Theory of adjustment following severe neurological injury: Evidence supporting the spinal cord injury adjustment model

Craig, A; Tran, Y; Middleton, J

Theory of adjustment following severe neurological injury: Evidence supporting the spinal cord injury adjustment model

Craig, A Tran, Y

Middleton, J

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Publication Type:: Chapter
Citation:: Horizons in Neuroscience Research, 2017, 29 pp. 117 - 139
Issue Date:: 2017-01-01

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Field	Value	Language
dc.contributor.author	Craig, A	en_US
dc.contributor.author	Tran, Y https://orcid.org/0000-0002-1741-4205	en_US
dc.contributor.author	Middleton, J	en_US
dc.date.issued	2017-01-01	en_US
dc.identifier.citation	Horizons in Neuroscience Research, 2017, 29 pp. 117 - 139	en_US
dc.identifier.isbn	9781536107951	en_US
dc.identifier.uri	http://hdl.handle.net/10453/126900
dc.description.abstract	© 2017 Nova Science Publishers, Inc. All rights reserved. Adjustment to chronic injury, especially when experienced under traumatic circumstances, can be extremely challenging and distressing. Many individuals who sustain a physical injury will struggle to cope with subsequent impairment and secondary conditions that include chronic pain, infections, persistent fatigue, reduced social participation and autonomy, reduced cognitive performance, loss of employment, as well as elevated psychological distress. This chapter presents integrated psychological theory that endeavours to explain how adults with the severe neurological disorder of spinal cord injury (SCI), cope with the many challenges and stresses involved in adjustment to this catastrophic injury. Adjustment to SCI is best viewed as a complex process, multifactorial in nature involving non-linear adaptation over time. Based on integrated theory, the SCI Adjustment Model (SCIAM) is discussed as a means to clarify how multiple factors contribute in a dynamic way to adjustment over time, resulting in either adaptive or maladaptive outcomes. Research findings are then presented that support the SCIAM model. Support for this theory of adjustment involves the relationship between pre-injury, peri-traumatic (Bovin & Marx, 2011) and mediating factors (e.g., appraisal and re-appraisal) to adjustment outcomes. Relationships over time will also be presented that support the dynamic model. Implications arising from this model for an improved understanding of how people adjust following a severe neurological injury like SCI will be explored.	en_US
dc.relation.ispartof	Horizons in Neuroscience Research	en_US
dc.title	Theory of adjustment following severe neurological injury: Evidence supporting the spinal cord injury adjustment model	en_US
dc.type	Chapter
utslib.citation.volume	29	en_US
utslib.for	1109 Neurosciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Engineering and Information Technology
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	29	en_US

Abstract:

© 2017 Nova Science Publishers, Inc. All rights reserved. Adjustment to chronic injury, especially when experienced under traumatic circumstances, can be extremely challenging and distressing. Many individuals who sustain a physical injury will struggle to cope with subsequent impairment and secondary conditions that include chronic pain, infections, persistent fatigue, reduced social participation and autonomy, reduced cognitive performance, loss of employment, as well as elevated psychological distress. This chapter presents integrated psychological theory that endeavours to explain how adults with the severe neurological disorder of spinal cord injury (SCI), cope with the many challenges and stresses involved in adjustment to this catastrophic injury. Adjustment to SCI is best viewed as a complex process, multifactorial in nature involving non-linear adaptation over time. Based on integrated theory, the SCI Adjustment Model (SCIAM) is discussed as a means to clarify how multiple factors contribute in a dynamic way to adjustment over time, resulting in either adaptive or maladaptive outcomes. Research findings are then presented that support the SCIAM model. Support for this theory of adjustment involves the relationship between pre-injury, peri-traumatic (Bovin & Marx, 2011) and mediating factors (e.g., appraisal and re-appraisal) to adjustment outcomes. Relationships over time will also be presented that support the dynamic model. Implications arising from this model for an improved understanding of how people adjust following a severe neurological injury like SCI will be explored.

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http://hdl.handle.net/10453/126900