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• W3036794893 abstract "Objective To investigate if the combination of self-efficacy levels of persons with spinal cord injury (SCI) or acquired brain injury (ABI) and their significant others, measured shortly after the start of inpatient rehabilitation, predict their personal and family adjustment six months after inpatient discharge. Design Prospective longitudinal study. Setting Twelve Dutch rehabilitation centers. Participants Volunteer sample consisting of 157 dyads of adult persons with SCI/ABI admitted to inpatient rehabilitation, and their adult significant others. Interventions Not applicable. Main outcome measures Self-efficacy (General Competence Scale), personal and family adjustment (Hospital Anxiety and Depression Scale and McMaster Family Assessment Device General Functioning). Results In 20 dyads, both persons with SCI/ABI and their significant others showed low self-efficacy at baseline, and in 67 dyads both showed high self-efficacy. In the low-self-efficacy dyads, 61% of the persons with SCI/ABI and 50% of the significant others showed symptoms of anxiety six months after discharge, versus 23% and 30% in the high-self-efficacy dyads. In the low-self-efficacy dyads, 56% of persons with SCI/ABI and 50% of the significant others reported symptoms of depression, versus 20% and 27% in the high-self-efficacy dyads. Problematic family functioning was reported by 53% of the persons with SCI/ABI and 42% of the significant others in the low-self-efficacy dyads, versus 4% and 12% in the high-self-efficacy dyads. MANOVA analyses showed that the combination of levels of self-efficacy of persons with SCI/ABI and their significant others at the start of inpatient rehabilitation predict personal (V=0.12 F(6, 302)=2.8, p=0.010) and family adjustment (V=0.19 F(6, 252)=4.3, p Conclusions Low-self-efficacy dyads seem to be more at risk for personal and family adjustment problems after discharge. Screening for self-efficacy may help healthcare professionals to identify and support families at risk for long-term adjustment problems." @default.
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• W3036794893 date "2020-11-01" @default.
• W3036794893 modified "2023-10-16" @default.
• W3036794893 title "Self-Efficacy Predicts Personal and Family Adjustment Among Persons With Spinal Cord Injury or Acquired Brain Injury and Their Significant Others: A Dyadic Approach" @default.
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• W3036794893 doi "https://doi.org/10.1016/j.apmr.2020.06.003" @default.
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