Personal control and coping effectiveness in spinal cord injured persons

Background/Objective: Depression has been studied extensively among people with spinal cord injury (SCI). However, basic questions persist regarding the reliability and validity of depression measurement in the context of SCI. The objective of this study was to evaluate the state of knowledge of depression measurement in persons with SCI. Methods: English-language peer-reviewed citations from MEDLINE, CINAHL, PsycINFO, ProQuest, Google Scholar, and Web of Science from 1980 to present. Two reviewers screened 377 abstracts on SCI and depression topics to identify 144 containing classifiable psychometric data. All 144 were reviewed by 6 reviewers. Twenty-four studies reporting psychometric data on 7 depression measures in SCI samples were identified, including 7 validity studies. Results: Reliability data were limited to internal consistency and were consistently good to excellent across 19 studies. Validity data were limited to concurrent validity, construct validity, and/or clinical utility in 10 studies. Measures were comparable with respect to internal consistency, factor structure, and clinical utility. Results are limited to peer-reviewed, English literature, and studies were not judged for quality. Conclusions: Greater attention should be paid to the psychometric evaluation of established measures. Although existing evidence may not justify universal screening, we recommend depression screening in clinical practice when patients may be seen by nonpsychology personnel. There is insufficient evidence to recommend one screening measure over another. Therefore, selection of measures will depend on clinician preferences. Psychometric studies are needed to show test-retest reliability, criterion validity, and sensitivity to change to improve depression recognition and treatment.

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“…Internal Consistency. Internal consistency coefficients for the 2 studies were excellent (0.89) (33) and (0.84) (34).…”

Section: Depression Severity Measuresmentioning

confidence: 95%

Measuring Depression in Persons With Spinal Cord Injury: A Systematic Review

Kalpakjian

Bombardier

Schomer

et al. 2009

The Journal of Spinal Cord Medicine

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“…Studies on adaptation to disability indicate that the degree of functional limitations is often associated with psychosocial outcomes. For instance, Ferington (1986) reported that a measure of functionality (i.e., level of injury in persons with spinal cord injuries [SCIs)) was positively correlated with depression. Similar findings were reported by Kennedy, Lowe, Grey, and Short (1995), who found a positive association between functionality and psychosocial distress among people with SCI.…”

Section: Functionality and Visibilitymentioning

confidence: 99%

Coping Strategies as Predictors and Mediators of Disability-Related Variables and Psychosocial Adaptation

Livneh

Wilson

2003

Rehabilitation Counseling Bulletin

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This study examined the relationships among four predictors (functional limitations, perceived visibility of condition, and two disability-associated affective responses— anxiety and depression), coping strategies, and two outcome measures of psychosocial adaptation to disability (disability-specific psychosocial adjustment and life satisfac-1. CID-sFecihc ratings (e.g., adjustment to cancer) versus global life-functioning indices (e.g., perceived quality of life), 2. measures of psychological distress or maladaptive symptomology (e.g., anxiety, depression) versus measures of successful or adaptive functioning (e.g., life satisfaction, self 'e5teem), and 3. indices of general health (including medical status) versus experiential indices (e.g., per-ceFtions of psychological, social, and/or vocational functioning).In addition, efforts to measure psychosocial adaptation to CID halve spanned self-and proxy-reports, uni-and multidimensional scales, and measures of widely differing psychometric soundness.

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“…Some studies report low perceived or external locus of control 16,35 while others have found a more internally oriented or higher perception of control. 29,37 It is di cult to compare results when di erent measures were used. Perceived control has been shown to be signi®cantly associated with QOL in three separate studies of individuals with spinal cord injury.…”

Section: External Componentmentioning

confidence: 99%

Measuring quality of life of persons with spinal cord injury: external and structural validity

May

Warren

2002

Spinal Cord

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Study design: Measurement evaluation of the external and structural components of validity. Objectives: To examine the relationships between quality of life (QOL) as measured by the spinal cord injury (SCI) version of the Ferrans and Powers Quality of Life Index (QLI) and other constructs represented within the model of disablement; and to examine the domains and scoring model of the QLI by exploring item and overall score/section score relationships. Setting: Community, Alberta, Canada. Methods: A convenience sample of 98 individuals with SCI living in the community completed the QLI and measures representing the model of disablement including the ASIA motor index, Functional Independence Measure, Reintegration to Normal Living index, Rosenberg's Self-Esteem Scale and Rotter's Internal ± External Locus of Control scale. Results: Four of the ®ve a priori hypotheses were supported. Locus of control was not signi®cantly related to QOL as expected. Factor analysis resulted in a ®ve-factor structure that di ered from the four-domain model of the original QLI. Scoring relationships indicated that both the satisfaction and importance ratings contribute to the overall score, although not equally. Conclusion: There is support for the external component of validity although further examination regarding locus of control for persons with SCI is warranted. The structural component of validity requires further investigation to elucidate the domains of the SCI version of the QLI and the contribution of the importance scores.

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Personal control and coping effectiveness in spinal cord injured persons

Cited by 21 publications

References 31 publications

Measuring Depression in Persons With Spinal Cord Injury: A Systematic Review

Measuring Depression in Persons With Spinal Cord Injury: A Systematic Review

Coping Strategies as Predictors and Mediators of Disability-Related Variables and Psychosocial Adaptation

Measuring quality of life of persons with spinal cord injury: external and structural validity

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