Profiles of Psychological Adaptation Outcomes at Discharge From Spinal Cord Injury Inpatient Rehabilitation

被引:18
作者
Aparicio, Mayra Galvis [1 ,2 ]
Carrard, Valerie [1 ,2 ]
Morselli, Davide [3 ]
Post, Marcel. W. M. [4 ,5 ,6 ]
Peter, Claudio [1 ,2 ]
机构
[1] Univ Lucerne, Dept Hlth Sci & Med, Luzern, Switzerland
[2] Swiss Parapleg Res, Nottwil, Switzerland
[3] Univ Lausanne, Swiss Natl Ctr Competence Res LIVES, Lausanne, Switzerland
[4] Univ Med Ctr Utrecht, Brain Ctr Rudolf Magnus, Ctr Excellence Rehabil Med, Utrecht, Netherlands
[5] Hoogstr, Utrecht, Netherlands
[6] Univ Groningen, Univ Med Ctr Groningen, Dept Rehabil Med, Groningen, Netherlands
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2020年 / 101卷 / 03期
基金
瑞士国家科学基金会;
关键词
Optimism; Emotional adjustment; Rehabilitation; Spinal cord injuries; QUALITY-OF-LIFE; SECONDARY HEALTH CONDITIONS; HOSPITAL ANXIETY; RASCH ANALYSIS; SELF-EFFICACY; PSYCHOSOCIAL ADAPTATION; POSTTRAUMATIC GROWTH; INDEPENDENCE MEASURE; MENTAL-HEALTH; VERSION III;
D O I
10.1016/j.apmr.2019.08.481
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To evaluate the effect of a newly acquired spinal cord injury (SCI) by identifying profiles of psychological adaptation outcomes at discharge from inpatient rehabilitation, using several outcome measures in parallel and to examine biopsychosocial factors associated with profile membership. Design: Cross-sectional analysis of data from the Swiss Spinal Cord Injury inception cohort study. Setting: Inpatient rehabilitation. Participants: Individuals 16 years old or older with recently diagnosed SCI who finished clinical rehabilitation in 1 of the 4 major national rehabilitation centers (N=370). Interventions: Not applicable. Main Outcome Measures: Life satisfaction, general distress, and symptoms of depression and anxiety were assessed using a single item from the International SCI Quality of Life Basic Data Set, the Distress Thermometer, and the Hospital Anxiety and Depression Scale respectively. Results: Using latent profile analysis, 4 profiles of psychological adaptation outcomes were identified displaying different levels of impact, ranging from Minimal to Severe. Regarding covariates associated with profile membership, higher optimism, purpose in life, and self-efficacy indicated a higher probability of having a Minimal impact profile. Additionally, males, individuals with better functional independence, and those with an absence of pain were more likely to show a Minimal impact profile. Conclusions: Among the participants, 70% showed Minimal or Low impact profiles. Our findings support that individuals can show positive responses across several outcome measures even at an early time after the injury onset (eg, at discharge from inpatient rehabilitation). Moreover, our results indicate that beyond functional independence, improvement, and pain management, a rehabilitation process that strengthens psychological resources might contribute to better adaptation outcomes. (C) 2019 by the American Congress of Rehabilitation Medicine
引用
收藏
页码:401 / 411
页数:11
相关论文
共 89 条
[11]   International Spinal Cord Injury Quality of Life Basic Data Set [J].
Charlifue, S. ;
Post, M. W. ;
Biering-Sorensen, F. ;
Catz, A. ;
Dijkers, M. ;
Geyh, S. ;
Horsewell, J. ;
Noonan, V. ;
Noreau, L. ;
Tate, D. ;
Sinnott, K. A. .
SPINAL CORD, 2012, 50 (09) :672-675
[12]   Spinal cord injury, coping and psychological adjustment: a literature review [J].
Chevalier, Z. ;
Kennedy, P. ;
Sherlock, O. .
SPINAL CORD, 2009, 47 (11) :778-782
[13]   The experience of posttraumatic growth for people with spinal cord injury [J].
Chun, Sanghee ;
Lee, Youngkhill .
QUALITATIVE HEALTH RESEARCH, 2008, 18 (07) :877-890
[14]   Identifying trajectories of adolescent smoking: An application of latent growth mixture modeling [J].
Colder, CR ;
Mehta, P ;
Balanda, K ;
Campbell, RT ;
Mayhew, KP ;
Stanton, WR ;
Pentz, MA ;
Flay, BR .
HEALTH PSYCHOLOGY, 2001, 20 (02) :127-135
[15]   Depressive mood in adults with spinal cord injury as they transition from an inpatient to a community setting: secondary analyses from a clinical trial [J].
Craig, A. ;
Guest, R. ;
Tran, Y. ;
Middleton, J. .
SPINAL CORD, 2017, 55 (10) :926-934
[16]  
Craig A, 2010, HORIZONS NEUROSCIENC
[17]   Prospective Study of the Occurrence of Psychological Disorders and Comorbidities After Spinal Cord Injury [J].
Craig, Ashley ;
Perry, Kathryn Nicholson ;
Guest, Rebecca ;
Tran, Yvonne ;
Dezarnaulds, Annalisa ;
Hales, Alison ;
Ephraums, Catherine ;
Middleton, James .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2015, 96 (08) :1426-1434
[18]  
Crewe N., 2009, Medical, Psychosocial and Vocational Aspects of Disability, V3
[19]  
Duggan Colette, 2016, Top Spinal Cord Inj Rehabil, V22, P99, DOI 10.1310/sci2202-99
[20]  
Enders C. K., 2010, APPL MISSING DATA AN