Abstract
Although many persons with spinal cord injuries (SCI) are at risk for preventable complications, very little research has examined the health behaviors of these individuals. In this study, we examined self-reported health behaviors of persons with recent-onset SCI. We also studied the association between health behaviors and social problem-solving abilities. The results indicated that positive problem-solving characteristics were associated with more adaptive wellness and accident prevention behaviors. A negative orientation toward problem solving and avoidant and impulsive/careless styles was associated with increased traffic and substance risk taking. Implications are discussed in terms of health education, research, and prevention programs.
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REFERENCES
Booth-Kewley, S., & Vickers, R. R. (1994). Associations between major domains of personality and health behavior. Journal of Personality, 62, 281-298.
Consortium for Spinal Cord Medicine. (2000). Pressure ulcer prevention and treatment following spinal cord injury: A clinical practice guideline for health-care professionals. Washington, DC: Paralyzed Veterans of America.
Coyle, C. P., Santiago, M. C., Shank, J. W., Ma, G. X., & Boyd, R. (2000). Secondary conditions and women with physical disabilities: A descriptive study. Archives of Physical Medicine and Rehabilitation, 81, 1380-1387.
Dwyer, K. A. (1997). Psychosocial factors and health status in women with rheumatoid arthritis: Predictive models. American Journal of Preventative Medicine, 13, 66-72.
D'Zurilla, T. J., & Chang, E. C. (1995). The relations between social problem solving and coping. Cognitive Therapy and Research, 19, 547-562.
D'Zurilla, T. J., & Goldfried, M. (1971). Problem-solving and behavior modification. Journal of Abnormal Psychology, 78, 104-126.
D'Zurilla, T. J., & Maydeu-Olivares, A. (1995). Conceptual and methodological issues in social problem-solving assessment. Behavior Therapy, 26, 409-432.
D'Zurilla, T. J., & Nezu, A. (1999). Problem-solving therapy(2nd ed.). New York: Springer.
D'Zurilla, T. J., Nezu, A. M., Maydeu-Olivares, A. (2002). Social Problem-Solving Inventory-Revised (SPSI-R): Technical Manual. North Tonawanda, NY: Multi-Health Systems.
Elliott, T., & Bush, B. (2003, April). Social problem-solving abilities and pressure sore occurrence among persons with spinal cord injury. Paper presented at the mid-winter conference of the Division of Rehabilitation Psychology/APA and the American Board of Rehabilitation Psychology entitled, “quo;Celebrating Our Heritage, Creating Our Vision,”quo; Tucson, AZ.
Elliott, T., Godshall, F., Herrick, S., Witty, T., & Spruell, M. (1991). Problem-solving appraisal and psychological adjustment following spinal cord injury. Cognitive Therapy and Research, 15, 387-398.
Elliott, T., Herrick, S., Elliott, A., & Shrout, J. R. (1995). Personality correlates of self-appraised problem solving abilities. Counseling Psychology Quarterly, 8, 163-171.
Elliott, T., Johnson, M. O., & Jackson, R. (1997). Social problem solving and health behaviors of undergraduate students. Journal of College Student Development, 38, 24-31.
Elliott, T., & Rivera, P. (2003). Spinal cord injury. In A. Nezu, C. Nezu, & P. Geller (Eds.), Comprehensive handbook of psychology, Vol. 9: Health psychology (pp. 415-435). New York: Wiley.
Elliott, T., Shewchuk, R., Richeson, C., Pickelman, H., & Franklin, K. W. (1996). Problem-solving appraisal and the prediction of depression during pregnancy and in the postpartum period. Journal of Counseling and Development, 74, 645-651.
Godshall, F. J., & Elliott, T. R. (1997). Behavioral correlates of self-appraised problem-solving ability: Problem-solving skills and health-compromising behaviors. Journal of Applied Social Psychology, 27, 929-944.
Heinemann, A. W., Mamott, B. D., & Schnoll, S. (1990). Substance use by persons with recent spinal cord injuries. Rehabilitation Psychology, 35, 217-228.
