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Stress and coping in spouses of persons with spinal cord injuries
1Department of Psychology, The University of Hong Kong, China. ckrchan@hkusua.hku.hk
Objective:
To examine the sources of stress and the patterns of coping of spouses of persons with spinal cord injuries (SCI) among Hong Kong Chinese.
Design:
A cross-sectional correlation design. A set of structured questionnaires and semi-structured interviews were administered.
Subjects:
Forty spouses of persons with SCI were recruited and interviewed.
Outcome Measures:
These included coping strategies, depression, care-giving burden, life satisfaction and marital adjustment.
Results:
The most stressful situations reported by the participants concerned health issues of their injured partners, the family and marital interactions, and the care-giving burden imposed on them. Cluster analysis indicated a potential at-risk group, characterized by high scores in external locus of control, inadequate coping modes and limited social support. They were noted to manifest high levels of depression, care-giving burden, low levels of life satisfaction and marital adjustment.
Conclusion:
The identification of the potential at-risk group indicates that spouses of persons with SCI suffer levels of stress comparable to those of their injured partners. Rehabilitation plans should include this potential at-risk group to help them release the stress and to prevent them from developing clinically significant mental disorders.