Abstract
Objectives: This article reviews literature examining the psychological adjustment to Spinal Cord Injury (SCI) and illustrates the applicability of a Stress Appraisal and Coping model (SAC) for rehabilitation of this population.
Method: Articles concerning psychological adjustment to SCI from the previous three decades have been reviewed and critiqued. When possible the articles have been discussed in a SAC framework.
Results: The literature indicates that psychological adjustment to SCI is largely predictable from psychological variables including coping, appraisal and psychosocial resources. Recent literature has suggested psychological intervention can promote positive psychological adjustment following SCI for those individuals at risk of developing clinical levels of depression.
Conclusion: The SAC model provides a comprehensive formulation to incorporate the heterogeneity of populations with SCI. Suggestions for future research include developing assessment and treatment regimes specifically tailored to the strengths and weaknesses of an individual as highlighted in the model.
Spinal Cord (2001) 39, 615–627.
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Frank RG, Elliott TR, Corcoran JF, Wonderlich SA . Depression after spinal cord injury: Is it necessary? Clin Psych Rev 1987 7: 611–630
Craig AR, Hancock KM, Dickson HG . Spinal cord injury: A search for determinants of depression two years after the event Br J Clin Psych 1994 33: 221–230
Hancock KM et al. Anxiety and depression over the first year of spinal cord injury: A longitudinal study Paraplegia 1993 31: 349–357
Kennedy P, Rogers BA . Anxiety and depression after spinal cord injury: A longitudinal analysis Arch Phys Med Rehabil 2000 81: 932–937
Craig AR et al. Psychological consequences of spinal injury: A review of the literature Aust NZ J Psych 1990 24: 418–425
Charlifue SW, Gerhart KA . Behavioural and demographic predictors of suicide after traumatic spinal cord injury Arch Phys Med Rehabil 1991 72: 488–492
Heinemann AW et al. Substance use and receipt of treatment by persons with long-term spinal cord injuries Arch Phys Med Rehabil 1991 72: 482–487
DeVivo MJ, Hawkins LN, Richards JS, Go BK . Outcomes of post spinal cord injury marriages Arch Phys Med Rehabil 1995 76: 130–138
DeVivo MJ, Rutt RS, Stover SL, Fine PR . Employment after spinal cord injury Arch Phys Med Rehabil 1987 68: 494–497
Guttmann L . Spinal cord injuries: Comprehensive management and research, 2nd edn Blackwell Scientific Publications, Oxford 1976
Bracken MB, Shephard MJ . Coping and adaptation to acute spinal cord injury: A theoretical analysis Paraplegia 1980 18: 74–85
Buckelew SP et al. Adjustment to spinal cord injury: Stage theory revisited Paraplegia 1991 29: 125–130
Trieschmann RB . Spinal Cord Injuries: Psychological, Social, and Vocational Rehabilitation, 2nd edn 1988 New York: Demo Publications
Lazarus R, Folkman S . Stress Appraisal and Coping 1984 New York: Springer
Carver CS et al. How coping mediates the effect of optimism on distress: A study of woman with early stage breast cancer J Pers Soc Psych 1993 65: 375–390
Kennedy P, Lowe R, Grey, Short E . Traumatic spinal cord injury and psychological impact: A cross sectional analysis of coping strategies Br J Clin Psych 1995 34: 627–639
Kennedy P et al. A longitudinal analysis of psychological impact and coping strategies following spinal cord injury Br Psych Soc 2000 5: 157–172
Bulman RJ, Wortman CB . Attribution of blame and coping in the ‘real world’: Severe accident victims react to their lot J Pers Soc Psych 1977 35: 351–363
Shultz R, Decker S . Long-term adjustment to physical disability: The role of social support, perceived control, and self blame J Pers Soc Psych 1985 48: 1162–1172
Berkman P . Measurement of mental health in a general population survey Am J Epidemiol 1971 94: 105–111
Adams DL . Analysis of a life satisfaction index J Geront 1969 24: 470–474
Radloff L . The CES–D scale: A self report depression scale for research in the general population Appl Psych Measurement 1977 1: 385–401
Van Den Bout J, Ven Son-Schoones N, Schipper J, Groffen C . Attributional cognitions, coping behaviour, and self esteem in in-patients with severe spinal cord injuries J Clin Psych 1988 44: 17–22
Reidy K, Caplan B . Causal factors in spinal cord injury: Patients' evolving perceptions and association with depression Arch Phys Med Rehabil 1994 75: 837–842
Beck AT et al. An inventory for measuring depression Arch Gen Psychiatry 1961 4: 561–571
Frank RG et al. Differences in coping styles among persons with spinal cord injury: A cluster analytic approach J Consult Clin Psych 1987 55: 727–731
Sarason IG, Johnson JH, Siegal JM . Assessing the impact of life changes: Development of the life experiences survey J Consult Clin Psych 1978 46: 932–946
Derogatis LR . The SCL-90-R Administration, Scoring and Procedures Manual – II Baltimore, (MD): Baltimore Clinical Psychometric Research 1983
Aldwin C et al. Ways of Coping: A process Measure Presented at the 88th annual meeting of the American Psychological Association 1980
Buckelew SP, Baumstark KE, Frank RG, Hewett JE . Adjustment following spinal cord injury Rehabil Psych 1980 35: 101–109
Wallston BS, Wallston KA, De Vellis R . Development of the Multi-dimensional Locus of Control Scales (MHLC) Health Education Monographs 1978 6: 160–179
