Adolescents' Resilience with Lower-Limb Loss after Prosthetic Rehabilitation: A Cross-Sectional Study
Downloads
Objective: The study aimed to determine adolescents' resilience levels following lower-limb loss and prosthetic rehabilitation.
Methods and Materials: A cross sectional study design was conducted in Baghdad city at three centers of prosthetic and rehabilitation, purposive sample through non probability technique was conducted for the achievement goals of the study, a scale that used in the study was Connor –Davidson resilience scale -25, the study participants were adolescents with physical disability after prosthetic rehabilitation with congenital and acquired lower limb loss at the study setting, the study consumed for the period of February until 6th, 2025 to December 10th, 2025, in order to give comprehensive insight about adolescents resilience. The data were collected using a study instrument through face-to-face interviews with participants. In addition, use descriptive and inferential statistical methods in SPSS version 26.0 to analyze the data after coding and managing it.
Findings: The study findings reveal that the vast majority of participants (97.4%) demonstrated a high level of psychological resilience. The findings indicate that no statistically significant associations were found between psychological resilience and any of the examined socio-demographic variables (p > 0.05).
Conclusion: The limited duration of prosthetic use among participants suggests a potential barrier to psychological adaptation. Increased access to rehabilitation programs and prolonged exposure to prosthetics could enhance both physical function and psychological resilience.
Downloads
Abou-Zamzam Jr, A. M., Teruya, T. H., Killeen, J. D., & Ballard, J. L. (2003). Major lower extremity amputation in an academic vascular center. Annals of Vascular Surgery, 17(1), 86–90. https://doi.org/10.1007/s10016-001-0340-0
Al-jubouri, S. M., & Alwan, I. H. (2022). Parental styles and their relationship to psychological adjustment among preparatory students. International Journal of Health Sciences, 6(1), 4831–4838. https://doi.org/10.53730/ijhs.v6nS1.5923
Al-Saady, Z. M., Abadi, N. N., Atiyah, K. G., & Majeed, H. M. (2026). Impact of Patients’ Education upon Reducing Psychological Distress during Diabetic Journey. Journal of Nature and Science of Medicine, 9(1), 44–48. https://doi.org/10.4103/jnsm.jnsm_123_25
Ameen, K. J., & Hussein, H. A. (2023). Relationship between Organizational Climate and Psychological Empowerment among Nurses at Primary Health Care Centers. International Journal of Body, Mind & Culture (2345–5802), 10(3). 10.22122/ijbmc.v10i3.536
Backes, E. P., Bonnie, R. J., National Academies of Sciences, E., & Medicine. (2019). Inequity and Adolescence. In The Promise of Adolescence: Realizing Opportunity for All Youth. National Academies Press (US). https://www.jahonline.org/article/S1054-139X(19)30385-4/abstract
Bosques, G., & Holden, J. Pediatric Acquired Upper and Lower Limb Deficiency. https://now.aapmr.org/pediatric-acquired-upper-and-lower-limb-deficiency/
Boyle, M., Tebbi, C. K., Mindell, E. R., & Mettlin, C. J. (1982). Adolescent adjustment to amputation. Medical and Pediatric Oncology, 10(3), 301–312. https://doi.org/10.1002/mpo.2950100312
Brennan, C. S. (2020). Disability rights during the pandemic: a global report on findings of the COVID-19 Disability Rights Monitor. https://anrows.intersearch.com.au/anrowsjspui/bitstream/1/20742/1/Disability-Rights-During-the-Pandemic-report-web.pdf
Campbell‐Sills, L., & Stein, M. B. (2007). Psychometric analysis and refinement of the Connor–Davidson Resilience Scale (CD‐RISC): Validation of a 10‐item measure of resilience. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 20(6), 1019–1028. https://doi.org/10.1002/jts.20271
Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC). Depression and anxiety, 18(2), 76–82. https://doi.org/10.1002/da.10113
Eidmann, A., Kamawal, Y., Luedemann, M., Raab, P., Rudert, M., & Stratos, I. (2023). Demographics and etiology for lower extremity amputations—experiences of a university orthopedic center in Germany. Medicina, 59(2), 200. https://doi.org/10.3390/medicina59020200
