探讨应对策略对脊髓损伤后适应的中介作用。

IF 2.1 4区 医学 Q3 CLINICAL NEUROLOGY
Spinal cord Pub Date : 2025-04-01 Epub Date: 2025-02-10 DOI:10.1038/s41393-025-01062-4
Dinalize Purcell, Vegard Strøm, Annelie S Leiulfsrud
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引用次数: 0

摘要

研究设计:挪威成人脊髓损伤(SCI)的横断面研究。目的:利用国际脊髓损伤社区调查(International Spinal Cord Injury Community Survey, InSCI)的挪威数据,研究自我效能感和积极应对策略在脊髓损伤调节模型(Spinal Cord Injury adjustment Model, SCIAM)提出的功能独立性与调节水平关系中的中介作用。其次,研究维持脊髓损伤后调节水平的潜在性别差异。本研究采用综合调整变量。研究对象:挪威的SCI人群。方法:第一个目标采用中介分析方法进行检验,第二个目标采用独立的两样本t检验。结果:共有610名参与者回应了问卷,平均年龄为57岁,其中68.5%为男性。心理资源完全介导功能独立性对适应的影响。存在显著的双中介效应,首先通过自我效能感,然后通过积极应对策略(β = 0,02;95% ci 0.01-0.03)。从功能独立到主动应对策略到适应的中介比例最强,为0.49。男性和女性之间的调整水平差异为2.90 (95% CI: 0.19-5.61)。结论:自我效能感和积极应对策略在功能独立与适应之间起中介作用。在脊髓损伤康复过程中,这些因素是需要考虑的重要因素。女性的适应水平略低于男性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring the mediating effects of coping strategies on adjustment after sustaining a spinal cord injury.

Study design: Cross-sectional study of adults living with a spinal cord injury (SCI) in Norway.

Objectives: Using the Norwegian data from the International Spinal Cord Injury Community Survey (InSCI), we firstly aimed to examine the mediating effect of self-efficacy and active coping strategies on the relationship between functional independence and level of adjustment as proposed by the Spinal Cord Injury Adjustment Model (SCIAM). Secondly, to examine potential gender differences in levels of adjustment after sustaining an SCI. This study used a comprehensive adjustment variable.

Setting: SCI population in Norway.

Methods: The first objective was tested with a measure of mediation analysis and the second objective with an independent two sample t-test.

Results: A total of 610 participants responded to the questionnaire, with a mean age of 57 years, and 68,5% being male. Psychological resources fully mediated the effect of functional independence on adjustment. There was a statistically significant double mediation effect, first through self-efficacy and, then through active coping strategies (β = 0,02; 95% CI 0.01-0.03). The pathway from functional independence through active coping strategies to adjustment showed the strongest mediation proportion of 0.49. The difference in adjustment levels between males and females was 2.90 out of 100 (95% CI: 0.19-5.61).

Conclusions: Self-efficacy and active coping strategies were found as mediating factors in the relationship between functional independence and adjustment. These factors are important to consider during SCI rehabilitation. Females had a slightly lower level of adjustment than males.

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来源期刊
Spinal cord
Spinal cord 医学-临床神经学
CiteScore
4.50
自引率
9.10%
发文量
142
审稿时长
2 months
期刊介绍: Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews. Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.
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