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Trajectories of Self-Efficacy, Depressed Mood, and Anxiety From Admission to Spinal Cord Injury Rehabilitation to 1 Year After Discharge.
- Source :
-
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2021 Oct; Vol. 102 (10), pp. 1939-1946. Date of Electronic Publication: 2021 May 24. - Publication Year :
- 2021
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Abstract
- Objective: Self-efficacy (SE) is an important determinant for the psychological adjustment of people with spinal cord injury (SCI). However, little is known about the course of SE during inpatient rehabilitation up to 1 year after discharge. The aim of this study was to determine latent trajectory classes of SE, depressive mood, and anxiety in people with SCI, as well as the interrelationships between these trajectories.<br />Design: Longitudinal inception cohort study.<br />Setting: Eight specialized SCI rehabilitation centers.<br />Participants: The participants (N=268) were mainly men 183 of 268 (68.3%) with a mean age of 55.6 years. Almost half had a traumatic SCI 135 of 268 (50.4%) and tetraplegia (53.7%), and the minority had a motor complete SCI (32.2%).<br />Interventions: Not applicable.<br />Main Outcome Measures: SE was measured using the University of Washington Self-Efficacy Scale. In addition, the Hospital Anxiety and Depression Scale was used to asses distress and perform dual trajectory modeling analyses.<br />Results: Three trajectories of SE, indicating low, middle, and high SE, could be distinguished. Furthermore, a 2-class trajectory solution for depressive mood and a 4-class solution for anxiety were found to be most suitable. All trajectories were stable over time. Developmental connections between SE and depressive mood and between SE and anxiety were revealed. In particular, participants who adjusted well, reporting low scores on depressive mood and anxiety, could be identified by their high SE scores. However, the group of participants with high depressive mood scores and anxiety scores could not always be identified based on their SE trajectory.<br />Conclusions: In accordance with our hypotheses, distinct trajectories of SE, depressive mood, and anxiety were identified and high probabilities that SE trajectories were interrelated to the trajectories from depressive mood and anxiety were confirmed. Concurrent screening for SE and distress might best detect people at risk for adjustment problems.<br /> (Copyright © 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Cohort Studies
Humans
Longitudinal Studies
Male
Middle Aged
Neurological Rehabilitation
Patient Discharge
Rehabilitation Centers
Surveys and Questionnaires
Young Adult
Affect
Anxiety
Depression
Self Efficacy
Social Adjustment
Spinal Cord Injuries psychology
Spinal Cord Injuries rehabilitation
Subjects
Details
- Language :
- English
- ISSN :
- 1532-821X
- Volume :
- 102
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Archives of physical medicine and rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 34038709
- Full Text :
- https://doi.org/10.1016/j.apmr.2021.04.018