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Psychological contributions to functional independence: A longitudinal investigation of spinal cord injury rehabilitation
University of Oxford, Oxford Doctoral Course in Clinical Psychology and Stoke Mandeville Hospital, The National Spinal Injuries Centre, Department of Clinical Psychology.
Swiss Paraplegic Centre, Nottwil and Zurich University of Applied Sciences, School of Applied Psychology.
Mälardalen University, School of Sustainable Development of Society and Technology.ORCID iD: 0000-0002-5098-8489
Stoke Mandeville Hospital, The National Spinal Injuries Centre, Department of Clinical Psychology.
2011 (English)In: Archives of Physical Medicine and Rehabilitation, ISSN 0003-9993, E-ISSN 1532-821X, Vol. 92, no 4, p. 597-602Article in journal (Refereed) Published
Abstract [en]

Objectives: To investigate the contribution of pre-rehabilitation appraisals of spinal cord injury and patient’s coping strategies to the variance in functional independence post discharge.

Design: Longitudinal, cohort study. Patients sustaining a spinal cord injury aged 16 or above were recruited from English and German speaking specialist spinal injuries centres. Measures of appraisals, coping strategies, mood and functional independence were administered on commencing active rehabilitation (12 weeks post injury) and following hospital discharge (1 year post injury).

Setting: Specialist spinal cord injury rehabilitation centres in England,Germany,Switzerland andIreland.

Participants: One hundred and twenty seven patients completed questionnaires at both time points. Sample age ranged between 17.5 and 64.5 with a mean age of 39.3. Demographic and injury characteristics were similar to those reported in international statistics databases.

Interventions: Not Applicable

Main Outcome Measure:  Functional Independence Measure (FIM; motor subscale).

Results: Injury characteristics, age, gender, current depression and the utilization of the coping strategy ‘social reliance’ at twelve weeks post injury explained 33.5% of the variance in motor FIM at one year post injury. Strong relationships were found between appraisals, coping styles, mood and functional outcomes.

Conclusion: The coping strategy ‘Social Reliance’ was found to contribute significantly when explaining the variance in functional outcomes. Suggestions are made to assess appraisals and coping strategies early in rehabilitation in order to provide effective interventions and additional support to those scoring highly on negative coping styles. Further research would be recommended to provide support for the relationship between dependent coping strategies and functional outcomes.

Place, publisher, year, edition, pages
Elsevier, 2011. Vol. 92, no 4, p. 597-602
Keywords [en]
coping skills, psychological, rehabilitation, spinal cord injuries
National Category
Applied Psychology
Research subject
Working Life Studies
Identifiers
URN: urn:nbn:se:mdh:diva-14480DOI: 10.1016/j.apmr.2010.11.016ISI: 000289047500011Scopus ID: 2-s2.0-79953222607OAI: oai:DiVA.org:mdh-14480DiVA, id: diva2:516755
Available from: 2012-04-19 Created: 2012-04-19 Last updated: 2017-12-07Bibliographically approved

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