Department of Research and Development, Vasternorrland County Council, Sundsvall Hospital, Sundsvall, Sweden.
Spinal Cord. 2012 Mar;50(3):213-9. doi: 10.1038/sc.2011.137. Epub 2011 Nov 29.
Qualitative study.
To determine categories of coping the first year after injury used by 24 young adults who sustained a spinal cord injury (SCI) during adolescence (11-15 years).
Sweden.
Content analysis using the existing theories of coping as a framework, including the instrument BriefCOPE-a deductive category application. The analysis looked critically at comments in the interviews that reflected attempts to cope with the injury during the first post-injury year.
All 14 of the categories of coping described by the BriefCOPE were included in the interviews at least once, except 'self-blame', which was not used by any interviewee. In addition to the predefined categories of the BriefCOPE, three new coping categories emerged from the interviews: fighting spirit, downward comparison and helping others.
Adolescents who sustain SCIs use a variety of strategies to help them to cope with the consequences of the injury. Many of these coping strategies are similar to those used by others facing stresses, but it is instructive to hear, in their own words, how young adults recall the coping strategies they used as adolescents when they were injured and also how they conceptualized the process of coping. This information can be useful in helping future patients.
定性研究。
确定青少年（11-15 岁）时期脊髓损伤（SCI）后 24 名年轻人在受伤后第一年使用的应对类别。
瑞典。
使用现有的应对理论作为框架进行内容分析，包括工具 BriefCOPE-演绎类别应用。分析仔细研究了访谈中反映出的在受伤后第一年尝试应对伤害的评论。
除了没有被任何受访者使用的“自责”外，BriefCOPE 描述的 14 种应对类别在访谈中至少出现过一次。除了 BriefCOPE 的预定类别外，访谈中还出现了三个新的应对类别：奋斗精神、向下比较和帮助他人。
青少年发生 SCI 后会使用各种策略来帮助他们应对伤害的后果。其中许多应对策略与其他人面临压力时使用的策略相似，但听到年轻人用自己的语言回忆起他们在受伤时作为青少年使用的应对策略，以及他们如何概念化应对过程，这是很有启发性的。这些信息对于帮助未来的患者很有用。
