OBJECTIVE To investigate if the combination of self-efficacy levels of persons with spinal cord injury (SCI) or acquired brain injury (ABI) and their significant others, measured shortly after the start of inpatient rehabilitation, predict their personal and family adjustment six months after inpatient discharge. DESIGN Prospective longitudinal study. SETTING Twelve Dutch rehabilitation centers. PARTICIPANTS Volunteer sample consisting of 157 dyads of adult persons with SCI/ABI admitted to inpatient rehabilitation, and their adult significant others. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Self-efficacy (General Competence Scale), personal and family adjustment (Hospital Anxiety and Depression Scale and McMaster Family Assessment Device General Functioning). RESULTS In 20 dyads, both persons with SCI/ABI and their significant others showed low self-efficacy at baseline, and in 67 dyads both showed high self-efficacy. In the low-self-efficacy dyads, 61% of the persons with SCI/ABI and 50% of the significant others showed symptoms of anxiety six months after discharge, versus 23% and 30% in the high-self-efficacy dyads. In the low-self-efficacy dyads, 56% of persons with SCI/ABI and 50% of the significant others reported symptoms of depression, versus 20% and 27% in the high-self-efficacy dyads. Problematic family functioning was reported by 53% of the persons with SCI/ABI and 42% of the significant others in the low-self-efficacy dyads, versus 4% and 12% in the high-self-efficacy dyads. MANOVA analyses showed that the combination of levels of self-efficacy of persons with SCI/ABI and their significant others at the start of inpatient rehabilitation predict personal (V=0.12 F(6, 302)=2.8, p=0.010) and family adjustment (V=0.19 F(6, 252)=4.3, p<0.001) six months after discharge. CONCLUSIONS Low-self-efficacy dyads seem to be more at risk for personal and family adjustment problems after discharge. Screening for self-efficacy may help healthcare professionals to identify and support families at risk for long-term adjustment problems.

中文翻译：

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自我效能预测脊髓损伤或获得性脑损伤患者及其重要他人的个人和家庭调整：二元方法

目的 调查在住院康复开始后不久测量的脊髓损伤 (SCI) 或获得性脑损伤 (ABI) 患者及其重要他人的自我效能水平是否能预测他们在住院康复后 6 个月的个人和家庭调整。住院出院。设计前瞻性纵向研究。设置 十二个荷兰康复中心。参与者 志愿者样本由 157 对 SCI/ABI 入院康复的成年人及其成年重要他人组成。干预 不适用。主要结果测量自我效能（一般能力量表），个人和家庭调整（医院焦虑和抑郁量表和麦克马斯特家庭评估设备一般功能）。结果 在 20 个二元组中，SCI/ABI 患者及其重要他人在基线时表现出低自我效能感，并且在 67 对组中都表现出高自我效能感。在低自我效能组中，61% 的 SCI/ABI 患者和 50% 的显着其他人在出院 6 个月后表现出焦虑症状，而在高自我效能组中分别为 23% 和 30%。在低自我效能的二人组中，56% 的 SCI/ABI 患者和 50% 的显着其他人报告了抑郁症状，而在高自我效能的二人组中，这一比例分别为 20% 和 27%。53% 的 SCI/ABI 患者和 42% 的重要他人在低自我效能组中报告家庭功能有问题，而在高自我效能组中分别为 4% 和 12%。MANOVA 分析表明，在住院康复开始时，SCI/ABI 患者及其重要他人的自我效能水平的组合预测个人 (V=0.12 F(6, 302)=2.8, p=0.010) 和家庭调整(V=0.19 F(6, 252)=4.3, p<0.001) 出院后六个月。结论 自我效能低的二人组在出院后似乎更容易出现个人和家庭适应问题。自我效能筛查可以帮助医疗保健专业人员识别和支持有长期适应问题风险的家庭。