title: Coming to terms: a grounded theory of adaptation to facial surgery in adulthood.
abstract: Facial surgery is associated with both functional difficulties and disfigurement, and there is evidence to show that psychosocial outcomes vary widely between individuals. This article reports the findings of a grounded theory study of the predictors and process of adaptation to facial surgery in adulthood. Interviews and focus groups were conducted with 29 facial surgery survivors. Four super-ordinate data categories were generated, namely 'Demands','Resources', 'Responding and managing' and 'Consequences'. A model of adaptation was developed which reflected the inter-relationships apparent between these categories. Data extracts are presented to illustrate the grounding of the model in participants' accounts, and the model is discussed with reference to previous theory and research.
authors.affiliation: University of Sheffield, UK. penny.furness@sheffield.ac.uk
authors.forename: Penny
authors.initials: P
authors.lastname: Furness
authors.forename: Paul
authors.initials: P
authors.lastname: Garrud
authors.forename: Annabella
authors.initials: A
authors.lastname: Faulder
authors.forename: Judy
authors.initials: J
authors.lastname: Swift
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001290:Attitude; D019465:Craniofacial Abnormalities / Q000523:psychology / Q000601:surgery*; D003430:Cross-Sectional Studies; D004644:Emotions; D005151:Facial Injuries / Q000523:psychology / Q000601:surgery*; D005260:Female; D017144:Focus Groups; D006258:Head and Neck Neoplasms / Q000523:psychology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D017060:Patient Satisfaction; D010551:Personality; D036301:Qualitative Research; D012107:Research Design; D012649:Self Concept; D012944:Social Support