AbstractObjective: To examine the associations of proactive coping and self-efficacy with psychosocial outcomes in individuals after stroke.Design: Cross-sectional study. Regression analyses were performed.Setting: Outpatient settings of hospitals and rehabilitation centers.Participants: Individuals after stroke (NZ112; mean age SD, 57.18.9y; mean time SD since stroke, 18.928.5mo).Interventions: Not applicable.Main Outcome Measures: Proactive coping was measured using the Utrecht Proactive Coping Competence scale (UPCC), and self-efficacy wasmeasured using the General Self-Efficacy Scale (GSES). Psychosocial outcomes were measured as (1) participation with the use of the restrictionand satisfaction subscales of the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation); (2) emotional problems withthe use of the Hospital Anxiety and Depression Scale (HADS); (3) life satisfaction with the use of 2 questions (2LS); and (4) health-related qualityof life (HRQOL) with the use of the Short Stroke-Specific Quality of Life scale (SS-QOL-12).Results: Higher UPCC scores were associated with lower HADS scores (bZ.55, P<.001) and with higher USER-Participation satisfaction(bZ.31, PZ.001), 2LS (bZ.34, P<.001), and SS-QOL-12 scores (bZ.44, P<.001). The influence of UPCC scores on HRQOL was indirectthrough self-efficacy. Higher GSES scores were associated with higher UPCC scores (bZ.65, P<.001), which in turn were associated with lowerHADS scores (bZ.51, P<.001). GSES scores were directly associated with higher SS-QOL-12 scores (bZ.32, PZ.002). GSES scores did notinfluence the association between UPCC scores and any of the psychosocial outcomes (all P>.0025).Conclusions: Proactive coping and self-efficacy have different associations with each of the psychosocial outcomes. Therefore, outcome-specificmodels appear to be necessary to describe these associations.
การแปล กรุณารอสักครู่..
