Purpose/Objective: The purpose of this study was to (a) assess the relationship between stigma and psychosocial outcomes and (b) examine the potential mediating influence of stigma on the relationship between sociodemographic and injury-related characteristics and psychosocial outcomes after spinal cord injury (SCI). Research Method/Design: This cross-sectional, observational study included participants enrolled in the Rocky Mountain Regional Spinal Cord Injury Model System. Questionnaires were administered via telephone. Stigma was assessed using the Spinal Cord Injury Quality of Life Stigma Short Form. Results: Questionnaires were completed by 225 participants (78% male; 22% female). Stigma was significantly, positively associated with depression symptoms, perceived disability, injustice appraisals, and participation (physical independence and mobility). Stigma was significantly, negatively associated with quality of life and self-efficacy. Stigma partially mediated several relationships between sociodemographic or injury-related characteristics and psychosocial outcomes. Stigma fully mediated the relationships between each time since injury and self-efficacy, length of rehabilitation stay and injustice appraisals, wheelchair use and self-efficacy, and wheelchair type and quality of life. Conclusions/Implication: Stigma is an important psychological factor associated with several person- and injury-related characteristics and psychosocial outcomes. Furthermore, stigma mediates particular relationships between sociodemographic or injury-related characteristics and outcomes. These findings will inform the development of interventions designed to mitigate stigma's negative impact on outcomes such as mood, quality of life, and participation after SCI. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

---

污名对脊髓损伤后社会心理结果的影响：污名介导关系的横断面分析。

目的：本研究的目的是 (a) 评估耻辱感与社会心理结果之间的关系，以及 (b) 检查耻辱感对脊髓损伤后社会人口学和伤害相关特征与社会心理结果之间关系的潜在中介影响（SCI）。研究方法/设计：这项横断面观察性研究包括参加落基山地区脊髓损伤模型系统的参与者。通过电话进行问卷调查。使用脊髓损伤生活质量污名简表评估污名。结果：调查问卷由 225 名参与者完成（78% 男性；22% 女性）。耻辱感与抑郁症状、感知残疾、不公正评价、和参与（身体独立和流动性）。耻辱感与生活质量和自我效能感显着负相关。污名在一定程度上调节了社会人口统计学或伤害相关特征与社会心理结果之间的几种关系。污名充分介导了每次受伤后的时间与自我效能感、康复时间与不公正评价、轮椅使用与自我效能感、轮椅类型与生活质量之间的关系。结论/含义：污名是一个重要的心理因素，与一些与人和伤害相关的特征和社会心理结果相关。此外，耻辱介导了社会人口学或伤害相关特征与结果之间的特定关系。这些发现将为干预措施的发展提供信息，这些干预措施旨在减轻耻辱对 SCI 后情绪、生活质量和参与等结果的负面影响。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。