Self-appraised problem-solving skills and the prediction of secondary complications among persons with spinal cord injuries |
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Authors: | Stephen Herrick Timothy R Elliott Frank Crow |
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Institution: | (1) Department of Psychology, University of North Carolina, Chapel Hill;(2) Department of Rehabilitation Medicine, University of Alabama at Birmingham School of Medicine, USA;(3) McGuire Veterans' Administration Medical Center, Richmond, Virgina;(4) 530 Spain Rehabilitation Center, 1717 Sixth Avenue South, UAB, 35233-7330 Birmingham, Alabama |
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Abstract: | Secondary complications following spinal cord injury (SCI) include decubitus ulcers and recurrent urinary tract infections. These conditions can significantly impair quality of life and prove life-threatening; it is also believed that these conditions are mediated by behavioral pathways. According to the social problem-solving model, persons who report effective problem-solving skills should be capable of adhering to long-term therapeutic regimens of self-care necessary to prevent these complications. We tested this assumption in the present study. Discriminant function analyses revealed self-appraised skills in approaching and defining problems contributed to the prediction of secondary complications among 53 persons with SCI. Results are discussed in light of the social problem-solving model, and the utility of problem-solving interventions in rehabilitation is explored. |
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Keywords: | spinal cord injury self-appraisal problem-solving treatment compliance |
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