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Unmet expectations of adjustment and depressive symptoms among people with chronic traumatic spinal cord injury. | LitMetric
Objective : We attempted to gain a better understanding of overall adjustment among people with chronic traumatic spinal cord injury (TSCI) by identifying participants who experienced unmet expectations of adjustment to TSCI. We also examined the relationship between unmet expectations and depressive symptoms.Method : This was a prospective cohort study. Participants who survived at least 1 year postinjury (N = 863) were assessed at 2 time points separated by 10 years. Using a 10-point ladder (1 = worst and 10 = best adjustment), self-predicted future adjustment was measured at Time 1. At Time 2, current adjustment was reassessed using the same scale to evaluate differences between predicted and actual adjustment. Adjustment expectations were considered unmet when actual adjustment ratings at Time 2 were lower than predicted adjustment at Time 1. We measured depressive symptoms by using the Older Adult Health and Mood Questionnaire at both time points.Results : More than half of our participants experienced unmet expectations of adjustment over a 10-year period, and having unmet expectations was positively associated with depressive symptoms.Conclusion : Unmet expectations of adjustment after TSCI are common among those injured, and they are important predictors of depressive symptoms.
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