Elliott T et al. Problem solving appraisal and psychological adjustment following spinal cord injury Cogn Ther Res 1991 15: 387–398
Heppner PP . The Problem Solving Inventory: Manual Palo Alto, (CA): Consulting Psychologists Press 1988
Zimmerman M, Coryall W, Corenthal C, Wilson S . A self-report scale to diagnose major depressive disorder Arch Gen Psychiatry 1986 43: 1076–1081
Gilson BS et al. The sickness impact profile: Development of an outcome measure of health care Am J Public Health 1975 65: 1304–1310
Hermann S, Van Horn E, Dunn M . Behavioural assessment of general and disability specific social skills Paper presented at the annual convention of the American Psychological Society, San Francisco 1977
Moore AD, Bombardier CH, Brown PB, Patterson DR . Coping and emotional attribution's following spinal cord injury Inter J Rehabil Res 1994 17: 39–48
Carver CS, Scheier MF, Weintraub JK . Assessing coping strategies: A theoretically based approach J Pers Soc Psych 1989 56: 267–283
Hancock K, Craig A, Tenant C, Chang E . The influence of spinal cord injury on coping styles and self-perceptions: A controlled study Aust NZ J Psychiatry 1993 27: 450–456
Rosenberg M . Society and the adolescent image Princeton (NJ): Princeton University Press 1965
Watson M, Greer S, Bliss J . Mental adjustment to cancer (MAC) scale: Users manual CRC Psychological Medicine Research Group 1989 The Royal Marsden Hospital, Sutton, Surrey, UK
Craig A, Franklin J, Andrews GA . A scale to measure locus of control of behaviour Br J Med Psych 1984 57: 173–180
Craig AR, Hancock K, Chang E . The influence of spinal cord injury on coping styles and self perceptions two years after the injury Aust NZ J Psych 1994 28: 307–312
Fullerton DF, Harvey R, Klein MH, Howell T . Psychiatric disorders in patients' with spinal cord injuries Arch Gen Psychiatry 1981 38: 1369–1371
Woodrich F, Patterson JB . Variable related to acceptance of disability in persons with spinal cord injuries J Rehabil 1983 49: 26–30
Krause JS, Crewe NM . Prediction of long term survival of persons with spinal cord injury: An 11-year prospective study Rehabil Psych 1987 32: 205–213
Nickerson E . Some correlates of adjustment by paraplegics Percept Motor Skills 1971 32: 11–23
Rintela DH et al. Social support and well being of persons with spinal cord injury living in the community Rehabil Psych 1992 37: 155–163
Elliott TR et al. Social relationships and psychosocial impairment of persons with spinal cord injury Psych Health 1992 7: 55–67
Russell D, Cutrona C . The Provisions of Social Relationships and Adaptation to Stress Paper presented at the meeting of the American Psychological Association: Toronto, Canada 1984
McAweeney M, Tate D, McAweeney W . Psychosocial intervention in the rehabilitation of people with spinal cord injury: A comprehensive review Spinal Cord Injury Psychosocial Process 1997 10: 58–63
Andrews G . The essential psychotherapies Br J Psych 1993 162: 447–451
Maki R, Winograd M, Hinkle E . Counselling/psychotherapy approach in rehabilitation of a spinal cord injury population Arch Phys Med Rehabil 1976 57: 548
Craig A, Hancock K . Difficulties in implementing group cognitive behaviour therapies for spinal cord injured persons: A clinical discussion Aust Psychol 1994 29: 98–102
Craig AR, Hancock KM, Dickson H, Chang E . Long term psychological outcomes in spinal injured persons: Results of a controlled trial using cognitive behaviour therapy Arch Phys Med Rehabil 1997 78: 33–38
King C, Kennedy P . Coping effectiveness training for people with spinal cord injury: Preliminary results of a controlled trial Br J Clin Psych 1999 38: 5–14
Craig AR, Hancock KM, Martin J, Dickson H . Adjusting to spinal cord injury: treatment manual Sydney: UTS 1989
Speilberger CD et al. Manual for the State–Trait Anxiety Inventory Palo Alto (CA): Consulting Psychologist's Press 1983
Craig A, Hancock K, Dickson H . Improving the long term adjustment of spinal cord injured persons Spinal Cord 1999 37: 345–350
Chesney MA, Folkman S . Psychological impact of HIV disease and implications for intervention Psychiatric Clin N Am 1994 17: 163–182
Hamilton BB, Granger CV . Guide for the use of the uniform data set for medical rehabilitation New York: Research Foundation of State University of New York 1990
Sarason IJ, Sarason BR, Shearing EN, Pierce GR . A brief measure of social support: Practical and theoretical implications J Soc Pers Rel 1987 4: 497–510
Carver CS, Scheier MF . Situational coping and coping dispositions in a stressful transaction J Pers Soc Psych 1994 66: 184–195
Stanton AL, Snider PR . Coping with a breast cancer diagnosis: A prospective study Health Psych 1993 12: 16–23
Overholser JC, Shubert DS, Foliart R, Frost F . Assessment of emotional distress following a spinal cord injury Rehabil Psych 1993 38: 187–198
Kathol RG, Petty F . Relationship of depression to medical illness J Affect Disord 1981 3: 111–121
Matheny KB, Aycock DW, Curlette WL, Junker GN . The coping resources inventory for stress: A measure of perceived resourcefulness J Clin Psych 1993 49: 815–830
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Galvin, L., Godfrey, H. The impact of coping on emotional adjustment to spinal cord injury (SCI): review of the literature and application of a stress appraisal and coping formulation. Spinal Cord 39, 615–627 (2001). https://doi.org/10.1038/sj.sc.3101221
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