Study design: Participants with spinal cord injury (SCI) sustained at least 15 years before the study completed questionnaires measuring posttraumatic growth (PTG), basic hope and coping strategies. Objectives: To determine contribution of basic hope and coping strategies to accounting for PTG variability in participants with traumatic long-term SCI. Setting: Polish rehabilitation centres, foundations and associations implementing social inclusion and professional activation programmes. Participants were enrolled based on their medical history by trained rehabilitation specialists and psychologists. Methods: The set of questionnaires included the following: The Post-traumatic Growth Inventory; The Coping Orientations to Problems Experienced (COPE); and Basic Hope Inventory. Results: A study of 169 individuals with paraplegia in the range of PTG showed the highest degree of positive changes in appreciation of life (AL) and the lowest in self-perception. Regression analysis showed that coping strategies such as religion (REL), focus on the problem, humour, alcohol/drug use ideation and basic hope jointly account for 60% of variance of PTG. The highest contribution to accounting for this variability had REL. Also, it was found that coping strategies and basic hope allow to predict variance of individual growth aspects. Age at trauma exposure positively correlated with changes in AL and spiritual change. No significant relationship between growth and age of participants was confirmed. Conclusion: PTG occurring in people with long-term traumatic SCI is primarily manifested in increased AL. Specific coping strategies and basic hope have a significant role in fostering positive changes.
Uzimajući u obzir osobne i okolinske prepreke, osobe sa stečenim fizičkim teškoćama prolaze kroz mnoge stresne situacije. U radu se ispituju strategije suočavanja koje rabe studenti s tjelesnim teškoćama. Cilj je ispitati korelaciju između uvjerenja o sebi i svijetu (samopoštovanje, samopouzdanje i nadanje) i strategija suočavanja kod studenata s fizičkim teškoćama. U istraživanju je sudjelovalo 111 studenata sa stečenim fizičkim teškoćama uključujući ozljede kralježnične moždine i različite druge teškoće s kralježnicom. Provedeno je kvantitativno, transverzalno istraživanje i primijenjene su poljske inačice sljedećih instrumenata: Coping Orientations to Problems Experienced (COPE) (Wrześniewski, 1996), Rosenberg Self-Esteem Scale (SES) (Dzwonkowska et al., 2008), General Self-Efficacy Scale (GSES, Schwarzer, Jeruzalem) (Juczyński, 2001), Basic Hope Inventory (BHI) (Trzebiński and Zięba, 2003b). Provedene su analize deskriptivne statistike, korelacije (Pearsonov koeficijent korelacije) i regresijska analiza. Rezultati istraživanja pokazuju da uvjerenja o sebi i svijetu imaju prediktivnu funkciju u objašnjavanju strategija suočavanja koje rabe studenti s fizičkim teškoćama. Također otkriveno je da uvjerenja kao što su samopoštovanje, samopouzdanje i nadanje pomažu u objašnjavanju variranja pojedinačnih strategija suočavanja, s obzirom na intenzitet i prirodu korelacije. Konačno, nizak postotak objašnjene varijance strategija suočavanja kod studenata s fizičkim teškoćama upućuje na važnost drugih varijabli koje nisu uključene u ovo istraživanje. Rezultati se promatraju u kontekstu prethodnih istraživanja.
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