Category: Spinal Cord Injury; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
Objective : To investigate the relationship between self-reported spirituality, cognitive fusion, and values progress and anxiety and positive affect in a sample of individuals with SCI.
Design : Survey
Setting : Referral Center
Participants (or Animals, Specimens, Cadavers) : 159 participants (Mean age= 46.8, SD=15.3; 62% male; 64% Caucasian) who had sustained an SCI at least one year prior (Mean years since injury=12.4, SD=11.7) were recruited via medical center registries.
Main Outcome Measure(s) :
Cognitive Fusion Questionnaire (CFQ), Functional Assessment of Chronic Illness Therapy- Spiritual Well-Being, Values Questionnaire- Progress (VQ-P), and SCI- Quality of Life (SCI-QOL) Anxiety and Positive Affect subscales
Regression analysis indicate that age, time since injury, and education were not significant predictors of anxiety or positive affect, but the overall models including gender, spiritual well-being, cognitive fusion, and values progress were significant for both outcomes (R2adj= .626 and .713, respectively). Spiritual well-being (sr2= .135, p < .001) and values progress (sr2 = .055, p < .001) each accounted for unique variance in positive affect, whereas cognitive fusion did not (p = .890). Cognitive fusion (sr2 = .276, p < .001), spiritual well-being (sr2 = .053, p <.001), and values progress (sr2 = .02, p < .01) each accounted for unique variance in anxiety.
Conclusions : Among individuals with SCI, anxiety was more strongly related to degree of thought fusion, whereas positive affect had a stronger association with spiritual well-being and valued living. Treatment planning should take in to account goals of both decreasing anxiety and increasing positive affect, and may benefit from exploring client experiences with cognitive fusion, spiritual well-being, and values pursuit.
Lindsey Bupp– Neuropsychology Resident, Rehabilitation Institute of Michigan, Detroit, Michigan
Brigid Waldron-Perrine– Staff Rehabilitation Psychologist and Neuropsychologist, Rehabilitation Institute of Michigan, Detroit, Michigan
Robin Hanks– Chief of Rehabilitation Psychology and Neuropsychology, Rehabilitation Institute of Michigan, Detroit, Michigan
Anna Kratz– Associate Professor, University of Michigan, Ann Arbor, Michigan