Gai, L. (2025). Athletic Identity. In The ECPH Encyclopedia of Psychology (pp. 87–87). Springer. https://doi.org/10.1007/978-981-97-7874-4_892
Griffet, J. (2016). Amputation and prosthesis fitting in pediatric patients. Orthopaedics & Traumatology: Surgery & Research, 102(1), S161-S175. https://doi.org/10.1016/j.otsr.2015.03.020
Hall, M. J., Cummings, D. R., Welling Jr, R. I., Kaleta, M. K., Koenig Jr, K. D., Laine, J. C., & Morgan, S. J. (2020). Essentials of pediatric prosthetics. Journal of the Pediatric Orthopedic Society of North America, 2(3), 168. https://doi.org/10.55275/JPOSNA-2020-168
Horsch, A., Gleichauf, S., Lehner, B., Ghandour, M., Koch, J., Alimusaj, M., Renkawitz, T., & Putz, C. (2022). Lower-limb amputation in children and adolescents—a rare encounter with unique and special challenges. Children, 9(7), 1004. https://doi.org/10.3390/children9071004
Jasim, I. M., & Al-Jubouri, M. B. (2025). Quality of Work Life and Resilience among Intensive Care Unit Nurses: A Descriptive Study. International Journal of Body, Mind & Culture, 12(5), 138–144. https://doi.org/10.61838/ijbmc.v12i5.936
Maffoni, M., Casati, A., Tambussi, C., Torlaschi, V., Baldini, M., Dragoni, R., Fundarò, C., Bagnara, L., Ferretti, C., & Pierobon, A. (2025). Psychological and Behavioral Adjustment in Patients with Non-Traumatic Lower Limb Amputation and Prosthesis: A Mixed-Method Triangulation Study. Journal of Clinical Medicine, 14(19), 6973. https://doi.org/10.3390/jcm14196973
Marmot, M. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099–1104. https://doi.org/10.1016/S0140-6736(05)71146-6
Masten, A. S. (2021). Resilience in developmental systems. Multisystemic resilience(2021), 113–134. https://doi.org/10.1093/oso/9780190095888.003.0007
Mithila, T. J. (2022). Level of resilience of amputation patient: a cross-sectional study, Bangladesh Health Professions Institute, Faculty of Medicine, the University …]. http://202.4.109.28:8080/xmlui/handle/123456789/975
Mohammed, Q. Q. (2023). Association between Parental Treatment and Aggressive Behaviors among Adolescent Students. Iraqi National Journal of Nursing Specialties, 36(1), 36–42. https://doi.org/10.58897/injns.v36i1.717
Molina, C. S., & Faulk, J. (2019). Lower extremity amputation. https://pubmed.ncbi.nlm.nih.gov/31536201/
Olusola, I. K., Mathias, O. O., Ajibola, O. B., & Morhasson-Bello, J. O. Limb Amputation In Under-18 Years: A Tertiary Hospital Experience. DOI: 10.9790/0853-2405050106
Organization, W. H., & Staff, W. H. O. (2013). Global tuberculosis report 2013. World Health Organization. https://www.who.int/publications/i/item/9789241564656
Saadoon, N. Y. (2017). Evaluation of adolescents' quality of life in Hilla city. Iraqi National Journal of Nursing Specialties, 30(1), 145-155. https://doi.org/10.58897/injns.v30i1.261
Shalash, A., & Mousa, A. M. (2024). Effect of instructional intervention on the knowledge of spinal cord injury patients regarding dietary regimen. Malaysian Journal of Public Health Medicine, 24(2), 103–115. https://doi.org/10.20935/AcadMed7548
Shawq, A. H., Ajil, Z. W., & Al-Musawi, K. M. (2020). Attitudes of mothers towards over-the-counter antibiotics for their children in Baghdad city—International Journal of Psychosocial Rehabilitation, 24(09).
https://doi.org/10.61841/7q72d084
Steinberg, L. (2015). How to improve the health of American adolescents. Perspectives on Psychological Science, 10(6), 711–715. https://doi.org/10.1177/1745691615598510
Wadi, A. A., & Ajil, Z. W. (2025). Parental Stress Levels Among Parents of Children with ADHD: A Cross-Sectional Study in Iraq. International Journal of Body, Mind & Culture, 12(6), 191-197. https://doi.org/10.61838/ijbmc.v12i6.1102
Zheng, X., Lu, X., Chen, Y., Wang, J., & Qiao, J. (2024). Ultrasonographic features and risk factors of postoperative lower limb deep venous thrombosis in patients with lower limb fractures. Acta Orthopaedica Belgica, 90, 665–671. https://doi.org/10.52628/90.4.12834
Zukerman, N., Bottone, E., Low, M., & Ogourtsova, T. (2024). Resilience and adolescence-transition in youth with developmental disabilities and their families: a scoping review. Frontiers in rehabilitation sciences, 5, 1341740. https://doi.org/10.3389/fresc.2024.1341740
Copyright (c) 2026 International Journal of Body, Mind and Culture
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
