Impact of Psychosocial Resources on Mental Health During the Transition From the Initial Rehabilitation to Community: The Case of Spinal Cord Injury.

IF 2.2 4区医学 Q1 REHABILITATION American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-11-01 Epub Date: 2024-08-15 DOI:10.1097/PHM.0000000000002607

Janina Lüscher, Mayra Galvis, Urban Schwegler, Martina Diener, Caroline Debnar

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Abstract

Objectives: This study aims to examine the change in mental health from the clinical to community setting in persons with spinal cord injury and to identify the role of psychosocial resources for this transition.

Design: Longitudinal survey self-report data from N = 240 persons with spinal cord injury from the Swiss Spinal Cord Injury Cohort study.

Results: Latent profile analysis identified three profiles for each the clinical and the community setting: low, medium, and high mental health load. Latent transition analysis revealed that persons with spinal cord injury were most likely to stay in the same profile from discharge of initial rehabilitation to community, followed by a decrease from a high mental health load to a medium mental health load and an increase from a low mental health load to a medium mental health load. Individuals staying in the low mental health load profile showed significantly higher levels of psychosocial resources compared to individuals increasing to the medium mental health load profile, whereas individuals who stayed in the high mental health load profile showed lower levels of psychosocial resources compared to individuals decreasing to the medium mental health load profile.

Conclusions: This study highlights a positive role of psychosocial resources on mental health transitions, underlining the need for strengthening psychosocial resources beyond initial rehabilitation.

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从初期康复到社区过渡期间社会心理资源对心理健康的影响：脊髓损伤案例。

研究目的本研究旨在探讨脊髓损伤患者从临床环境到社区环境的心理健康变化，并确定社会心理资源在这一转变中的作用：设计：纵向调查来自瑞士脊髓损伤队列研究的 N = 240 名脊髓损伤患者的自我报告数据：结果：潜特征分析确定了临床和社区环境的三种特征：低、中和高心理健康负荷。潜在转变分析表明，脊髓损伤患者从最初的康复出院到进入社区，最有可能保持相同的特征，其次是从高心理健康负荷下降到中等心理健康负荷，以及从低心理健康负荷上升到中等心理健康负荷。与增加到中等心理健康负荷的人相比，保持低心理健康负荷的人的社会心理资源水平明显较高，而与减少到中等心理健康负荷的人相比，保持高心理健康负荷的人的社会心理资源水平较低：本研究强调了社会心理资源对心理健康过渡的积极作用，强调了在初期康复后加强社会心理资源的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Physical Medicine & Rehabilitation 医学-康复医学

CiteScore

4.60

自引率

6.70%

发文量

423

审稿时长

1 months

期刊介绍： American Journal of Physical Medicine & Rehabilitation focuses on the practice, research and educational aspects of physical medicine and rehabilitation. Monthly issues keep physiatrists up-to-date on the optimal functional restoration of patients with disabilities, physical treatment of neuromuscular impairments, the development of new rehabilitative technologies, and the use of electrodiagnostic studies. The Journal publishes cutting-edge basic and clinical research, clinical case reports and in-depth topical reviews of interest to rehabilitation professionals. Topics include prevention, diagnosis, treatment, and rehabilitation of musculoskeletal conditions, brain injury, spinal cord injury, cardiopulmonary disease, trauma, acute and chronic pain, amputation, prosthetics and orthotics, mobility, gait, and pediatrics as well as areas related to education and administration. Other important areas of interest include cancer rehabilitation, aging, and exercise. The Journal has recently published a series of articles on the topic of outcomes research. This well-established journal is the official scholarly publication of the Association of Academic Physiatrists (AAP).