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Göteborgs universitets publikationer

Linkages between coping and psychological outcome in the spinal cord lesioned: development of SCL-related measures.

Författare och institution:
Magnus Lundgren Elfström (Institutionen för invärtesmedicin); Anna Rydén (Institutionen för samhällsmedicin, Avdelningen för allmänmedicin); Margareta Kreuter (Institutionen för arbetsterapi och fysioterapi); Lars-Olof Persson (Institutionen för omvårdnad); Marianne Sullivan (Institutionen för invärtesmedicin, Avdelningen för kroppssammansättning och metabolism)
Publicerad i:
Spinal cord : the official journal of the International Medical Society of Paraplegia, 40 ( 1 ) s. 23-9
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
STUDY DESIGN: Cross-sectional. OBJECTIVES: To investigate relationships between coping and mental well-being with clinical relevance to spinal cord lesion (SCL). SETTING: The Gothenburg Spinal Injuries Unit in Sweden. METHODS: The study sample comprised 274 persons. From in-depth interviews, literature reviews, and the transactional theory of stress and coping, items reflecting coping and psychological outcome, respectively were generated. Principal components factor analysis, multi-trait analysis, and structural equation modelling were used. RESULTS: The coping scale comprised three factors: Acceptance (i.e. revaluation of life values); Fighting spirit (i.e. efforts to behave independently); Social reliance (i.e. a tendency towards dependent behaviour). The outcome scale included the factors: Helplessness (i.e. feeling perplexed, out of control and low self-esteem); Intrusion (i.e. bitterness and brooding); Personal growth (i.e. positive outcomes of life crisis). Acceptance showed a positive relation to Personal growth and was inversely related to both Helplessness and Intrusion. Fighting spirit had a weak negative association to Helplessness and a weak positive association to Personal growth. Social reliance was positively related to Helplessness and Intrusion. Only Social reliance showed any association to neurological status. Those lesioned 1-4 years reported more Helplessness, Intrusion, Social reliance, and less Acceptance than those lesioned >or=5 years. CONCLUSION: Coping is related to psychological outcome in SCL. Our situational coping measure may be a candidate to assess intervention effects.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Hälsovetenskaper ->
Adaptation, Psychological, Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Psychometrics, methods, Spinal Cord Injuries, psychology
Postens nummer:
Posten skapad:
2008-11-25 15:58
Posten ändrad:
2011-01-20 09:59

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