Longitudinal Changes in Psychological Adaptation Outcomes During Spinal Cord Injury Inpatient Rehabilitation
| Autor: | Valerie Carrard, Davide Morselli, Claudio Peter, Marcel W M Post, Simon Kunz, Mayra Galvis Aparicio |
|---|---|
| Přispěvatelé: | Extremities Pain and Disability (EXPAND) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Biopsychosocial model 030506 rehabilitation psychological adaptation media_common.quotation_subject Physical Therapy Sports Therapy and Rehabilitation HOSPITAL ANXIETY VERSION III ADJUSTMENT POSTTRAUMATIC GROWTH Cohort Studies 03 medical and health sciences Social support Optimism QUALITY-OF-LIFE Psychological adaptation Adaptation Psychological DEPRESSIVE MOOD Humans Medicine skin and connective tissue diseases RASCH ANALYSIS life satisfaction Depression (differential diagnoses) media_common Inpatients business.industry Rehabilitation Neurological Rehabilitation Life satisfaction SELF-EFFICACY INDEPENDENCE MEASURE anxiety 3. Good health Psychiatry and Mental health Clinical Psychology Distress depression Anxiety spinal cord injuries sense organs medicine.symptom 0305 other medical science business MENTAL-HEALTH Clinical psychology |
| Zdroj: | Rehabilitation Psychology, 66(4), 491-506. EDUCATIONAL PUBLISHING FOUNDATION-AMERICAN PSYCHOLOGICAL ASSOC |
| ISSN: | 0090-5550 |
| Popis: | Objective: To determine average changes and individuals' patterns of change in depressive symptoms, anxiety symptoms, general distress, and life satisfaction between admission to spinal cord injury inpatient rehabilitation and discharge; and to identify factors associated with change. Methods: Longitudinal data collection as part of a national cohort study (N=281). Changes in the psychological adaptation outcomes were analyzed using latent change score models. Reliable change indexes were calculated for each outcome to identify individuals' patterns of change. Biopsychosocial factors were examined as covariates of change. Results: On average, depressive symptoms, anxiety symptoms, and general distress decreased between admission and discharge, while life satisfaction increased. According to the RCI, several adaptation patterns were identified. The proportion of individuals following each pattern varied depending on the analyzed outcome: resilience (absence of clinically relevant symptoms at admission and discharge) was the most common for symptoms of depression (61.57%) and anxiety (66.55%), while vulnerability (clinically relevant symptoms at both measurement times) was the most common for distress (57.32%). Improvement patterns (statistically significant decreases) were identified for 6.41%, 4.27%, and 7.83% of participants in depressive symptoms, anxiety symptoms and distress, respectively. For life satisfaction, improvement (statistically significant increases) was found for 8.54%. Male sex, tetraplegia, self-efficacy, optimism, and social support were associated with average changes in the psychological adaptation outcomes. Conclusions: On average, participants showed improvement in all analyzed outcomes. Still, there is substantial variability in change. Self-efficacy, social support, and optimism are potential intervention targets during inpatient rehabilitation to promote a favorable psychological adaptation process. + ID der Publikation: unilu_58918 + Sprache: Englisch + Letzte Aktualisierung: 2022-05-04 17:13:27 |
| Databáze: | OpenAIRE |
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