Dyadic coping, resilience, and posttraumatic growth in spinal cord injury patients and their spouses: An actor-partner interdependence mediation model analysis.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2024-11-01 Epub Date: 2024-08-15 DOI:10.1037/hea0001399

Fen He, Lifen Peng, Sumei Xie, Ping Zhang

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引用次数: 0

Abstract

Objective: Despite the recognized importance of posttraumatic growth (PTG) in the recovery process, the mechanisms that promote PTG in spinal cord injury (SCI) patients and their spouses, especially the roles of dyadic coping (DC) and resilience, have not been fully explored. This study aimed to assess the PTG of patients with SCI and their spouses and to investigate the interrelationships among DC, resilience, and PTG within the dyadic context.

Method: A total of 154 SCI patient-spouse dyads were recruited from a rehabilitation hospital in China. All participants completed questionnaires about DC, resilience, and PTG. Our study was based on the actor-partner interdependence mediation model (APIMeM).

Results: SCI patients and their spouses experienced comparable PTG level, M_(patients) = 56.05 ± 14.09, M_(spouses) = 54.74 ± 15.31. In the APIMeM, the patients' and their spouses' DC exerted actor effects on their own resilience, β_(patients) = .418, p < .001; β_(spouses) = .409, p < .01, and their own resilience also exerted actor effects on their own PTG, β_(patients) = .416, p < .001; β_(spouses) = .431, p < .001. The mediating effects of resilience on the impact of patients' and spouses' own DC on their own PTG were confirmed.

Conclusions: Our research offers new insight into the PTG of SCI patients and their spouses at the individual and dyadic levels. Resilience partially mediates the relationship between DC and PTG in couples coping with SCI. Specifically, DC between SCI patient-spouse dyads can not only directly influence the level of PTG but also impact PTG through resilience. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

查看原文本刊更多论文

脊髓损伤患者及其配偶中的二元应对、复原力和创伤后成长：行为者-伙伴相互依赖中介模型分析。

目的：尽管创伤后成长（PTG）在康复过程中的重要性已得到公认，但促进脊髓损伤（SCI）患者及其配偶创伤后成长的机制，尤其是双向应对（DC）和复原力的作用，尚未得到充分探讨。本研究旨在评估SCI患者及其配偶的PTG，并探讨在双亲背景下DC、抗逆力和PTG之间的相互关系：方法：从中国一家康复医院招募了154名SCI患者及其配偶。所有参与者都填写了关于 "行为者-配偶"、"复原力 "和 "PTG "的问卷。我们的研究基于行为者-伴侣相互依赖中介模型（APIMeM）：结果：SCI 患者及其配偶的 PTG 水平相当，M（患者）= 56.05 ± 14.09，M（配偶）= 54.74 ± 15.31。在 APIMeM 中，患者及其配偶的 DC 对他们自身的复原力产生了作用效应，β（患者）= .418，p < .001；β（配偶）= .409，p < .01；他们自身的复原力也对他们自身的 PTG 产生了作用效应，β（患者）= .416，p < .001；β（配偶）= .431，p < .001。复原力对患者和配偶自身 DC 对其 PTG 影响的中介效应得到了证实：我们的研究在个人和家庭层面上为 SCI 患者及其配偶的 PTG 提供了新的视角。复原力部分介导了应对 SCI 的夫妇之间的 DC 与 PTG 之间的关系。具体来说，SCI患者-配偶二人组之间的DC不仅能直接影响PTG水平，还能通过复原力影响PTG。(PsycInfo Database Record (c) 2024 APA, 版权所有）。

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来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567