1,720,956 research outputs found
Adjustment to amputation and psychological distress: an examination of the intervening role of posttraumatic stress and posttraumatic growth
No full textSuccessful adjustment to amputation can be quantified in a number of ways. Physical measures such as prosthesis use, mobility indices, and activities of daily living have traditionally been suggested as outcome measures in the literature. More recently, the importance of psychological outcomes is gaining attention.
This study was based in a regional prosthetic, orthotic, and limb-absence rehabilitation unit. It was developed in order to provide an overview of a range of issues affecting patients, in a multidisciplinary setting. Sixty-two participants completed self-report questionnaires on a range of constructs while attending the unit. From this general study, a central study evolved looking specifically at the relationship between adjustment to amputation and psychological distress, and the possibility of a moderating and/or mediating effect of posttraumatic stress and posttraumatic growth on this relationship. Significant relationships between adjustment to amputation and psychological distress were found. No moderating effect of PTS or PTG was found on the relationship between adjustment to amputation and psychological distress; however, a mediating effect of PTS was apparent. These findings indicate the importance of assessing for PTS symptoms in addition to other psychological issues in people who have undergone amputation, and highlight the need for measures of successful adjustment to amputation to include those of a psychological nature. Learning experiences and suggestions for future research are also discussed
Adjustment to amputation and psychological distress: an examination of the intervening role of posttraumatic stress and posttraumatic growth
No full textSuccessful adjustment to amputation can be quantified in a number of ways. Physical measures such as prosthesis use, mobility indices, and activities of daily living have traditionally been suggested as outcome measures in the literature. More recently, the importance of psychological outcomes is gaining attention.
This study was based in a regional prosthetic, orthotic, and limb-absence rehabilitation unit. It was developed in order to provide an overview of a range of issues affecting patients, in a multidisciplinary setting. Sixty-two participants completed self-report questionnaires on a range of constructs while attending the unit. From this general study, a central study evolved looking specifically at the relationship between adjustment to amputation and psychological distress, and the possibility of a moderating and/or mediating effect of posttraumatic stress and posttraumatic growth on this relationship. Significant relationships between adjustment to amputation and psychological distress were found. No moderating effect of PTS or PTG was found on the relationship between adjustment to amputation and psychological distress; however, a mediating effect of PTS was apparent. These findings indicate the importance of assessing for PTS symptoms in addition to other psychological issues in people who have undergone amputation, and highlight the need for measures of successful adjustment to amputation to include those of a psychological nature. Learning experiences and suggestions for future research are also discussed
Couples’ experiences of coping with Multiple Sclerosis: a qualitative systematic review and metasynthesis
No full textPurpose: This systematic review sought to synthesise the qualitative literature exploring couples’ experiences of dyadic coping, when one partner has Multiple Sclerosis (MS). Methods: The review protocol was pre-registered with PROSPERO. Five databases (PubMed, EMBASE, CINAHL, PsycINFO and Scopus) were searched for relevant papers from inception to January 2024. Seven hundred and ninety three papers were screened against pre-defined inclusion criteria. Data from 11 studies (n=204) were quality assessed using the Critical Appraisal Skills Programme qualitative checklist and included in the metasynthesis Results: The synthesis resulted in four themes related to couples’ experiences of coping with MS: dance of accommodation, a sense of unity, outside of us and evolving as a unit. Communication attunement was perceived as key for couples to maintain cohesion in the relationship. Developing a shared narrative around MS helped couples to align their perspectives and co-ordinate their coping. The findings suggest that many couples coped by consciously maintaining a focus in the present. The wider system of social supports also appeared to frame the couples unique dyadic coping process in specific ways. Conclusions: The findings from this synthesis provide support for the conceptualisation of MS as a shared experience to support couples’ rehabilitation efforts. IMPLICATIONS FOR REHABILITATION • For couples coping with Multiple Sclerosis (MS), communication attunement is a key variable for maintaining cohesion and closeness in the relationship to manage disease impact. • Framing MS as a shared challenge helps couples to co-ordinate their coping response, engage in collaborative disease management and rehabilitation, and jointly undertake lifestyle adaptations. • Each couple’s unique response to coping with MS should be considered within a broader ecological framework, including social and professional supports that may support rehabilitation efforts</p
“I felt like I was missing ‘me’": Long-term experiences of intrapersonal loss, grief, and change in adults with an acquired brain injury
No full textExperiences of loss and change following acquired brain injury (ABI) are frequent and multi-contextual, yet the long-term experiences of people with ABI are not well understood. This study explored the experiences of intrapersonal loss, grief and change in people with ABI, a decade after their injury. Twelve adults with ABI were interviewed 10–13 years post-injury. Using interpretative phenomenological analysis, we identified four overarching themes: a dawning realization of the impact of injury; loss of personhood; loss and liminality; and learning to live with loss and grief. Our findings indicate that in the decade following ABI, people continue to develop awareness of the impact of their injury and experience oscillating acceptance towards enforced changes. Participants reported a diminished sense of agency and autonomy in how they were perceived by and interacted with following injury. Additionally, identity may be lost, suspended, and renegotiated. Findings suggest dynamic, active, and flexible coping strategies that continue to be present over the long term. Considering the persistent nature of the injury and the evolving needs of the individual, a longer term view of rehabilitation outcomes may be required, contextualised by relational and intrapersonal challenges that may present over the longer term.</p
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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