Does the disposition of passive coping mediate the association between illness perception and symptoms of anxiety and depression in patients with spinal cord injury during first inpatient rehabilitation?

To examine associations between illness perception, also called illness cognitions or appraisals, disposition of passive coping, and symptoms of anxiety and depression, and to test whether passive coping mediates the associations between illness perception and symptoms of anxiety and depression. Lon...

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Bibliographic Details
Published in:Disability and rehabilitation 2024-09, Vol.46 (19), p.4368-4376
Main Authors: Kuiper, Heleen, Leeuwen, Christel M C van, Stolwijk-Swüste, Janneke M, Post, Marcel W M
Format: Article
Language:English
Subjects:
Adaptation, Psychological
Adult
Aged
Anxiety - psychology
Depression - psychology
Female
Humans
Inpatients - psychology
Longitudinal Studies
Male
Middle Aged
Perception
Spinal Cord Injuries - psychology
Spinal Cord Injuries - rehabilitation
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Summary:To examine associations between illness perception, also called illness cognitions or appraisals, disposition of passive coping, and symptoms of anxiety and depression, and to test whether passive coping mediates the associations between illness perception and symptoms of anxiety and depression. Longitudinal, multicentre study. Participants were inpatients of spinal cord injury (SCI) rehabilitation. Measures included the Brief Illness Perception Questionnaire (B-IPQ), the Utrecht Coping List passive coping subscale (UCL-P), and the Hospital Anxiety and Depression Scale (HADS). Mediation was tested with the PROCESS tool. The questionnaires were completed by 121 participants at admission and at discharge. Of them, 70% were male, 58% had a paraplegia, and 82% an incomplete lesion. Weak to strong (0.294-0.650) significant associations were found between each pair of study variables. The use of passive coping strategies mediated the associations between illness perception and symptoms of anxiety and depression. Symptoms of anxiety and depression were more frequent in people who have a threatening illness perception combined with a lower use of passive coping strategies. Therefore, it is advised that patients are screened and treated for threatening illness perception and high use of passive coping strategies during rehabilitation after SCI.
ISSN:0963-8288
1464-5165
1464-5165
DOI:10.1080/09638288.2023.2272714