Coping Flexibility as Predictor of Distress in Persons With Spinal Cord Injury.
Arch Phys Med Rehabil
; 99(10): 2015-2021, 2018 10.
Article
in En
| MEDLINE
| ID: mdl-29966646
ABSTRACT
OBJECTIVES:
Examine whether coping flexibility at admission to first spinal cord injury (SCI) rehabilitation was predictive of distress 1 year after discharge.DESIGN:
Longitudinal inception cohort study.SETTING:
Rehabilitation center.PARTICIPANTS:
Of the 210 people admitted to their first inpatient SCI rehabilitation program, 188 met the inclusion criteria. n=150 (80%) agreed to participate; the data of participants (N=113) with a complete dataset were used in the statistical analysis.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
Coping flexibility was operationalized by (1) flexible goal adjustment (FGA) to given situational forces and constraints and (2) tenacious goal pursuit (TGP) as a way of actively adjusting circumstances to personal preference. The Assimilative-Accommodative Coping Scale was used to measure FGA and TGP. The Hospital Anxiety and Depression Scale was used to assess distress.RESULTS:
Scores on FGA and TGP measured at admission were negatively associated with the scales depression (r= -.33 and -.41, respectively) and anxiety (r= -.23 and -.30, respectively) 1 year after discharge. All demographic and injury-related variables at admission together explained a small percentage of the variance of depression and anxiety. FGA, TGP, and the interaction term together explained a significant additional 16% of the variance of depression and 10% of anxiety.CONCLUSIONS:
The tendency to pursue goals early postonset of the injury seems to have a protecting effect against distress 1 year after discharge. People with low TGP may experience protection against distress from high FGA.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Spinal Cord Injuries
/
Stress, Psychological
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Adaptation, Psychological
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Inpatients
Type of study:
Etiology_studies
/
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limits:
Adult
/
Aged
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Female
/
Humans
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Male
/
Middle aged
Language:
En
Journal:
Arch Phys Med Rehabil
Year:
2018
Document type:
Article