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Relationship between self-concept and successful rehabilitation.
Summary
Self-concept strongly influences spinal cord injury (SCI) rehabilitation adjustment. Positive self-concept correlates with better outcomes, regardless of injury specifics.
Area of Science:
- Rehabilitation Medicine
- Psychology
- Neuroscience
Background:
- Spinal cord injury (SCI) presents significant challenges to patient adjustment during rehabilitation.
- Understanding factors influencing successful rehabilitation is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the relationship between self-concept and adjustment to rehabilitation in individuals with spinal cord injury.
- To determine if time since injury or level of injury impacts this relationship.
Main Methods:
- One hundred fifty-seven individuals with spinal cord injury participated across three centers.
- The Tennessee Self-Concept Scale (TSCS) measured self-concept.
- Nurses assessed rehabilitation adjustment using a six-point scale.
Main Results:
- Thirteen subsets of the TSCS significantly correlated with nurses' assessment of adjustment.
- A norm deviate score from the TSCS indicated high significance (P < .001).
- Time since injury, sex, and inpatient/outpatient status were not significant factors; level of injury showed slight significance.
Conclusions:
- Self-concept is a significant predictor of successful rehabilitation adjustment in spinal cord injury patients.
- Interventions aimed at improving self-concept may enhance rehabilitation outcomes.
- While level of injury has a minor influence, self-concept appears to be the primary psychological factor in adjustment.