Resilience and positive mental health in persons with spinal cord injury and their informal caregivers: A dyadic study.

IF 1.7 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2025-09-15 DOI:10.1037/rep0000635

Sonia Mangialavori, Maria Chiara Cortesi, Antonella Delle Fave

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引用次数: 0

Abstract

Background: Despite daily challenges, persons with spinal cord injury (PwSCI) successfully mobilize individual and relational resources and attain good mental health. Psychosocial resources were investigated as components of resilience, defined as satisfactory adaptation to adversity. While the association between resilience and positive mental health, conceptualized as psychological, emotional, and social well-being, was widely observed in individuals, it remains unexplored within dyads. This study was thus aimed to investigate this association at both individual and relational levels among PwSCI and their informal caregivers, defined as family members providing regular and unpaid assistance.

Method: Through a cross-sectional dyadic design, 162 PwSCI and their 162 caregivers completed the Resilience Scale for Adults and the Mental Health Continuum-Short Form. Actor and partner effects were analyzed using the actor-partner interdependence model.

Results: Significant actor effects emerged for self-perception (b = .60, p < .001), planned future (b = .62, p < .001), social competence (b = .26, p < .01), and social resources (b = .28, p < .01), resilience components positively associated with individuals' own positive mental health. A significant partner effect emerged for self-perception (b = .33, p < .05), suggesting interpersonal influence within the dyad. Caregivers reported higher positive mental health than PwSCI, but no role-based interactions emerged.

Conclusions: Resilience, particularly through self-perception, supports both personal and relational well-being, suggesting the potential usefulness of dyadic-focused interventions in chronic disease. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

查看原文本刊更多论文

脊髓损伤患者及其非正式照护者的恢复力和积极心理健康：一项二元研究

背景：尽管面临日常挑战，脊髓损伤（PwSCI）患者仍能成功调动个人和关系资源，获得良好的心理健康。心理社会资源作为弹性的组成部分被调查，定义为对逆境的满意适应。虽然弹性和积极的心理健康之间的联系，被定义为心理，情感和社会福祉，在个体中被广泛观察到，但在二联体中仍未被探索。因此，本研究旨在调查PwSCI及其非正式照顾者（定义为提供定期和无偿援助的家庭成员）在个人和关系层面上的这种联系。方法：采用横断面双元设计，对162名PwSCI患者及其162名照顾者进行成人心理弹性量表和心理健康连续简表的问卷调查。运用参与者-参与者相互依赖模型分析参与者和参与者效应。结果：自我知觉（b = .60, p < .001）、计划未来（b = .62, p < .001）、社会能力（b = .26, p < .01）、社会资源（b = .28, p < .01）、弹性因素与个体自身积极心理健康呈正相关。显著的伴侣效应出现在自我知觉上（b = .33, p < .05），表明二人组内部的人际影响。照顾者报告的积极心理健康状况高于PwSCI，但没有出现基于角色的互动。结论：恢复力，特别是通过自我感知，支持个人和关系健康，表明以双侧障碍为重点的慢性疾病干预措施的潜在有用性。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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来源期刊

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.