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Quality of Relationships With Caregivers, Depression, and Life Satisfaction After Dysvascular Lower Extremity Amputation

Published:October 05, 2017DOI:https://doi.org/10.1016/j.apmr.2017.09.110

      Abstract

      Objective

      To describe the relationship between caregiver-specific support and conflict, and psychosocial outcomes among individuals experiencing their first dysvascular lower extremity amputation (LEA).

      Design

      Cross-sectional cohort study using self-report surveys.

      Setting

      Department of Veterans Affairs, academic medical center, and level I trauma center.

      Participants

      Individuals undergoing their first major LEA because of complications of peripheral arterial disease (PAD) or diabetes who have a caregiver and completed measures of caregiver support and conflict (N=137; 94.9% men).

      Interventions

      Not applicable.

      Main Outcome Measures

      The Patient Health Questionnaire-9 to assess depression and the Satisfaction With Life Scale to assess life satisfaction.

      Results

      In multiple regression analyses, controlling for global levels of perceived support, self-rated health, age, and mobility, caregiver-specific support was found to be associated with higher levels of life satisfaction and caregiver-specific conflict was found to be associated with lower levels of life satisfaction and higher levels of depressive symptoms.

      Conclusions

      The specific relationship between individuals with limb loss and their caregivers may be an important determinant of well-being. Conflict with caregivers, which has received little attention thus far in the limb loss literature, appears to play a particularly important role. Individuals with limb loss may benefit from interventions with their caregivers that both enhance support and reduce conflict.

      Keywords

      List of abbreviations:

      CI (confidence interval), MSSS (Modified Social Support Survey), PAD (peripheral arterial disease), QRI (Quality of Relationship Inventory), SRH (self-rated health), SWLS (Satisfaction With Life Scale)
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