@article{ref1,
title="The relationship between self-reported physical functioning, mental health, and  quality of life in Service members after combat-related lower extremity amputation",
journal="Disability and rehabilitation",
year="2020",
author="Eskridge, Susan L. and Watrous, Jessica R. and McCabe, Cameron T. and Clouser, Mary C. and Galarneau, Michael R.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: Service members with amputations experience numerous challenges, yet few  studies have examined patient-reported outcomes, including physical functional  status, mental-health screening status, and quality of life (QOL) or the  relationship between these outcomes. <br><br>MATERIALS AND METHODS: Service members with  combat-related lower extremity amputations (N = 82) and participants in the Wounded  Warrior Recovery Project were included. Patient-reported outcomes of physical  functional status, posttraumatic stress disorder (PTSD), depression screening  status, and QOL were compared, while accounting for amputation level. Linear  regression assessed relationships between physical functional status and QOL, as  well as mental-health screening status. <br><br>RESULTS: Higher physical functioning scores  were associated with better QOL, and lower physical functioning scores were  associated with screening positive for PTSD or depression. When stratified by  mental-health screening, a significant relationship was observed between mean  physical functioning scores and amputation level with a negative PTSD or depression  screen only. Additionally, those with bilateral amputation reported lower physical  functioning. <br><br>CONCLUSIONS: Physical functioning was associated with patient-reported  outcomes, including QOL and mental-health screening. Screening positive for PTSD or  depression was associated with worsened self-reported physical function and may  outweigh the impact of amputation severity on physical functioning. Successful  rehabilitation requires the integration of physical and mental health domains in  order to achieve optimal functioning. Implications for rehabilitation The current  study shows that physical functioning in participants with combat-related amputation  is related to the amputation level, quality of life, and mental-health symptom  screening. Good mental health is crucial to optimal functioning, as presence of  adverse mental-health symptoms may exacerbate physical functional limitations among  those with combat-related amputations. Assessing variables related to adverse  mental-health symptoms and ultimate physical functioning outcomes is critical for  clinicians to optimize rehabilitative strategies and outcomes.<p /> <p>Language: en</p>",
language="en",
issn="0963-8288",
doi="10.1080/09638288.2020.1863481",
url="http://dx.doi.org/10.1080/09638288.2020.1863481"
}