Abstract:
OBJECTIVES:To establish self-efficacy and depressive mood trajectories in adults with spinal cord injury (SCI), determine their interrelationship over time, and determine the influence that appraisals and comorbid physical conditions have on the development of self-efficacy. DESIGN:A prospective cohort design. SETTING:Inpatient rehabilitation and community settings. PARTICIPANTS:Adults (N=88) admitted consecutively into 3 SCI units (mean age, 42.6 years, 70.4% male, 61% paraplegia). INTERVENTIONS:Multidisciplinary inpatient SCI rehabilitation. MAIN OUTCOME MEASURES:The Moorong Self-Efficacy Scale and Hospital Anxiety and Depression Scale were used to model self-efficacy and depressive mood trajectories. Appraisals were assessed using the Appraisals of Disability Scale and frequency/type of secondary conditions using the Secondary Conditions Scale. Growth mixture modeling was used to determine trajectories. Dual trajectory probability analysis was used to determine concurrent changes in self-efficacy and depressive mood. Linear mixed modeling incorporating repeated measures determined the contribution of appraisals and physical complications to self-efficacy trajectories. RESULTS:Modeling identified 4 trajectories of self-efficacy and depressive mood. The majority (around 60%) of the sample was estimated to have moderate to high self-efficacy and low levels of depressive mood. Dual trajectory analysis revealed that robust self-efficacy was strongly connected to low depressive mood over time, while low self-efficacy was strongly linked to clinically elevated depressive mood. Low self-efficacy was related to higher severity of secondary conditions and negative appraisals. CONCLUSIONS:Findings highlight the importance of self-efficacy not only as a strategic clinical measure for assessing adjustment following SCI but also in relation to the implications it raises for improving SCI rehabilitation.
journal_name
Arch Phys Med Rehabiljournal_title
Archives of physical medicine and rehabilitationauthors
Craig A,Tran Y,Guest R,Middleton Jdoi
10.1016/j.apmr.2018.07.442subject
Has Abstractpub_date
2019-03-01 00:00:00pages
441-447issue
3eissn
0003-9993issn
1532-821Xpii
S0003-9993(18)31188-2journal_volume
100pub_type
杂志文章abstract:OBJECTIVE:To examine functional outcome and descriptive data of individuals with neoplastic spinal cord compression admitted to a rehabilitation unit. DESIGN:A 5-year review of consecutive patients admitted to a spinal cord injury rehabilitation unit with a diagnosis of neoplastic spinal cord compression. SETTING:A t...
journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/s0003-9993(96)90276-2
更新日期:1996-09-01 00:00:00
abstract:OBJECTIVE:To examine the association between the Medicare pressure ulcer quality indicator (the development of new or worsened pressure ulcers) and rehabilitation outcomes among Medicare patients seen in an inpatient rehabilitation facility (IRF). DESIGN:Retrospective descriptive study. SETTING:IRFs subscribed to the...
journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Archives of physical medicine and rehabilitation
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doi:10.1016/0003-9993(89)90008-7
更新日期:1989-06-01 00:00:00
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更新日期:2018-08-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1985-08-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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更新日期:2004-11-01 00:00:00
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doi:10.1016/s0003-9993(98)90177-0
更新日期:1998-09-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:
更新日期:1983-05-01 00:00:00
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pub_type: 杂志文章,评审
doi:
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更新日期:2010-03-01 00:00:00
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pub_type: 临床试验,杂志文章
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doi:10.1016/j.apmr.2008.08.217
更新日期:2009-03-01 00:00:00
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doi:10.1053/apmr.2001.17830
更新日期:2001-02-01 00:00:00
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更新日期:2010-03-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章,评审
doi:
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pub_type: 杂志文章
doi:
更新日期:1986-05-01 00:00:00
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doi:
更新日期:1990-05-01 00:00:00
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更新日期:2019-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2002-05-01 00:00:00
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更新日期:2003-07-01 00:00:00
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journal_title:Archives of physical medicine and rehabilitation
pub_type: 杂志文章
doi:10.1016/j.apmr.2014.07.007
更新日期:2014-11-01 00:00:00
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更新日期:2017-03-01 00:00:00