04nkhwh30","country_code":"GB","type":"education","lineage":["https://openalex.org/I191240316"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Chris Clarke","raw_affiliation_strings":["University of Hull, Hull, UK","Univ of Hull, Hull, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Hull, Hull, UK","institution_ids":["https://openalex.org/I191240316"]},{"raw_affiliation_string":"Univ of Hull, Hull, United Kingdom","institution_ids":["https://openalex.org/I191240316"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5055445367"],"corresponding_institution_ids":["https://openalex.org/I146655781"],"apc_list":{"value":4400,"currency":"USD","value_usd":4400},"apc_paid":null,"fwci":6.1976,"has_fulltext":false,"cited_by_count":87,"citation_normalized_percentile":{"value":0.96269389,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"23","issue":"11","first_page":"1044","last_page":"1050"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12485","display_name":"Optimism, Hope, and Well-being","score":0.836899995803833,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12485","display_name":"Optimism, Hope, and Well-being","score":0.836899995803833,"subfield":{"id":"https://openalex.org/subfields/3202","display_name":"Applied Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13986","display_name":"Medical Practices and Rehabilitation","score":0.09839999675750732,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11023","display_name":"Prosthetics and Rehabilitation Robotics","score":0.01979999989271164,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lower-extremity-amputation","display_name":"lower limb amputation","score":0.9990000128746033},{"id":"https://openalex.org/keywords/psychological-adjustment","display_name":"psychological adjustment","score":0.9559999704360962},{"id":"https://openalex.org/keywords/hope","display_name":"hope","score":0.6629999876022339},{"id":"https://openalex.org/keywords/social-support","display_name":"social support","score":0.9589999914169312},{"id":"https://openalex.org/keywords/positive-affect","display_name":"positive affect","score":0.5600000023841858},{"id":"https://openalex.org/keywords/negative-affect","display_name":"negative affect","score":0.7110000252723694},{"id":"https://openalex.org/keywords/amputee-rehabilitation","display_name":"amputee rehabilitation","score":0.5109999775886536},{"id":"https://openalex.org/keywords/psychosocial-factors","display_name":"psychosocial factors","score":0.8320000171661377},{"id":"https://openalex.org/keywords/amputation-level","display_name":"amputation level","score":0.38499999046325684},{"id":"https://openalex.org/keywords/demographic-factors","display_name":"demographic factors","score":0.4970000088214874}],"concepts":[{"id":"https://openalex.org/C2776204877","wikidata":"https://www.wikidata.org/wiki/Q477415","display_name":"Amputation","level":2,"score":0.8579608201980591},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.840423047542572},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.7519556283950806},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5742940306663513},{"id":"https://openalex.org/C2780733359","wikidata":"https://www.wikidata.org/wiki/Q331769","display_name":"Mood","level":2,"score":0.5577163696289062},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.523506224155426},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.46569857001304626},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4584720730781555},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3980174660682678},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.24042242765426636},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.22575664520263672},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.17868506908416748},{"id":"https://openalex.org/C542102704","wikidata":"https://www.wikidata.org/wiki/Q183257","display_name":"Psychotherapist","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000223","descriptor_name":"Adaptation, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000339","descriptor_name":"Affect","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000554","descriptor_name":"Ambulatory Care Facilities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000671","descriptor_name":"Amputation, Surgical","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D000671","descriptor_name":"Amputation, Surgical","qualifier_ui":"Q000534","qualifier_name":"rehabilitation","is_major_topic":false},{"descriptor_ui":"D000674","descriptor_name":"Amputees","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":false},{"descriptor_ui":"D001294","descriptor_name":"Attitude to Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012047","descriptor_name":"Rehabilitation Centers","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012944","descriptor_name":"Social