ArticleSpinal cord2018
Cognitive appraisals and emotional status following a spinal cord injury in post-acute rehabilitation.
Article in Spinal cord, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.
- Diagnostic accuracy and feasibility of depression screening in spinal cord injury: A systematic review.The journal of spinal cord medicine · 2019Pooled it
- Anxiety and adjustment following SCI: a transdiagnostic psychological intervention combining Cognitive Behavioural Therapy (CBT) and Coping Effectiveness Training (CET).Spinal cord series and cases · 2025Article
- Perceived stress and pain interference in acute rehabilitation following spinal cord injury: Resilience as a moderator.Rehabilitation psychology · 2024Article
- Challenge or opportunity: Rehabilitation outcomes in patients with metastatic spinal cord compression - a UK single center experience.The journal of spinal cord medicine · 2024Article
- The posttraumatic cognitive appraisal inventory (PTCAI): development and validation.Frontiers in psychology · 2023Article
- Cognitive appraisals of disability in persons with traumatic spinal cord injury: a scoping review.Spinal cord · 2022Article
- Appraisals of disability and psychological adjustment in veterans with spinal cord injuries.The journal of spinal cord medicine · 2021Article
- Observational
- Body experience during post-acute rehabilitation in individuals after a traumatic spinal cord injury: a qualitative interview-based pilot study.Spinal cord series and cases · 2021Article
- Psychological outcomes of MRSA isolation in spinal cord injury rehabilitation.Spinal cord series and cases · 2020Article
- Use of Appraisals of DisAbility Primary and Secondary Scale-Short Form (ADAPSS-sf) in individuals with pediatric-onset spinal cord injury.Spinal cord · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designRetrospective, cross-sectional study.
objectivesTo investigate the factor structure of the ADAPSS-short form (ADAPSS-SF) in an acutely injured SCI population and to assess the relationship between cognitive appraisals made in the initial phase of rehabilitation and the experience of anxiety and depression.
settingNational Spinal Injuries Centre, UK.
methodParticipants were acutely injured patients admitted to the NSIC over 35 months. Cognitive appraisals were measured using the ADAPSS-SF; psychological distress was measured using the HADS. Individual profiles, including demographics and injury characteristics, were collected.
resultsPrinciple Component Analysis with oblique rotation demonstrated a coherent two-factor structure of the ADAPSS-SF: resilience and loss. Correlational analysis found that individuals who negatively appraised their injury were more likely to report lower mood. Findings identified four vulnerable subgroups that were more likely to negatively appraise their injury: females, individuals older at the time of SCI, individuals with AIS-A injuries and individuals whose SCI was acquired through assault. Hierarchical regression analysis reported that resilience and loss factors were significant predictors of depression. Gender, resilience and loss factors were significant predictors of anxiety. Cognitive appraisals accounted for more variance in mood above biological markers.
conclusionsFindings support a two-factor structure and validity of ADAPSS-SF in acute SCI rehabilitation. The study provides support for the role of cognitive appraisals in psychological adjustment in the early phases of rehabilitation, above injury characteristics. Findings highlighted the vulnerable subgroups that are more likely to initially endorse negative appraisals, which may influence clinical practice and provides an avenue for further research.
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