PMID- 25921978
OWN - NLM
STAT- MEDLINE
DCOM- 20151020
LR  - 20161125
IS  - 1532-821X (Electronic)
IS  - 0003-9993 (Linking)
VI  - 96
IP  - 8
DP  - 2015 Aug
TI  - Associations of proactive coping and self-efficacy with psychosocial outcomes in 
      individuals after stroke.
PG  - 1484-91
LID - S0003-9993(15)00375-5 [pii]
LID - 10.1016/j.apmr.2015.04.009 [doi]
AB  - OBJECTIVE: To examine the associations of proactive coping and self-efficacy with 
      psychosocial outcomes in individuals after stroke. DESIGN: Cross-sectional study. 
      Regression analyses were performed. SETTING: Outpatient settings of hospitals and 
      rehabilitation centers. PARTICIPANTS: Individuals after stroke (N=112; mean age +/- 
      SD, 57.1+/-8.9y; mean time +/- SD since stroke, 18.9+/-28.5mo). INTERVENTIONS: Not 
      applicable. MAIN OUTCOME MEASURES: Proactive coping was measured using the 
      Utrecht Proactive Coping Competence scale (UPCC), and self-efficacy was measured 
      using the General Self-Efficacy Scale (GSES). Psychosocial outcomes were measured 
      as (1) participation with the use of the restriction and satisfaction subscales 
      of the Utrecht Scale for Evaluation of Rehabilitation-Participation 
      (USER-Participation); (2) emotional problems with the use of the Hospital Anxiety 
      and Depression Scale (HADS); (3) life satisfaction with the use of 2 questions 
      (2LS); and (4) health-related quality of life (HRQOL) with the use of the Short 
      Stroke-Specific Quality of Life scale (SS-QOL-12). RESULTS: Higher UPCC scores 
      were associated with lower HADS scores (beta=-.55, P<.001) and with higher 
      USER-Participation satisfaction (beta=.31, P=.001), 2LS (beta=.34, P<.001), and 
      SS-QOL-12 scores (beta=.44, P<.001). The influence of UPCC scores on HRQOL was 
      indirect through self-efficacy. Higher GSES scores were associated with higher 
      UPCC scores (beta=.65, P<.001), which in turn were associated with lower HADS scores 
      (beta=-.51, P<.001). GSES scores were directly associated with higher SS-QOL-12 
      scores (beta=.32, P=.002). GSES scores did not influence the association between 
      UPCC scores and any of the psychosocial outcomes (all P>.0025). CONCLUSIONS: 
      Proactive coping and self-efficacy have different associations with each of the 
      psychosocial outcomes. Therefore, outcome-specific models appear to be necessary 
      to describe these associations.
CI  - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by 
      Elsevier Inc. All rights reserved.
FAU - Tielemans, Nienke S
AU  - Tielemans NS
AD  - Department of Psychiatry and Neuropsychology, School for Mental Health and 
      Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands; 
      Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, 
      University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The 
      Netherlands.
FAU - Schepers, Vera P
AU  - Schepers VP
AD  - Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, 
      University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The 
      Netherlands.
FAU - Visser-Meily, Johanna M
AU  - Visser-Meily JM
AD  - Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, 
      University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The 
      Netherlands.
FAU - Post, Marcel W
AU  - Post MW
AD  - Brain Center Rudolf Magnus and Center of Excellence for Rehabilitation Medicine, 
      University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The 
      Netherlands; Department of Rehabilitation Medicine, Center for Rehabilitation, 
      University of Groningen, University Medical Center Groningen, Groningen, The 
      Netherlands.
FAU - van Heugten, Caroline M
AU  - van Heugten CM
AD  - Department of Psychiatry and Neuropsychology, School for Mental Health and 
      Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands; 
      Department of Neuropsychology and Psychopharmacology, Faculty of Psychology and 
      Neurosciences, Maastricht University, Maastricht, The Netherlands. Electronic 
      address: c.vanheugten@maastrichtuniversity.nl.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150425
PL  - United States
TA  - Arch Phys Med Rehabil
JT  - Archives of physical medicine and rehabilitation
JID - 2985158R
SB  - IM
MH  - *Adaptation, Psychological
MH  - Aged
MH  - Cross-Sectional Studies
MH  - Depression/psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Quality of Life/*psychology
MH  - *Self Efficacy
MH  - Stroke/*psychology
MH  - *Stroke Rehabilitation
OTO - NOTNLM
OT  - Coping behavior
OT  - Quality of life
OT  - Rehabilitation
OT  - Self efficacy
OT  - Stroke
EDAT- 2015/04/30 06:00
MHDA- 2015/10/21 06:00
CRDT- 2015/04/30 06:00
PHST- 2014/12/18 00:00 [received]
PHST- 2015/03/29 00:00 [revised]
PHST- 2015/04/09 00:00 [accepted]
PHST- 2015/04/30 06:00 [entrez]
PHST- 2015/04/30 06:00 [pubmed]
PHST- 2015/10/21 06:00 [medline]
AID - S0003-9993(15)00375-5 [pii]
AID - 10.1016/j.apmr.2015.04.009 [doi]
PST - ppublish
SO  - Arch Phys Med Rehabil. 2015 Aug;96(8):1484-91. doi: 10.1016/j.apmr.2015.04.009. 
      Epub 2015 Apr 25.