Effects of coping on psychological outcome when controlling for background variables: a study of traumatically spinal cord lesioned persons.
METHODS
Cross-sectional.


OBJECTIVE
In a previous study we found spinal cord lesion (SCL)-related coping factors to be distinctly related to levels of SCL-related psychological outcome. However, we did not control for other potentially confounding variables. In this study we investigated effects of coping strategies on psychological outcome reactions in traumatically spinal cord lesioned persons controlling for sociodemographic, disability-related and social support variables.


METHODS
The Gothenburg Spinal Injuries Unit in Sweden.


METHODS
The study sample comprised 255 persons and a subsample of 157 persons. A series of stepwise multiple regression analyses were performed.


RESULTS
SCL-related coping factors clearly predicted psychological outcome even when background variables were controlled. Higher levels of acceptance coping predicted decreased psychological distress and increased positive morale. Elevated social reliance coping predicted heightened distress. Higher levels of social support predicted lower feelings of helplessness. Sociodemographic and disability-related variables were weak predictors of psychological outcome with one exception: higher education predicted less bitterness and brooding.


CONCLUSIONS
SCL-related coping remained the most important predictor of psychological outcome even when a wide range of variables was controlled. Thus we conclude that psychosocial interventions aimed at helping individuals develop their coping strategies might be of substantial value in their adjustment to SCL.
Health Care Research Unit, Göteborg University, Sweden.
M L
ML
Elfström
M
M
Kreuter
A
A
Rydén
L-O
LO
Persson
M
M
Sullivan
D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D011594:Psychometrics / Q000379:methods*; D013119:Spinal Cord Injuries / Q000453:epidemiology* / Q000523:psychology*; D013315:Stress, Psychological; D013548:Sweden / Q000453:epidemiology