Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/79172
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Type: Journal article
Title: Examining factors that contribute to the process of resilience following spinal cord injury
Author: Kilic, S.
Dorstyn, D.
Guiver, N.
Citation: Spinal Cord, 2013; 51(7):553-557
Publisher: Nature Publishing Group
Issue Date: 2013
ISSN: 1362-4393
1476-5624
Statement of
Responsibility: 
SA Kilic, DS Dorstyn and NG Guiver
Abstract: STUDY DESIGN: Cross-sectional survey. OBJECTIVE: To examine factors that contribute to the process of positive adjustment, or resilience, in an adult community sample with spinal cord injury (SCI). SETTING: South Australian Spinal Cord Injury Service, Hampstead Rehabilitation Centre, South Australia, Australia. METHODS:A postal survey comprising standardised measures of resilience (Connor-Davidson Resilience Scale-10 item), self-efficacy (Moorong Self-Efficacy Scale), locus of control (Locus of Control of Behaviour Scale) and psychological distress (Depression Anxiety Stress Scale-21 item). RESULTS: Of 60 respondents, 58% reported moderate to high levels of resilience. Resilience correlated significantly with high self-efficacy (r=0.68, P<0.01), internal locus of control (r=-0.52, P<0.01) and low psychological distress (depression r=-0.68, P<0.01; anxiety r=-0.55, P<0.01; stress r=-0.67, P<0.01). In comparison, resilience was not significantly influenced by degree of neuropathic pain (r=-0.23, P>0.05), time since injury (r=-0.14, P>0.05), gender (t(58)=-0.92, P>0.05), lesion completeness (t(57)=-0.86, P>0.05), or SCI diagnosis (t(58)=-1.21, P>0.05). A multiple regression indicated that psychological distress and self-efficacy were the only two variables that uniquely contributed to resilient behaviour. CONCLUSION: Resilience is an important psychological process in the longer-term management of SCI which can be promoted by targeting rehabilitation interventions towards mood management in addition to self efficacy beliefs. Larger-scale research will help to validate these results.
Keywords: spinal cord injuries; resilience; self-efficacy; depression; anxiety; rehabilitation
Rights: © 2013 International Spinal Cord Society All rights reserved
RMID: 0020130806
DOI: 10.1038/sc.2013.25
Appears in Collections:Psychology publications

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