脊髓损伤青少年应对策略的使用模式及其与心理社会健康的关系。
Patterns of coping strategy use and relationships with psychosocial health in adolescents with spinal cord injury.
作者信息
Russell Heather F, January Alicia M, Kelly Erin H, Mulcahey M J, Betz Randal R, Vogel Lawrence C
机构信息
Shriners Hospitals for Children, Philadelphia, PA, Shriners Hospitals for Children, Chicago, IL, Marquette University, Department of SCI Research, Shriners Hospitals for Children, Chicago, IL, University of Illinois, Department of Research, Shriners Hospitals for Children, Philadelphia, PA, Thomas Jefferson University, and Rush Medical College
Shriners Hospitals for Children, Philadelphia, PA, Shriners Hospitals for Children, Chicago, IL, Marquette University, Department of SCI Research, Shriners Hospitals for Children, Chicago, IL, University of Illinois, Department of Research, Shriners Hospitals for Children, Philadelphia, PA, Thomas Jefferson University, and Rush Medical College Shriners Hospitals for Children, Philadelphia, PA, Shriners Hospitals for Children, Chicago, IL, Marquette University, Department of SCI Research, Shriners Hospitals for Children, Chicago, IL, University of Illinois, Department of Research, Shriners Hospitals for Children, Philadelphia, PA, Thomas Jefferson University, and Rush Medical College.
出版信息
J Pediatr Psychol. 2015 Jun;40(5):535-43. doi: 10.1093/jpepsy/jsu159. Epub 2015 Jan 23.
OBJECTIVE
To investigate patterns of coping among adolescents with spinal cord injury (SCI).
METHODS
Youth aged 13-18 years with SCI completed measures of participation, quality of life (QOL), mental health symptoms, and coping. A hierarchical agglomerative cluster analysis using Ward's method was conducted. Subsequent analyses examined relationships between clusters and psychosocial functioning.
RESULTS
199 youth were an average of 15.95 years (SD = 1.71) at interview and 11.02 years (SD = 5.45) at injury. 56% percent were male, 64% White, and 62% had paraplegia. Four groups of "copers" emerged: ineffective, active, avoidant, and cognitive. Cognitive copers reported significantly less mental health symptomatology and higher QOL, followed by avoidant, active, and ineffective copers. Active copers showed significantly greater participation relative to ineffective, avoidant, and cognitive copers.
CONCLUSIONS
These results suggest that coping profiles have meaningful relationships with adjustment. Reliance on cognitive strategies, with low endorsement of other strategies, may be associated with better psychosocial health.
目的
探讨脊髓损伤（SCI）青少年的应对模式。
方法
13至18岁的SCI青少年完成了参与度、生活质量（QOL）、心理健康症状和应对方式的测量。采用Ward法进行分层聚类分析。随后的分析考察了不同聚类与心理社会功能之间的关系。
结果
199名青少年在访谈时的平均年龄为15.95岁（标准差=1.71），受伤时的平均年龄为11.02岁（标准差=5.45）。56%为男性，64%为白人，62%患有截瘫。出现了四组“应对者”：无效应对型、积极应对型、回避应对型和认知应对型。认知应对型青少年报告的心理健康症状明显较少，生活质量较高，其次是回避应对型、积极应对型和无效应对型。与无效应对型、回避应对型和认知应对型相比，积极应对型青少年的参与度明显更高。
结论
这些结果表明，应对模式与适应存在有意义的关系。依赖认知策略且对其他策略的认可度较低，可能与更好的心理社会健康状况相关。
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