Resilience and indicators of adjustment during rehabilitation from a spinal cord injury.
OBJECTIVE
The purposes of this study were to (a) identify changes in resilience and indicators of adjustment (i.e., satisfaction with life, depressive symptomatology, spirituality, functional independence) during inpatient rehabilitation after spinal cord injury (SCI) and (b) examine the relationship between each variable at different stages of the rehabilitation process.


METHODS
The sample consisted of 42 individuals with a SCI, including 33 men and 9 women who were inpatients for a mean stay of 51 days (SD = 14.63). A repeated measures design was employed, with questionnaires completed at 3 times during the rehabilitation program (admit, 3 weeks, and discharge).


RESULTS
Results from the repeated measures multivariate analysis of covariance and post hoc follow-up tests indicated that there was no significant change in resilience, but that there was significant change for each indicator of adjustment during inpatient rehabilitation. Findings also indicated significant correlations between resilience, satisfaction with life, spirituality, and depressive symptoms.


CONCLUSIONS
Future studies that focus on developing interventions and examine the factors that predict resilience could help build resilience, which in turn may improve rehabilitation outcomes.
White
Brian
B
Department of Kinesiology, Health Promotion and Recreation, University of North Texas, Denton, TX 76203-0769, USA.
Driver
Simon
S
Warren
Ann Marie
AM
D000328:Adult; D003866:Depressive Disorder / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D010021:Osteopathic Medicine / Q000379:methods; D012917:Social Adjustment; D013119:Spinal Cord Injuries / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation; D013997:Time Factors