Resilient Coping Types in People With Spinal Cord Injury: Latent Class Analysis

Abstract

Resilience is central to living well with a spinal cord injury (SCI). To provide a timely, targeted, and individualized intervention supporting resilience, it is necessary to assess an individual’s resilience level and characteristics of resilience on an ongoing basis. We aimed to validate the different types of resilient coping among people with SCI (PwSCI), using the Connor–Davidson resilience scale, and to identify the relationships between resilience and other psychosocial factors among the types of resilient coping. We recruited 93 PwSCI, who took the self-report measures of resilience, depression, life satisfaction, and spirituality. Using latent class analysis, we found three types: (a) goal-pursuing, bouncing-back, and persevering, named GP; (b) uncertainty about coping with setbacks, named UC; and (c) loss of resilient coping, named LOSS. The multivariate tests indicated that the three types differed on a linear combination of resilience, depression, and life satisfaction, with a large effect size. We discussed the three types of resilient coping and the implications for psychosocial interventions. We also recommended that rehabilitation clinicians examine PwSCI’s resilience levels and types of resilience during initial and follow-up visits. In doing so, PwSCI will have timely, targeted supports for developing and/or re-building their resilience.

Autopreconceito E Preconceito Social No Quotidiano De Pessoas Com Lesão Medular E Suas Famílias

“…Todavia, as consequências devastadoras da lesão medular "despertam" as características resilientes nos indivíduos e tem-se observado que níveis elevados de resiliência estão ligados a uma rede de apoio que favorece regulação emocional, resolução cognitiva e a uma saúde mental positiva. (24) O apoio e a presença das pessoas (família/amigos/ comunidade/profissionais de saúde), munidas de uma atitude positiva diante da deficiência física, contribuem visivelmente com a melhora da autoestima e da resiliência frente ao novo ritmo de vida, pois as pessoas passam por um processo de reformulação de valores e metas pessoais de vida. (1) As famílias de pessoas com LM desenvolvem estratégias cognitivas de enfrentamento para dar sentido à situação e estabelecer um "novo normal" para lidar com suas novas tarefas e papéis.…”