Exploring the Role of Psychological Support and Social Factors in Resilience Among Traumatic Amputees in North Batinah, Oman: Mixed Methodology

Abstract

Background: The absence of an obligatory psychological component in amputee rehabilitation services can delay post-amputation adaptation and may amplify the influence of psychological variables on adjustment among Omani individuals. The integration of mental health practices into recovery could significantly enhance the overall integrity of the rehabilitation process. Objectives: This study explores the experiences of traumatic amputees in North Batinah, Oman, focusing on the impact of professional psychological support, social support factors, and self-esteem on their resilience. Methods: A mixed-methods design was employed, combining quantitative analysis of three psychological scales—the Rosenberg Self-esteem Scale, Connor-Davidson Resilience Scale-10 (CD-RISC-10), and the Protective Factors of Resilience Scale (PFRS)—with thematic analysis of narratives from nine participants. Quantitative data were analyzed using descriptive statistics, correlation analysis, and group comparisons. Qualitative data underwent thematic analysis, with themes generated from the participants' shared experiences. Results: The descriptive statistics indicated variability in protective factors, while self-esteem and resilience scores were more consistent. Correlation analysis revealed a strong positive relationship between self-esteem and resilience (r = 0.76). Thematic analysis identified four major themes: Self-perception as a determinant of resilience, perceived social support, impact of professional psychological support on resilience, and key contributors to resilience. Participants with positive self-perception and strong social and psychological support networks reported higher levels of resilience. Additionally, prosthetic acceptance and employment emerged as crucial factors in promoting recovery. Conclusions: This study highlights the pivotal role of professional psychological support in enhancing resilience and facilitating post-amputation adaptation among traumatic amputees. The findings underscore the importance of integrating tailored psychological interventions into rehabilitation programs. For clinical practice, these results suggest the need for customized rehabilitation programs and treatment plans that address the psychological well-being of amputees. Future research should address the limitations of this study, including sample size and demographic diversity, and explore additional factors influencing resilience in this population.