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Resilient Coping Types in People With Spinal Cord Injury: Latent Class Analysis
Rehabilitation Counseling Bulletin ( IF 1.290 ) Pub Date : 2021-02-03 , DOI: 10.1177/0034355221990736
Chungyi Chiu 1 , Jessica Brooks 2 , Alicia Jones 1 , Kortney Wilcher 1 , Sa Shen 1 , Simon Driver 3 , James Krause 4
Affiliation  

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.



中文翻译:

脊髓损伤患者的弹性应对方式:潜在类别分析

韧性对于脊髓损伤(SCI)的健康至关重要。为了提供及时,有针对性的个性化干预以支持抵御能力,有必要不断评估个人的抵御能力水平和抵御能力的特征。我们旨在使用Connor-Davidson适应力量表来验证SCI(PwSCI)人中不同类型的适应力应对方式,并确定适应性应对方式之间的适应力与其他心理社会因素之间的关系。我们招募了93名PwSCI,他们采取了自我报告的方式来衡量韧性,沮丧,生活满意度和灵性。使用潜在类分析,我们发现了三种类型:(a)追求目标,反弹和坚持不懈,称为GP;(b)被称为UC的应对挫折的不确定性;(c)失去弹性应对能力,被称为损失。多元测试表明,这三种类型在适应力,抑郁和生活满意度的线性组合上有所不同,且影响大小较大。我们讨论了三种应对方式以及对心理干预的影响。我们还建议康复临床医生在初诊和随访期间检查PwSCI的复原力水平和复原力类型。这样,PwSCI将获得及时,针对性的支持,以开发和/或重建其弹性。我们还建议康复临床医生在初诊和随访期间检查PwSCI的复原力水平和复原力类型。这样,PwSCI将获得及时,针对性的支持,以开发和/或重建其弹性。我们还建议康复临床医生在初诊和随访期间检查PwSCI的复原力水平和复原力类型。这样,PwSCI将获得及时,针对性的支持,以开发和/或重建其弹性。

更新日期:2021-02-03
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