title: Social problem solving abilities and psychosocial impairment among individuals recuperating from surgical repair for severe pressure sores.
abstract: OBJECTIVE
  The relationship of social problem solving abilities, health locus of control beliefs, and psychosocial impairment were examined among individuals with spinal cord injuries who were hospitalized following surgical repair of severe pressure sores.
  
  
  METHODS
  Individuals were approached after surgical repair and completed measures of problem solving, health locus of control beliefs, and psychosocial impairment after admission to the rehabilitation hospital.
  
  
  RESULTS
  The sample reported greater psychosocial impairment than observed in comparative data, but they did not differ from another sample in terms of health locus of control beliefs. Correlational analyses revealed that a negative orientation toward problem solving was significantly predictive of psychosocial impairment, consistent with prior research. However, a second study found persons assigned to a brief problem solving intervention did not differ on any measure from participants in a control group.
  
  
  CONCLUSIONS
  Implications of these results are discussed from theoretical and clinical perspectives. Although social problem solving abilities were predictive of psychosocial impairment in a predicted direction, the lack of effects for the intervention suggests greater precision is needed to understand individual needs and to develop individualized intervention protocols.
authors.affiliation: University of Michigan, Ann Arbor, MI, USA.
authors.forename: Kalpana
authors.initials: K
authors.lastname: Shanmugham
authors.forename: Timothy R
authors.initials: TR
authors.lastname: Elliott
authors.forename: Andrew
authors.initials: A
authors.lastname: Palmatier
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000209:etiology / Q000523:psychology* / Q000534:rehabilitation / Q000601:surgery*; D012047:Rehabilitation Centers; D018570:Risk Assessment; D012720:Severity of Illness Index; D012737:Sex Factors; D012803:Sick Role; D016038:Skin Transplantation; D012917:Social Adjustment; D012919:Social Behavior; D013119:Spinal Cord Injuries / Q000150:complications / Q000175:diagnosis / Q000534:rehabilitation; D013315:Stress, Psychological