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脊髓损伤后的宽恕与健康:感知压力和残疾适应作为中介。

Forgiveness and wellbeing after spinal cord injury: Perceived stress and adaptation to disability as mediators.

机构信息

Department of Special Education, Rehabilitation, and Counseling.

出版信息

Rehabil Psychol. 2022 Nov;67(4):556-566. doi: 10.1037/rep0000459. Epub 2022 Aug 18.

DOI:10.1037/rep0000459
PMID:35980701
Abstract

PURPOSE/OBJECTIVE: Spinal cord injury (SCI) is a life-altering acquired disability. Understanding factors that contribute to adaption to disability and decreased SCI-related stress are critical to personal wellbeing and quality of life for SCI patients. Previous research suggests that forgiveness of others, self-forgiveness, and overall forgiveness are associated with psychological well-being in patients with other chronic illnesses. As such, dimensions of forgiveness may be relevant factors in restoring wellness in SCI patients. This study sought to examine a comprehensive model of the impact of forgiveness on multidimensional indicators of wellness.

RESEARCH METHOD/DESIGN: We tested a path model of the impact of trait forgiveness on wellbeing outcomes in adults living with SCI ( = 312). Specifically, we examined 2 mediating pathways-lower perceived stress and higher adaption to disability-by which dimensions of trait forgiveness (self, others, and situations) may influence wellbeing outcomes (psychological wellbeing, satisfaction with life, and perceived physical health).

RESULTS

The final path model (χ² = 41.3, < .001; CFI = .97; RMSEA = .09) suggests that 2 dimensions of forgiveness-self and situations-were significant negative predictors of perceived stress and positive predictors of adaptation to disability. In turn, perceived stress was a significant negative predictor of all 3 wellbeing outcomes and adaptation to disability was a significant positive predictor of all 3 wellbeing outcomes.

CONCLUSIONS/IMPLICATIONS: Forgiveness of self and situations are resilience factors in individuals with SCI, suggesting targets for future interventions to improve wellbeing in this population. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

目的/目标:脊髓损伤(SCI)是一种改变生活的获得性残疾。了解有助于适应残疾和减少与 SCI 相关压力的因素对于 SCI 患者的个人幸福感和生活质量至关重要。先前的研究表明,对他人的宽恕、自我宽恕和整体宽恕与其他慢性病患者的心理健康有关。因此,宽恕的各个方面可能是恢复 SCI 患者健康的相关因素。本研究旨在检验宽恕对 SCI 患者多维健康指标影响的综合模型。

研究方法/设计:我们测试了一个特质宽恕对成年人生活中 SCI 患者幸福感影响的路径模型(n = 312)。具体来说,我们研究了特质宽恕的两个中介途径(感知压力降低和残疾适应提高),即自我、他人和情境宽恕维度如何影响幸福感结果(心理幸福感、生活满意度和感知身体健康)。

结果

最终的路径模型(χ²=41.3,<.001;CFI=.97;RMSEA=.09)表明,宽恕的两个维度——自我和情境——是感知压力的显著负预测因子,是残疾适应的显著正预测因子。反过来,感知压力是所有 3 个幸福感结果的显著负预测因子,残疾适应是所有 3 个幸福感结果的显著正预测因子。

结论/意义:自我和情境宽恕是 SCI 个体的恢复力因素,这表明未来干预措施的目标是改善该人群的幸福感。

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