1 Royal Rehab, Ryde, NSW, Australia.
2 Brain Injury Rehabilitation Research Group, Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia.
Clin Rehabil. 2019 Sep;33(9):1503-1514. doi: 10.1177/0269215519845034. Epub 2019 May 6.
To test a model of spiritual well-being and resilience among individuals with spinal cord injuries and their family members.
Prospective cross-sectional observational data were analyzed by structural equation modelling.
Inpatient and community services at one rehabilitation hospital.
Individual with spinal cord injury ( = 50) and family member ( = 50) dyads.
Standard rehabilitation, both inpatient and community.
MAIN MEASURE(S): Functional assessment of chronic illness therapy - spiritual well-being scale - expanded, Connor-Davidson resilience scale, positive and negative affect scale, depression anxiety and stress scale-21, satisfaction with life scale.
Median time post-injury was 8.95 months (IQR (interquartile range) = 14.15). Individuals with spinal cord injury and family members reported high scores for both spiritual well-being (66.06 ± 14.89; 68.42 ± 13.75) and resilience (76.68 ± 13.88; 76.64 ± 11.75), respectively. Analysis found the model had acceptable fit (e.g. chi-square goodness of fit statistic = 38.789; = .263). For individuals with spinal cord injury, spiritual well-being was positively associated with resilience which, in turn, was associated with increasing positive affect and satisfaction with life. Among family members, spiritual well-being was positively associated with resilience. Resilience was then associated with lowered levels of depression and mediated the impact of depression on satisfaction with life. Limited evidence was found for mutual dyadic links, with the only significant pathway finding that resilience in the individual with spinal cord injury was associated with increased satisfaction with life among family members.
Increased spirituality and resilience make a significant contribution (both independently and in combination) to positive psychological outcomes for both individuals with spinal cord injury and their family members.
检验脊髓损伤患者及其家属的精神幸福感和适应力模型。
采用结构方程模型对前瞻性横断面观测数据进行分析。
一家康复医院的住院和社区服务。
脊髓损伤患者（n=50）及其家属（n=50）二人组。
标准康复，包括住院和社区康复。
慢性疾病治疗的功能评估-精神幸福感量表-扩展版、Connor-Davidson 适应力量表、正性和负性情绪量表、抑郁焦虑和压力量表-21、生活满意度量表。
损伤后中位数时间为 8.95 个月（IQR（四分位间距）=14.15）。脊髓损伤患者和家属的精神幸福感（66.06±14.89；68.42±13.75）和适应力（76.68±13.88；76.64±11.75）评分均较高。分析发现模型拟合度尚可（例如，卡方拟合优度统计量=38.789；=0.263）。对于脊髓损伤患者，精神幸福感与适应力呈正相关，适应力又与正性情绪和生活满意度的增加相关。对于家属，精神幸福感与适应力呈正相关。适应力继而与抑郁水平的降低相关，并在抑郁对生活满意度的影响中起中介作用。仅发现了相互对偶联系的有限证据，唯一有意义的路径发现是脊髓损伤患者的适应力与家属生活满意度的增加相关。
增强精神性和适应力对脊髓损伤患者及其家属的积极心理结果有显著贡献（独立贡献和共同贡献）。