Support","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D035002","descriptor_name":"Lower Extremity","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1177/0269215509339001","doi":"https://doi.org/10.1177/0269215509339001","is_oa":false,"landing_page_url":"https://doi.org/10.1177/0269215509339001","pdf_url":null,"source":{"id":"https://openalex.org/S126555207","display_name":"Clinical Rehabilitation","issn_l":"0269-2155","issn":["0269-2155","1477-0873"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical Rehabilitation","raw_type":"journal-article"},{"id":"pmid:19717504","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19717504","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Clinical rehabilitation","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/5","display_name":"Gender equality","score":0.41999998688697815}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":26,"referenced_works":["https://openalex.org/W4805187","https://openalex.org/W83557482","https://openalex.org/W213307413","https://openalex.org/W1573234480","https://openalex.org/W1968689002","https://openalex.org/W1994699912","https://openalex.org/W1996989406","https://openalex.org/W2009258643","https://openalex.org/W2016970658","https://openalex.org/W2023132860","https://openalex.org/W2030863659","https://openalex.org/W2054373210","https://openalex.org/W2059577197","https://openalex.org/W2083374249","https://openalex.org/W2086604324","https://openalex.org/W2088579721","https://openalex.org/W2108244230","https://openalex.org/W2123424237","https://openalex.org/W2124462043","https://openalex.org/W2130616720","https://openalex.org/W2130675967","https://openalex.org/W2158122284","https://openalex.org/W2499766206","https://openalex.org/W4240912628","https://openalex.org/W4243468625","https://openalex.org/W4251240656"],"related_works":["https://openalex.org/W1897496719","https://openalex.org/W2887129605","https://openalex.org/W2054373210","https://openalex.org/W4384693277","https://openalex.org/W2991622502","https://openalex.org/W2158761916","https://openalex.org/W2066745527","https://openalex.org/W2108244230","https://openalex.org/W2916567457","https://openalex.org/W4367845955"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"examine":[2],"prospectively":[3,195],"the":[4,31,46,67,120,153,196,202],"influence":[5],"of":[6,33,48,77,91,104,155,198,204],"demographic,":[7],"amputation":[8,92,179],"and":[9,35,63,89,111,119,122,127,163,165,178],"psychosocial":[10,52,199],"variables":[11,200],"on":[12],"positive":[13,160,205],"psychological":[14,185],"adjustment":[15,55,172,186,206],"outcomes":[16,187],"for":[17],"lower":[18,81,208],"limb":[19,82,209],"amputees.":[20],"DESIGN:":[21],"A":[22,58],"quantitative":[23],"questionnaire":[24],"study":[25],"with":[26,80],"two":[27,139],"time":[28,149],"points:":[29],"at":[30,36,130,147,152,175],"beginning":[32,154],"rehabilitation":[34,64,156],"six-month":[37,131],"follow-up.":[38,176],"Multiple":[39],"regression":[40],"analyses":[41],"were":[42,71,93,98,136,168,181],"used":[43],"to":[44,54,159,170,184,207],"determine":[45],"contribution":[47],"demographic/amputation":[49],"factors":[50,53,180],"versus":[51],"outcomes.":[56],"SETTING:":[57],"regional":[59],"outpatient":[60],"specialist":[61,140],"mobility":[62],"centre":[65],"in":[66,188,201],"UK.":[68],"SUBJECTS:":[69],"Participants":[70],"recruited":[72],"as":[73],"a":[74],"consecutive":[75],"sample":[76],"new":[78],"referrals":[79],"amputation.":[83,210],"MAIN":[84],"MEASURES:":[85],"Age,":[86],"gender,":[87],"level":[88],"cause":[90],"recorded.":[94],"The":[95,134,192],"following":[96],"measures":[97,135],"used:":[99],"Hope":[100,151],"Scale,":[101],"Multidimensional":[102],"Scale":[103,114,125],"Perceived":[105],"Social":[106],"Support":[107],"(MSPSS),":[108],"Trinity":[109],"Amputation":[110],"Prosthetic":[112],"Experiences":[113],"(TAPES)":[115],"pain":[116],"subscale":[117],"initially":[118],"Positive":[121],"Negative":[123],"Affect":[124],"(PANAS)":[126],"full":[128],"TAPES":[129],"follow":[132],"up.":[133],"administered":[137],"by":[138],"nurses.":[141],"RESULTS:":[142],"Ninety-nine":[143],"patients":[144],"provided":[145],"data":[146],"both":[148],"points.":[150],"was":[157],"related":[158,169,183],"mood":[161],"(P<0.001)":[162],"hope":[164],"social":[166],"support":[167],"general":[171],"(P<0.01,":[173],"P<0.001)":[174],"Demographic":[177],"not":[182],"this":[189],"study.":[190],"CONCLUSIONS:":[191],"findings":[193],"demonstrate":[194],"importance":[197],"prediction":[203]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":5},{"year":2023,"cited_by_count":8},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":3},{"year":2018,"cited_by_count":7},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":8},{"year":2013,"cited_by_count":11},{"year":2012,"cited_by_count":10}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
