Resilient Coping Types in People With Spinal Cord Injury: Latent Class Analysis

2021 ◽  
pp. 003435522199073
Author(s):  
Chungyi Chiu ◽  
Jessica Brooks ◽  
Alicia Jones ◽  
Kortney Wilcher ◽  
Sa Shen ◽  
...  

Resilience is central to living well with a spinal cord injury (SCI). To provide a timely, targeted, and individualized intervention supporting resilience, it is necessary to assess an individual’s resilience level and characteristics of resilience on an ongoing basis. We aimed to validate the different types of resilient coping among people with SCI (PwSCI), using the Connor–Davidson resilience scale, and to identify the relationships between resilience and other psychosocial factors among the types of resilient coping. We recruited 93 PwSCI, who took the self-report measures of resilience, depression, life satisfaction, and spirituality. Using latent class analysis, we found three types: (a) goal-pursuing, bouncing-back, and persevering, named GP; (b) uncertainty about coping with setbacks, named UC; and (c) loss of resilient coping, named LOSS. The multivariate tests indicated that the three types differed on a linear combination of resilience, depression, and life satisfaction, with a large effect size. We discussed the three types of resilient coping and the implications for psychosocial interventions. We also recommended that rehabilitation clinicians examine PwSCI’s resilience levels and types of resilience during initial and follow-up visits. In doing so, PwSCI will have timely, targeted supports for developing and/or re-building their resilience.

PM&R ◽  
2015 ◽  
Vol 7 ◽  
pp. S101-S101
Author(s):  
Debbie Tan ◽  
Jeanne M. Hoffman ◽  
Darren C. Lee ◽  
Charles Bombardier

2007 ◽  
Vol 29 (18) ◽  
pp. 1417-1422 ◽  
Author(s):  
Maria Larsson Lund ◽  
Anders Nordlund ◽  
Birgitta Bernspång ◽  
Jan Lexell

Spinal Cord ◽  
2008 ◽  
Vol 47 (4) ◽  
pp. 295-300 ◽  
Author(s):  
A M Lannem ◽  
M Sørensen ◽  
K F Frøslie ◽  
N Hjeltnes

2019 ◽  
Vol 63 (2) ◽  
pp. 67-78 ◽  
Author(s):  
James S. Krause ◽  
Clara E. Dismuke-Greer ◽  
Melinda Jarnecke ◽  
Karla S. Reed

Our purpose was to identify demographic, educational, and injury-related characteristics associated with odds of employment and estimates of differential earnings among participants with spinal cord injury (SCI). Self-report assessments were obtained from 1,983 participants who had traumatic SCI, were 18+ years old, and less than 65 years of age. All were recruited into the current cross-sectional study from previous studies of health and aging from the Midwestern and Southeastern United States. Midwestern participants had 2.41 higher odds of employment. Older age at injury was associated with lower odds of employment. There were no sex differences in the odds of employment, but women had an estimated US$19,431 lower conditional earnings. Non-Hispanic Blacks had 69% lower odds of employment, and those working had an estimated US$12,058 lower earnings. Ambulatory participants had higher odds of employment (odds ratio [OR] = 4.66) and higher conditional earnings (US$17,277) than those with the most severe SCI. Those with 4-year or postgraduate degrees had substantially higher odds of employment (OR = 4.15, OR = 5.72, respectively) and higher conditional earnings (US$29,990, US$44,580, respectively) compared with those with a high school certificate or less. These findings underscore the importance of policies to promote the optimal quality employment outcomes for people with SCI.


2011 ◽  
Vol 28 (3) ◽  
pp. 233-250 ◽  
Author(s):  
Tomasz Tasiemski ◽  
Britton W. Brewer

This study examined interrelationships among athletic identity, sport participation, and psychological adjustment in a sample of people with spinal cord injury (SCI). Participants (N = 1,034) completed measures of athletic identity, life satisfaction, anxiety, depression, and demographic and sport participation variables. Current amount of weekly sport participation was positively related to athletic identity when statistically controlling for age, gender, and pre-SCI amount of weekly sport participation. Being able to practice one’s favorite sport after SCI was associated with higher levels of athletic identity and better psychological adjustment. Team sport participants reported experiencing better psychological adjustment than individual sport participants did. The findings suggest that social factors are important in the link between sport participation and psychological adjustment in people with SCI.


2017 ◽  
Vol 31 (7) ◽  
pp. 948-956 ◽  
Author(s):  
Carmina Castellano-Tejedor ◽  
Pilar Lusilla-Palacios

Objective: To understand and describe in a sample of caregivers of persons with spinal cord injury, their burden of care, resilience and life satisfaction and to explore the relationship between these variables. Design: Cross-sectional design. Setting: One Spinal Cord Injury Acute Inpatient Unit from a general hospital. Subjects: Seventy-five relatives of persons with spinal cord injuries (84% women) with a mean age of 48.55 ( SD = 12.55) years. Interventions: None. Measures: Demographics (neurological loss and severity according to the American Spinal Injury Association criteria), the Zarit Burden Interview, the Resilience Scale and the Life Satisfaction Checklist. Results: All caregivers experienced feelings of different intensities of burden (52% mild-to-moderate, 43% moderate-to-severe and 5% severe), and none of them expressed little or no burden at the assessment moment. Caregivers’ main worries were “dependence” and “the future of the injured.” Resilience was medium-to-high (mean = 141.93, SD = 23.44) for the whole sample with just a minority of them revealing low (15%) or very low resilience (7%). The highest scores were obtained in relation to “caregivers’ independence” and “meaning of their lives.” Life satisfaction scores were medium-to-high (mean = 36.6, SD = 6). These scores were not related to demographics or the severity of the injury. Zarit Burden Interview scores were negatively correlated to Resilience Scale ( r = −.370, P = .001) and Life Satisfaction Checklist scores ( r = −.412, P < .001). Conclusion: More resilient and satisfied caregivers experienced lower burden. Burden is moderate-to-high and mainly related to uncertainty about the future, caregivers’ insecurity with caregiving and dependence of the injured.


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