Affiliations: [a] University of Michigan, Ann Arbor, MI, USA | [b] University of Alabama at Birmingham, Birmingham, AL, USA | [c] MCP Hahnemann University, Philadelphia, PA, USA | Lash and Associates Publishing/Training, Inc., Wake Forest, NC, USA
Correspondence:
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Address for correspondence: Timothy R. Elliott, Ph.D., Department of Psychology, CH 415, 1530 3rd Avenue South, University of Alabama-Birmingham, Birmingham, AL 35294-1170, USA. E-mail: telliott@uab.edu
Abstract: Background/objectives:The relationship of social problem solving abilities, health locus of control beliefs, and psychosocial impairment were examined among individuals with spinal cord injuries who were hospitalized following surgical repair of severe pressure sores. Methods:Individuals were approached after surgical repair and completed measures of problem solving, health locus of control beliefs, and psychosocial impairment after admission to the rehabilitation hospital. Results:The sample reported greater psychosocial impairment than observed in comparative data, but they did not differ from another sample in terms of health locus of control beliefs. Correlational analyses revealed that a negative orientation toward problem solving was significantly predictive of psychosocial impairment, consistent with prior research. However, a second study found persons assigned to a brief problem solving intervention did not differ on any measure from participants in a control group. Discussion:Implications of these results are discussed from theoretical and clinical perspectives. Although social problem solving abilities were predictive of psychosocial impairment in a predicted direction, the lack of effects for the intervention suggests greater precision is needed to understand individual needs and to develop individualized intervention protocols.
Keywords: spinal cord injury, pressure sore, problem solving, locus of control
