Impact of psychological characteristics in self-management in individuals with traumatic XXXX .

@entity1 @entity308 @entity21191 @entity148 @entity1566
STUDY DESIGN: Cross-sectional survey. OBJECTIVE: To examine the association between psychological characteristics in self-management and probable @entity308 status in individuals with a traumatic @entity1566 ( @entity1566 ). SETTING: Community-dwelling individuals with traumatic @entity1566 living across Canada. METHODS: Individuals with @entity1566 were recruited by email via the @entity21191 Hansen Institute as well as an outpatient hospital spinal clinic. Data were collected by self-report using an online survey. Standardized questionnaires were embedded within a larger survey and included the @entity148 and @entity308 Scale (HADS), the short version of the @entity1 Activation Measure (PAM), the Moorong Self-Efficacy Scale (MSES) and the Pearlin-Schooler Mastery Scale (PMS). RESULTS: Individuals with probable @entity308 (n=25) had lower self-efficacy (67.9 vs 94.2, P<0.0001), mastery (18.9 vs 22.9, P<0.0001) and @entity1 activation (60.4 vs 71.6, P<0.0001) as well as higher @entity148 (9.0 vs 5.5, P<0.0001), compared with their non- @entity308 counterparts (n=75). A logistic regression determined that lower self-efficacy and mastery scores as well as less time since injury were associated with @entity308 status (P=0.002; P=0.02 and P=0.02, respectively). Individuals with higher @entity148 scores were almost 1.5 times more likely to be @entity308 , while older age was positively associated with @entity308 status (P=0.016 and P=0.024, respectively). CONCLUSION: Interventions for @entity308 in @entity1566 , including a self-management program, should target factors such as self-efficacy and mastery, which could improve secondary medical complications and overall quality of life.
