Article

OBJECTIVE: To examine the associations of proactive coping and self-efficacy with
psychosocial outcomes in individuals after stroke.
DESIGN: Cross-sectional study.
Regression analyses were performed. SETTING: Outpatient settings of hospitals and
rehabilitation centers. PARTICIPANTS: Individuals after stroke (N=112; mean age
+/- SD, 57.1+/-8.9y; mean time +/- SD since stroke, 18.9+/-28.5mo).
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Proactive coping was
measured using the Utrecht Proactive Coping Competence scale (UPCC), and
self-efficacy was measured using the General Self-Efficacy Scale (GSES).
Psychosocial outcomes were measured as (1) participation with the use of the
restriction and satisfaction subscales of the Utrecht Scale for Evaluation of
Rehabilitation-Participation (USER-Participation); (2) emotional problems with
the use of the Hospital Anxiety and Depression Scale (HADS); (3) life
satisfaction with the use of 2 questions (2LS); and (4) health-related quality of
life (HRQOL) with the use of the Short Stroke-Specific Quality of Life scale
(SS-QOL-12). RESULTS: Higher UPCC scores were associated with lower HADS scores
(beta=-.55, P<.001) and with higher USER-Participation satisfaction (beta=.31,
P=.001), 2LS (beta=.34, P<.001), and SS-QOL-12 scores (beta=.44, P<.001). The
influence of UPCC scores on HRQOL was indirect through self-efficacy. Higher GSES
scores were associated with higher UPCC scores (beta=.65, P<.001), which in turn
were associated with lower HADS scores (beta=-.51, P<.001). GSES scores were
directly associated with higher SS-QOL-12 scores (beta=.32, P=.002). GSES scores
did not influence the association between UPCC scores and any of the psychosocial
outcomes (all P>.0025). CONCLUSIONS: Proactive coping and self-efficacy have
different associations with each of the psychosocial outcomes. Therefore,
outcome-specific models appear to be necessary to describe these associations.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS