{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T13:45:23Z","timestamp":1774359923667,"version":"3.50.1"},"reference-count":38,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2011,9,9]],"date-time":"2011-09-09T00:00:00Z","timestamp":1315526400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:p> Objective: To explore adults\u2019 experiences of lower limb amputation, focusing on the changes in self-identity related to the impairment. <\/jats:p><jats:p> Design: A cross-sectional and qualitative study, using semi-structured interviews. Interviews were transcribed, coded and analysed by two independent researchers. <\/jats:p><jats:p> Setting: A rehabilitation medicine service from a general public hospital. <\/jats:p><jats:p> Participants: A convenience sample of 42 patients with lower limb amputation performed after the age of 18 and followed up in the physical medicine and rehabilitation department of a general hospital. <\/jats:p><jats:p> Main outcome measures: A semi-structured interview, addressing three core areas: the emotional impact of amputation; the adjustment process; and the relation with the external resources. <\/jats:p><jats:p> Results: Eight themes emerged from interviews: reactions and feelings about becoming amputee; changes in own life; problems in well-being; relation with the prosthesis; self-perceptions; aims related to the rehabilitation and future plans; relation with the rehabilitation; and perceived social support. These results supported a theoretical model for the self-identity changes related to limb loss. <\/jats:p><jats:p> Conclusions: The self-identity changes after a lower limb amputation appear beyond the patient\u2019s body image and functioning, affecting the patient\u2019s awareness of the impairment, biographical self and any future projections. <\/jats:p>","DOI":"10.1177\/0269215511410731","type":"journal-article","created":{"date-parts":[[2011,9,10]],"date-time":"2011-09-10T03:09:38Z","timestamp":1315624178000},"page":"180-191","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":125,"title":["Beyond the body image: a qualitative study on how adults experience lower limb amputation"],"prefix":"10.1177","volume":"26","author":[{"given":"Hugo","family":"Senra","sequence":"first","affiliation":[{"name":"High Institute of Applied Psychology (ISPA), Psychology and Health Research Unit, Lisbon, Portugal"}]},{"given":"Rui 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