Predictors of Psychosocial Adaptation Among People With Spinal Cord Injury or Disorder

Martz, Erin; Livneh, Hanoch; Priebe, Michael M.; Wuermser, Lisa Ann; Ottomanelli, Lisa

doi:10.1016/j.apmr.2004.11.036

Cited by 102 publications

(87 citation statements)

References 60 publications

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“…In total, 14 out of 17 associations between affect and QOL were significant. 25,35,38,54,55 Positive affect was associated with higher life satisfaction 35,54 whereas negative affect was associated with lower life satisfaction 35,38 and higher posttraumatic stress. 25 Appraisals.…”

Section: Psychological Factorsmentioning

confidence: 99%

“…The assessment of an individual's attribution of accountability for his/her SCI 28 2 Likert items; 15 55 …”

Section: Attribution Of Blamementioning

confidence: 99%

“…30,[33][34][35]37,[42][43][44]49,52,55,[57][58][59] For the coping variables that were longitudinally examined, mental disengagement, behavioral disengagement and alcohol/drug use were related to greater depression and anxiety. [42][43][44] Denial showed an inconsistent relationship to QOL outcomes, correlating positively with greater life satisfaction in a cross-sectional study, 55 and positively with depression and anxiety in several longitudinal studies. [42][43][44] Escape/avoidance, helplessness and social reliance were moderately to strongly associated with QOL outcomes.…”

Section: Appraisalsmentioning

confidence: 99%

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Associations between psychological factors and quality of life ratings in persons with spinal cord injury: a systematic review

et al. 2011

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Study design: Systematic review. Objectives: To review the literature on relationships between psychological factors and quality of life (QOL) of persons with spinal cord injury (SCI). Setting: NA. Methods: A systematic literature search was conducted in several online databases (PubMed, Embase and PsychInfo). Articles were included if they provided quantitative information on associations between QOL-related dependent variables and psychological factors as independent variables in an SCI population. The search was limited to empirical studies published in English. The methodological quality of the included articles was assessed. Results: A total of 48 studies were included. Total locus of control, sense of coherence, self-worth, hope, purpose in life and positive affect were consistently associated with greater QOL. Negative affect and posttraumatic cognitions were consistently associated with lower QOL. Inconsistent evidence was found for subscales of locus of control, the role of attribution of blame, spirituality, personality, appraisals, passive coping and emotion-focused coping. No evidence was found for an association between active problem-focused coping styles and QOL. Conclusion: Many psychological factors were strongly and consistently related to QOL, but for some others no or inconsistent evidence was found. Further research should (1) use larger study groups, preferably in longitudinal designs, (2) improve terminological precision and avoid conceptual overlap between determinants and outcomes, (3) increase uniformity of questionnaires and (4) reexamine concepts that have been abandoned prematurely, such as personality and social comparison.

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Section: Psychological Factorsmentioning

confidence: 99%

“…The assessment of an individual's attribution of accountability for his/her SCI 28 2 Likert items; 15 55 …”

Section: Attribution Of Blamementioning

confidence: 99%

Section: Appraisalsmentioning

confidence: 99%

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Associations between psychological factors and quality of life ratings in persons with spinal cord injury: a systematic review

et al. 2011

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“…1 Why however, in-depth analysis of these findings has revealed that QOL ratings are linked to secondary complications, activity limitations and barriers to participation 2,3 rather than to factors relating to the injury itself or degrees of physical ability. 4,5 In fact, the majority of people with SCI report a high level of life satisfaction, 6 with research indicating that life satisfaction is directly related to involvement in productive activities, such as employment and leisure pursuits.…”

Section: Introductionmentioning

confidence: 99%

“…8 Psychological problems (for example, depression and anxiety) following SCI also appear to be related to individual appraisals and coping responses rather than level of injury or functional impairment. 1 Social support has been found to be related to psychological outcomes and adjustment after SCI, 9,10 has been identified as a predictor of early mortality 11 and is associated with low hopelessness and depression scores. 12 A review by Galvin and Godfrey 13 suggested that the way people think about or 'appraise' their injury and the coping strategies they use in response to these appraisals have a significant role in the process of adjustment.…”

Section: Introductionmentioning

confidence: 99%

Appraisals, coping and adjustment pre and post SCI rehabilitation: a 2-year follow-up study

et al. 2011

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Study design: Longitudinal, multi-wave panel design. Objectives: To explore the changes in and the relationships between appraisals and coping with mood, functioning and quality-of-life (QOL) pre-and post-rehabilitation for acute spinal cord injury (SCI). Setting: The data collected was part of an ongoing study from specialist units in selected British, Swiss, German and Irish SCI centres. Methods: Questionnaires (Functional Independence, QOL, Mood, Appraisals, Coping and Support) were administered to 232 patients at 12 weeks post injury and sent to participants at 1 and 2 years post injury by post. Results: Significant changes were observed in various outcome measures between 12 weeks and 1 year post injury, with little significant change occurring during the following year. Appraisals and coping at 12 weeks post injury were significantly related to outcome scores and also contributed significantly to the variance in QOL, mood and stress-related growth at 2 years post injury. Conclusion:The study provides further evidence for the link between appraisals, coping and subsequent adjustment to injury. Suggestion is made for the potential benefit of early assessment and intervention for patients at risk of poor adjustment to SCI.

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Coping as a moderator of disability and psychosocial adaptation among Vietnam theater veterans

2008

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The purpose of this archival research was to investigate whether coping moderated the association between disability status and the outcome of psychosocial adaptation while controlling for demographic variables, posttraumatic stress disorder, and environmental conditions and social support. This research analyzed data from the U.S.'s National Vietnam Veterans Readjustment Study (NVVRS; R.A. Kulka et al., 1990a). In this study, the existence of a disability significantly and negatively predicted psychosocial adaptation after controlling for specific variables. Further, the multiple regression analysis showed that the association of disability and adaptation was moderated by problem-solving coping, indicating that the negative effect of disability on adaptation was smaller for participants with lower levels of problem-solving coping. Clinical implications of these findings are discussed.

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Predictors of Psychosocial Adaptation Among People With Spinal Cord Injury or Disorder

Cited by 102 publications

References 60 publications

Associations between psychological factors and quality of life ratings in persons with spinal cord injury: a systematic review

Associations between psychological factors and quality of life ratings in persons with spinal cord injury: a systematic review

Appraisals, coping and adjustment pre and post SCI rehabilitation: a 2-year follow-up study

Coping as a moderator of disability and psychosocial adaptation among Vietnam theater veterans

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