Herrick, S., Elliott, T., & Crow, F. (1994). Self-appraised problem solving skills and the prediction of secondary complications among persons with spinal cord injury. Journal of Clinical Psychology in Medical Settings, 1, 269-283.
Hughes, R. B., Nosek, M. A., Howland, C. A., Groff, J. Y., & Mullen, P. D. (2003). Health promotion for women with physical disabilities: A pilot study. Rehabilitation Psychology, 48, 182-188.
Hughes, R. B., Swedlund, N., Petersen, N., & Nosek, M. A. (2001). Depression and women with spinal cord injury. Topics in Spinal Cord Injury Rehabilitation, 7(1), 16-24.
Martine-Ginis, K. A., Latimer, A. E., McKechinie, K., Ditor, D. S., McCartney, N., Hicks, A. L., et al. (2003). Using exercise to enhance subjective well-being among people with spinal cord injury: The mediating influences of stress and pain. Rehabilitation Psychology, 48(3), 157-164.
Mattarazzo, J. D. (1984). Behavioral health: A 1990 challenge for the health professions. In J. D. Mattarazzo, J. A. Herd, N. E. Miller, & S. M. Weiss (Eds.), Behavioral health: A handbook of health enhancement and disease prevention (pp. 3-40). New York: Wiley.
Nezu, A. M. (1987). A problem-solving formulation of depression: A literature review and proposal of a pluralistic model. Clinical Psychology Review, 7, 121-144.
Nezu, A. M., Nezu, C. M., Friedman, S. H., & Faddis, S. (1998). Helping cancer patients cope: A problem-solving approach. Washington, DC: American Psychological Association.
Nezu, A., Nezu, C. M., Houts, P. S., Friedman, S. H., & Faddis, S. (1999). Relevance of problem-solving therapy to psychosocial oncology. Journal of Psychosocial Oncology, 16(3/4): 5-26.
Ravesloot, C., Seekins, T., & Young, Q. R. (1998). Health promotion for people with chronic illness and physical disabilities: The connection between health psychology and disability prevention. Clinical Psychology and Psychotherapy, 5, 76-85.
Richards, J. S. (1981). Pressure ulcers in spinal cord injury: Psychosocial correlates. SCI Digest, 3, 11-18.
Sable, J., Craig, P., & Lee, D. (2000). Promoting health and wellness: A research-based case report. Therapeutic Recreation Journal, 34, 348-361.
Smarr, K., L., Parker, J. D., Wright, G. E., Stucky-Ropp, R. C., Buckelew, S. P., Hoffman, R. W., et al. (1997). The importance of enhancing self-efficacy in rheumatoid arthritis. Arthritis Care and Research, 10, 18-26.
Stover, S. L., Lloyd, L., Waites, K., & Jackson, A. (1991). Neurogenic urinary tract infection. Neurologics Clinics, 9, 741-755.
Taylor, S. E. (1991). Health psychology (2nd ed.). New York: McGraw-Hill.
Temple, R., & Elliott, T. (2000). Personality disorder characteristics and adjustment following spinal cord injury. Topics in Spinal Cord Injury Rehabilitation, 6(1), 54-65.
Toobert, D. J., & Glasgow, R. E. (1991). Problem solving and diabetes self-care. Journal of Behavioral Medicine, 14, 71-86.
Vickers, R. R., Conway, T. L., & Hervig, L. X. (1990). Demonstration of replicable dimensions of health behaviors. Preventive Medicine, 19, 377-401.
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Dreer, L.E., Elliott, T.R. & Tucker, E. Social Problem-Solving Abilities and Health Behaviors Among Persons with Recent-Onset Spinal Cord Injury. Journal of Clinical Psychology in Medical Settings 11, 7–13 (2004). https://doi.org/10.1023/B:JOCS.0000016265.62022.82
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DOI: https://doi.org/10.1023/B:JOCS.0000016265.62022.82