ArticleJournal of clinical medicine2022
Investigating Dynamics of the Spinal Cord Injury Adjustment Model: Mediation Model Analysis.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Peer-supported interventions for people with spinal cord injury.The Cochrane database of systematic reviews · 2024Pooled it
- Psychosocial factors associated with pain in spinal cord injury: a systematic review and meta-analysis.EClinicalMedicine · 2026Article
- Article
- Comorbidity network characteristics of depressive and anxiety symptoms and their associations with quality of life in patients with spinal cord injury: a cross-sectional study.Frontiers in psychiatry · 2026Article
- Altered functional connectivity underpins cognitive changes in chronic spinal cord injury.Brain communications · 2026Article
- Cumulative health burden and adjustment challenges following road traffic injuries: a controlled prospective study.BMC medicine · 2025Article
- Exploring the mediating effects of coping strategies on adjustment after sustaining a spinal cord injury.Spinal cord · 2025Article
- The Sir Ludwig Guttmann lecture 2023: psychosocial factors and adjustment dynamics after spinal cord injury.Spinal cord · 2025Article
- Implementing psychosocial guidelines into specialized spinal cord injury rehabilitation services to strengthen person-centred health care: protocol for a mixed methods study.Frontiers in rehabilitation sciences · 2025Article
- Special Issue-Spinal Cord Injuries: Advances in Rehabilitation.Journal of clinical medicine · 2024Article
- Co-design of the Spinal Cord Injury Health Maintenance Tool to Support Self-Management: A Mixed-Methods Approach.Topics in spinal cord injury rehabilitation · 2024Article
- Cognitive Reserve and Its Association with Cognitive and Mental Health Status following an Acute Spinal Cord Injury.Journal of clinical medicine · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Spinal cord injury (SCI) is a severe neurological injury that results in damage to multiple bodily systems. SCI rehabilitation requires a significant focus on improving adjustment to the injury. This paper presents a detailed description of the Spinal Cord Injury Adjustment Model (SCIAM), which clarifies how individuals adjust to SCI and contends that adjustment to SCI is a multifactorial process involving non-linear dynamic adaptation over time. Evidence supporting SCIAM is also discussed. Mediation analyses were conducted to test the mediator dynamics proposed by the model. The analyses tested the relationship between two moderators (self-care and secondary health conditions), mediators (two self-efficacy items and appraisal of quality of life or QoL), and positive versus negative vitality/mental health as outcomes. Results showed that higher self-efficacy and perceived QoL was related to greater independence in self-care and reduced negative impacts of secondary health conditions. This study supported the mediation role of self-efficacy and other appraisals such as perceived QoL in enhancing self-care and buffering the negative impact of health challenges. In conclusion, it is important to employ a holistic model such as SCIAM to conceptualise and increase understanding of the process of adjustment following a severe neurological injury such as SCI.
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