| Titre : | Coping Flexibility as Predictor of Distress in Persons With Spinal Cord Injury (2018) |
| Auteurs : | Tijn van Diemen ; Ilse J.W. van Nes ; Jan Geertzen |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 10, 2018) |
| Article en page(s) : | p. 2015-2021 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Adaptation ; Adaptation psychologique ; Psychologie ; Rééducation et réadaptation ; Traumatismes de la moelle épinière |
| Mots-clés: | Psychological ; Psychology ; Spinal cord injuries |
| Résumé : |
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 Outcome Measures 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. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |
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