Isis Education Centre, Warneford Hospital, University of Oxford, UK.
Br J Health Psychol. 2010 Sep;15(Pt 3):611-21. doi: 10.1348/135910709X478222. Epub 2009 Nov 13.
Longitudinal, multi-wave design.
To investigate the contribution of sense of coherence (SOC), appraisals, and behavioural responses when predicting psychological outcomes to spinal cord injury (SCI).
Patients (N=237) sustaining a SCI aged 17 or above were recruited from specialist spinal injuries centres across six European countries. Measures of SOC, appraisals, coping strategies, and psychological well-being were administered at 6 and 12 weeks post-injury and at a 1 year follow-up.
People scoring high on SOC at 6 weeks post-injury showed significantly better psychological outcomes at 1 year post-injury and SOC showed significant relationships with appraisals at 12 weeks post-injury and coping strategies 1 year post-injury. Significant relationships were found between appraisals at 12 weeks post-injury and psychological outcomes, adaptive coping strategies were significantly related to psychological well-being at 1 year post-injury. Regression analyses found SOC, appraisals, and coping behaviours to explain 61.8% of the variance in psychological quality of life, 66.5% of the variance in depression, and 37.7% of the variance in anxiety at 1 year post-injury.
This study provides further evidence in support of previous findings which suggest SOC to have a primary role in long-term psychological well-being. The relationship described here - from SOC to the appraisal of injury and subsequent behavioural responses - suggests SOC to be an influential factor in the long-term adjustment of people with SCI.
纵向、多波设计。
探讨在预测脊髓损伤（SCI）后的心理结果时，应对感（SOC）、评价和行为反应对心理结果的贡献。
从六个欧洲国家的专业脊髓损伤中心招募了年龄在 17 岁及以上的 SCI 患者（N=237）。在受伤后 6 周和 12 周以及 1 年随访时，对 SOC、评价、应对策略和心理健康进行了测量。
SOC 评分在受伤后 6 周高的患者在 1 年后的心理结果显著更好，SOC 在受伤后 12 周的评价与 1 年后的应对策略呈显著相关。受伤后 12 周的评价与心理结果呈显著相关，适应性应对策略与 1 年后的心理健康呈显著相关。回归分析发现，SOC、评价和应对行为可以解释心理生活质量的 61.8%、抑郁的 66.5%和焦虑的 37.7%的方差。
本研究进一步支持了之前的发现，即 SOC 对长期心理幸福感具有主要作用。这里描述的关系——从 SOC 到对损伤的评价和随后的行为反应——表明 SOC 是 SCI 患者长期适应的一个重要因素。
