Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Aug;96(8):1484-91.
doi: 10.1016/j.apmr.2015.04.009. Epub 2015 Apr 25.

Associations of proactive coping and self-efficacy with psychosocial outcomes in individuals after stroke

Nienke S Tielemans  1 , Vera P Schepers  2 , Johanna M Visser-Meily  2 , Marcel W Post  3 , Caroline M van Heugten  4
Affiliations

Associations of proactive coping and self-efficacy with psychosocial outcomes in individuals after stroke

Nienke S Tielemans et al. Arch Phys Med Rehabil. 2015 Aug.

Abstract

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 (β=-.55, P<.001) and with higher USER-Participation satisfaction (β=.31, P=.001), 2LS (β=.34, P<.001), and SS-QOL-12 scores (β=.44, P<.001). The influence of UPCC scores on HRQOL was indirect through self-efficacy. Higher GSES scores were associated with higher UPCC scores (β=.65, P<.001), which in turn were associated with lower HADS scores (β=-.51, P<.001). GSES scores were directly associated with higher SS-QOL-12 scores (β=.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.

Keywords: Coping behavior; Quality of life; Rehabilitation; Self efficacy; Stroke.

PubMed Disclaimer

Publication types

LinkOut - more resources