PURPOSE/OBJECTIVE This study explored associations of psychological inflexibility with depressive symptoms, anxiety, and stress in individuals living with spinal cord injuries (SCI). RESEARCH METHOD/DESIGN The study used a cross-sectional design involving data of self-reported questionnaires collected from 92 adults with SCI in the United States. These questionnaires included measures of depressive symptoms, anxiety, and stress as the dependent variables and measures of potential independent variables, including demographic and SCI-related variables, psychological inflexibility, pain interference, independence, and ability to participate in and satisfaction with social roles and activities. Multivariable linear regression analyses were conducted. Stepwise method, forward selection, and backward elimination procedures, supplemented with the best subsets method, were used to obtain the most parsimonious set of independent variables for each of the depressive symptoms, anxiety, and stress scores. RESULTS The current study showed that psychological inflexibility, employment status, and time since the injury were variables significantly associated with depressive symptoms, and that psychological inflexibility and ethnicity/race were variables significantly associated with anxiety. Psychological inflexibility was the only variable significantly associated with stress. CONCLUSIONS Findings of the present study suggest the importance of psychological flexibility in depressive symptoms, anxiety, and stress in individuals with SCI by showing significant associations among these variables. This exploratory study informs the need for further studies involving interventions that aim to foster greater psychological flexibility, which may decrease mental health problems in individuals with SCI. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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探索脊髓损伤患者心理僵化与抑郁症状、焦虑和压力的关系：一项横断面研究。

目的/目标 本研究探讨了脊髓损伤 (SCI) 患者心理不灵活与抑郁症状、焦虑和压力之间的关系。研究方法/设计 该研究采用横断面设计，涉及从美国 92 名 SCI 成人中收集的自我报告问卷数据。这些问卷包括作为因变量的抑郁症状、焦虑和压力的测量以及潜在自变量的测量，包括人口统计和 SCI 相关变量、心理僵化、疼痛干扰、独立性以及参与和对社会角色的满意度和满意度活动。进行了多变量线性回归分析。逐步方法、前向选择和后向消除程序，辅以最佳子集方法，用于获得每个抑郁症状、焦虑和压力评分的最简洁的自变量集。结果 目前的研究表明，心理不灵活、就业状况和受伤后的时间是与抑郁症状显着相关的变量，而心理不灵活和种族/种族是与焦虑显着相关的变量。心理僵化是唯一与压力显着相关的变量。结论 本研究的结果表明，通过显示这些变量之间的显着关联，心理灵活性在 SCI 患者的抑郁症状、焦虑和压力中的重要性。这项探索性研究表明需要进一步研究涉及旨在促进更大心理灵活性的干预措施，这可能会减少 SCI 患者的心理健康问题。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。