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Citation
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Scholten EWM, Ketelaar M, Visser-Meily JMA, Roels EH, Kouwenhoven M, POWER Group, Post MWM. Arch. Phys. Med. Rehabil. 2020; ePub(ePub): ePub. |
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Abstract
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OBJECTIVE: To identify intra-personal and inter-personal sociodemographic, injury-related and psychological variables measured at admission of inpatient rehabilitation that predict psychological distress among dyads of persons with spinal cord injury (SCI) or acquired brain injury (ABI) and their significant others (i.e., persons close to the individual with a disability, mostly family members) six months after discharge. Differences in predictors were investigated for persons with SCI/ABI and significant others, and between diagnoses.
DESIGN: Prospective longitudinal study.
SETTING: Twelve Dutch rehabilitation centers.
PARTICIPANTS: 157 dyads of adult persons with SCI/ABI admitted to inpatient rehabilitation and their adult significant others.
INTERVENTIONS: N.a.
MAIN OUTCOME MEASURES: Psychological distress (Hospital Anxiety and Depression Scale).
RESULTS: Sociodemographic and injury-related variables were not or only weakly associated with psychological distress among persons with SCI/ABI or significant others six months after discharge. Bivariately, higher baseline psychological distress, lower scores on adaptive psychological characteristics (combination of self-efficacy, proactive coping, purpose in life, resilience) and higher scores on maladaptive psychological characteristics (combination of passive coping, neuroticism, appraisals of threat and loss) were related to higher psychological distress, also, although less strongly, crosswise between persons with SCI/ABI and significant others. Combined prediction models showed that psychological distress among persons with SCI/ABI was predicted by educational level of the significant other, own baseline psychological distress and own maladaptive psychological characteristics (explained variance=41.9%). Among significant others, only their own baseline psychological distress predicts psychological distress (explained variance=40.4%). Results were comparable across diagnoses.
CONCLUSIONS: Although a dyadic connection was shown, primarily one's own baseline psychological distress and psychological characteristics are important in the prediction of later psychological distress among both individuals with SCI/ABI and significant others. Screening based on these variables could help to identify persons at risk for psychological distress.
Language: en |