Article

OBJECTIVES: To investigate the contribution of prerehabilitation appraisals of
spinal cord injury (SCI) and patient's coping strategies to the variance in
functional independence postdischarge. DESIGN: Longitudinal, cohort study.
Patients aged 16 and older and sustaining an SCI were recruited from English- and
German-speaking specialist spinal injuries centers. Measures of appraisals,
coping strategies, mood, and functional independence were administered on
commencing active rehabilitation (12-weeks postinjury) and following hospital
discharge (1-y postinjury). SETTING: Specialist SCI rehabilitation centers in
England, Germany, Switzerland, and Ireland. PARTICIPANTS: Patients (N=127)
completed questionnaires at both time points. Sample age ranged between 17.5 and
64.5 years with a mean age of 39.3 years. Demographic and injury characteristics
were similar to those reported in international statistics databases.
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: FIM (motor subscale).
RESULTS: Injury characteristics, age, sex, current depression, and the
utilization of the coping strategy, social reliance, at 12-weeks postinjury
explained 33.5% of the variance in motor FIM at 1-year postinjury. Strong
relationships were found between appraisals, coping styles, mood, and functional
outcomes. CONCLUSIONS: The coping strategy, social reliance, was found to
contribute significantly when explaining the variance in functional outcomes.
Suggestions were made to assess appraisals and coping strategies early in
rehabilitation in order to provide effective interventions and additional support
to those scoring highly on negative coping styles. Further research is
recommended to provide support for the relationship between dependent coping
strategies and functional outcomes.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS