Adaptation during spinal cord injury rehabilitation: The role of appraisal and coping.

Details

Serval ID
serval:BIB_E74D5574923C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Adaptation during spinal cord injury rehabilitation: The role of appraisal and coping.
Journal
Rehabilitation psychology
Author(s)
Galvis Aparicio M., Kunz S., Morselli D., Post MWM, Peter C., Carrard V.
ISSN
1939-1544 (Electronic)
ISSN-L
0090-5550
Publication state
Published
Issued date
11/2021
Peer-reviewed
Oui
Volume
66
Number
4
Pages
507-519
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To test the spinal cord injury adjustment model (SCIAM) by examining whether primary appraisals (threat or loss) and coping strategies (approach-oriented and denial) sequentially mediate the impact of functional independence, psychological resources, and social support on depressive and anxiety symptoms among individuals with spinal cord injury during inpatient rehabilitation.
Path analyses of longitudinal data from a Swiss inception cohort study (N = 207). Models were implemented separately for depressive and anxiety symptoms.
The initial models based on the SCIAM yielded poor fit and were respecified. Different from the SCIAM's assumptions, psychological resources and threat appraisal showed direct effects on depressive symptoms (β = -.28, SE = .07, p < .001 and β = .33, SE = .07, p < .001, respectively), while social support and threat appraisal showed direct effects on anxiety symptoms (β = -.23, SE = .06, p < .001 and β = .42, SE = .06, p < .001, respectively). Primary appraisals and coping strategies partially mediated the effects of psychological resources on depressive symptoms and fully mediated their effect on anxiety symptoms. However, this did not only happen via the SCIAM's sequential double mediation, since indirect effects were also observed via threat appraisal only. The final models explained 40 and 30% of the variance of depressive and anxiety symptoms, respectively.
The findings only partially supported the SCIAM's sequential double mediation mechanism. Psychological resources, social support, and primary appraisals can have direct effects on psychological adaptation outcomes and may be suitable intervention targets during inpatient rehabilitation. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Keywords
Adaptation, Psychological, Cohort Studies, Humans, Neurological Rehabilitation, Social Support, Spinal Cord Injuries
Pubmed
Web of science
Create date
03/01/2022 13:12
Last modification date
04/02/2022 6:34
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