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  4. Identifying predictors of resilience at inpatient and 3-month post-spinal cord injury

Identifying predictors of resilience at inpatient and 3-month post-spinal cord injury

The Journal of Spinal Cord Medicine, 2016 · DOI: 10.1179/2045772314Y.0000000270 · Published: January 1, 2016

Spinal Cord InjuryMental HealthRehabilitation

Simple Explanation

This study looked at how people with spinal cord injuries (SCI) cope and bounce back (resilience) during their hospital stay and three months after going home. Researchers wanted to know if factors like feeling confident in managing their health (self-efficacy) or feeling depressed affect how resilient they are. The study found that resilience seems pretty stable over those first few months. However, what helps people be resilient changes. In the hospital, feeling confident in managing their health was key, but at three months, not being depressed was more important. These findings suggest that when helping people with SCI, healthcare providers should focus on building their confidence while they're in the hospital. After they go home, it's important to watch out for and treat any signs of depression to help them stay resilient.

Study Duration
3-month
Participants
44 adults with SCI during inpatient, 31 at 3-month follow-up
Evidence Level
Cross sectional

Key Findings

  • 1
    Resilience appears to be stable from inpatient to 3-month follow-up.
  • 2
    Self-efficacy was the strongest predictor at inpatient stay.
  • 3
    Depression was strongest at 3-month follow-up.

Research Summary

The study aimed to identify changes in psychosocial factors, relationships between these factors, and significant predictors of resilience in adults with SCI during inpatient rehabilitation and at 3-month post-discharge. Results indicated no significant changes in resilience, self-efficacy, depression, or pain between the inpatient period and the 3-month follow-up. Hierarchical regression analyses identified self-efficacy as the strongest predictor of resilience during inpatient stay, while depression was the strongest predictor at the 3-month follow-up.

Practical Implications

Clinical Assessment

Assess self-efficacy during inpatient rehabilitation to identify individuals who may need additional support.

Depression Screening

Implement depression screening at the 3-month follow-up to identify individuals at risk of poor outcomes.

Intervention Strategies

Tailor interventions to address self-efficacy during inpatient care and depression in the months following discharge.

Study Limitations

  • 1
    Small sample size
  • 2
    High attrition rate between inpatient and 3-month follow-up
  • 3
    Reliance on self-report measures

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