Resilience following spinal cord injury: A prospective controlled study investigating the influence of the provision of group cognitive behavior therapy during inpatient rehabilitation

Rehabilitation Psychology
Rebecca GuestJames Middleton

Abstract

To examine change in resilience in people with spinal cord injury (SCI) when group cognitive behavior therapy (GCBT) was added to routine psychosocial rehabilitation (RPR). A prospective repeated-measures cohort design was used to determine the efficacy of the addition of GCBT (n = 50). The control group consisted of individuals receiving RPR, which included access to individual CBT (ICBT) when required (n = 38). Groups were assessed on 3 occasions: soon after admission, within 2 weeks of discharge, and 6-months postdischarge. Measures included sociodemographic, injury, and psychosocial factors. The outcome variable was resilience, considered an important outcome measure for recovery. To adjust for baseline differences in self-efficacy, depressive mood and anxiety between the 2 groups, these factors were entered into a repeated measures multivariate analysis of covariance (MANCOVA) as covariates. Latent class analysis was used to determine the best-fitting model of resilience trajectories for both groups. The MANCOVA indicated that the addition of GCBT to psychosocial rehabilitation did not result in improved resilience compared with the ICBT group. Trajectory data indicated over 60% were demonstrating acceptable resilience irr...Continue Reading

Citations

Mar 14, 2017·The Journal of Spinal Cord Medicine·Scott D McDonaldTeodoro A Castillo
Mar 10, 2017·The Journal of Pain : Official Journal of the American Pain Society·Ashley CraigJames Middleton
Jul 7, 2020·The Cochrane Database of Systematic Reviews·Angela M KunzlerKlaus Lieb
Jul 22, 2020·The Cochrane Database of Systematic Reviews·Angela M KunzlerKlaus Lieb
Jan 9, 2020·Physiotherapy Theory and Practice·Shauna Dudley-JavoroskiRichard K Shields
Dec 21, 2019·American Journal of Physical Medicine & Rehabilitation·Scott D McDonaldMelody N Mickens
Feb 26, 2020·Topics in Spinal Cord Injury Rehabilitation·Amanda McIntyreDalton L Wolfe
Apr 1, 2020·International Journal of Mental Health Nursing·Alannah L CooperGavin D Leslie
Jan 21, 2021·The Journal of Bone and Joint Surgery. American Volume·Peters T OtlansKevin B Freedman
Apr 3, 2021·PLoS Neglected Tropical Diseases·Anna T Van't NoordendePim Kuipers
May 27, 2021·Archives of Physical Medicine and Rehabilitation·Tijn van DiemenMarcel W M Post

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