Journal article
Profiles of Psychological Adaptation Outcomes at Discharge From Spinal Cord Injury Inpatient Rehabilitation.
- Galvis Aparicio M Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland; Swiss Paraplegic Research, Nottwil, Switzerland. Electronic address: mayra.galvis@paraplegie.ch.
- Carrard V Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland; Swiss Paraplegic Research, Nottwil, Switzerland.
- Morselli D Swiss National Center of Competence in Research LIVES, University of Lausanne, Switzerland.
- Post MWM Center of Excellence for Rehabilitation Medicine, Brain Center Rudolf Magnus, University Medical Center Utrecht and De Hoogstraat, Utrecht, the Netherlands; University of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen, the Netherlands.
- Peter C Department of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland; Swiss Paraplegic Research, Nottwil, Switzerland.
- 2019-09-29
Published in:
- Archives of physical medicine and rehabilitation. - 2020
Emotional adjustment
Optimism
Rehabilitation
Spinal cord injuries
Adaptation, Psychological
Adolescent
Adult
Aged
Aged, 80 and over
Cross-Sectional Studies
Female
Humans
Male
Middle Aged
Pain Measurement
Patient Discharge
Psychiatric Status Rating Scales
Quality of Life
Rehabilitation Centers
Self Efficacy
Spinal Cord Injuries
Switzerland
English
OBJECTIVE
To evaluate the effect of a newly acquired spinal cord injury (SCI) by identifying profiles of psychological adaptation outcomes at discharge from inpatient rehabilitation, using several outcome measures in parallel and to examine biopsychosocial factors associated with profile membership.
DESIGN
Cross-sectional analysis of data from the Swiss Spinal Cord Injury inception cohort study.
SETTING
Inpatient rehabilitation.
PARTICIPANTS
Individuals 16 years old or older with recently diagnosed SCI who finished clinical rehabilitation in 1 of the 4 major national rehabilitation centers (N=370).
INTERVENTIONS
Not applicable.
MAIN OUTCOME MEASURES
Life satisfaction, general distress, and symptoms of depression and anxiety were assessed using a single item from the International SCI Quality of Life Basic Data Set, the Distress Thermometer, and the Hospital Anxiety and Depression Scale respectively.
RESULTS
Using latent profile analysis, 4 profiles of psychological adaptation outcomes were identified displaying different levels of impact, ranging from Minimal to Severe. Regarding covariates associated with profile membership, higher optimism, purpose in life, and self-efficacy indicated a higher probability of having a Minimal impact profile. Additionally, males, individuals with better functional independence, and those with an absence of pain were more likely to show a Minimal impact profile.
CONCLUSIONS
Among the participants, 70% showed Minimal or Low impact profiles. Our findings support that individuals can show positive responses across several outcome measures even at an early time after the injury onset (eg, at discharge from inpatient rehabilitation). Moreover, our results indicate that beyond functional independence, improvement, and pain management, a rehabilitation process that strengthens psychological resources might contribute to better adaptation outcomes.
To evaluate the effect of a newly acquired spinal cord injury (SCI) by identifying profiles of psychological adaptation outcomes at discharge from inpatient rehabilitation, using several outcome measures in parallel and to examine biopsychosocial factors associated with profile membership.
DESIGN
Cross-sectional analysis of data from the Swiss Spinal Cord Injury inception cohort study.
SETTING
Inpatient rehabilitation.
PARTICIPANTS
Individuals 16 years old or older with recently diagnosed SCI who finished clinical rehabilitation in 1 of the 4 major national rehabilitation centers (N=370).
INTERVENTIONS
Not applicable.
MAIN OUTCOME MEASURES
Life satisfaction, general distress, and symptoms of depression and anxiety were assessed using a single item from the International SCI Quality of Life Basic Data Set, the Distress Thermometer, and the Hospital Anxiety and Depression Scale respectively.
RESULTS
Using latent profile analysis, 4 profiles of psychological adaptation outcomes were identified displaying different levels of impact, ranging from Minimal to Severe. Regarding covariates associated with profile membership, higher optimism, purpose in life, and self-efficacy indicated a higher probability of having a Minimal impact profile. Additionally, males, individuals with better functional independence, and those with an absence of pain were more likely to show a Minimal impact profile.
CONCLUSIONS
Among the participants, 70% showed Minimal or Low impact profiles. Our findings support that individuals can show positive responses across several outcome measures even at an early time after the injury onset (eg, at discharge from inpatient rehabilitation). Moreover, our results indicate that beyond functional independence, improvement, and pain management, a rehabilitation process that strengthens psychological resources might contribute to better adaptation outcomes.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1016/j.apmr.2019.08.481
- PMID 31562877
- Persistent URL
- https://sonar.ch/global/documents/44501
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