Oxford Doctoral Course in Clinical Psychology, University of Oxford, UK.
Arch Phys Med Rehabil. 2011 Apr;92(4):597-602. doi: 10.1016/j.apmr.2010.11.016.
To investigate the contribution of prerehabilitation appraisals of spinal cord injury (SCI) and patient's coping strategies to the variance in functional independence postdischarge.
Longitudinal, cohort study. Patients aged 16 and older and sustaining an SCI were recruited from English- and German-speaking specialist spinal injuries centers. Measures of appraisals, coping strategies, mood, and functional independence were administered on commencing active rehabilitation (12-weeks postinjury) and following hospital discharge (1-y postinjury).
Specialist SCI rehabilitation centers in England, Germany, Switzerland, and Ireland.
Patients (N=127) completed questionnaires at both time points. Sample age ranged between 17.5 and 64.5 years with a mean age of 39.3 years. Demographic and injury characteristics were similar to those reported in international statistics databases.
Not applicable.
FIM (motor subscale).
Injury characteristics, age, sex, current depression, and the utilization of the coping strategy, social reliance, at 12-weeks postinjury explained 33.5% of the variance in motor FIM at 1-year postinjury. Strong relationships were found between appraisals, coping styles, mood, and functional outcomes.
The coping strategy, social reliance, was found to contribute significantly when explaining the variance in functional outcomes. Suggestions were 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 is recommended to provide support for the relationship between dependent coping strategies and functional outcomes.
探讨脊髓损伤（SCI）患者康复前评估和应对策略对出院后功能独立性变化的贡献。
纵向队列研究。招募了来自英语和德语专业脊髓损伤中心的 16 岁及以上且发生 SCI 的患者。在开始积极康复（损伤后 12 周）和出院后（损伤后 1 年）时，对评估、应对策略、情绪和功能独立性进行了测量。
英国、德国、瑞士和爱尔兰的专业 SCI 康复中心。
127 名患者在两个时间点完成了问卷。样本年龄在 17.5 岁至 64.5 岁之间，平均年龄为 39.3 岁。人口统计学和损伤特征与国际统计数据库报告的相似。
不适用。
FIM（运动子量表）。
损伤特征、年龄、性别、当前抑郁以及应对策略社会依赖在损伤后 12 周时，解释了损伤后 1 年时运动 FIM 变化的 33.5%。在评估、应对方式、情绪和功能结果之间发现了很强的关系。
应对策略社会依赖在解释功能结果的变异性方面被发现具有重要意义。建议在康复早期评估评估和应对策略，以便为那些评分高的消极应对方式的患者提供有效的干预和额外支持。建议进一步研究以支持依赖型应对策略与功能结果之间的关系。
