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Sense of coherence and coping behaviours in persons with late effects of polio

Nolvi, Maria LU ; Brogårdh, Christina LU ; Jacobsson, Lars LU orcid and Lexell, Jan LU (2022) In Annals of Physical and Rehabilitation Medicine 65(3).
Abstract

Background: Sense of coherence (SOC), comprising “comprehensibility”, “manageability” and “meaningfulness”, is important for successful adaptation in persons with late effects of polio (LEoP) and can be used as an estimate of the ability to cope with stressors. Coping behaviours are the actions a person performs to reduce stress and can be divided into problem-focused coping, emotion-focused coping and less useful coping. Our knowledge is very limited of what coping behaviours persons with LEoP use to manage their life situation as well as the association between SOC and coping behaviours. Objective: The aims of this cross-sectional study were to assess coping behaviours and to explore the association between SOC and coping behaviours... (More)

Background: Sense of coherence (SOC), comprising “comprehensibility”, “manageability” and “meaningfulness”, is important for successful adaptation in persons with late effects of polio (LEoP) and can be used as an estimate of the ability to cope with stressors. Coping behaviours are the actions a person performs to reduce stress and can be divided into problem-focused coping, emotion-focused coping and less useful coping. Our knowledge is very limited of what coping behaviours persons with LEoP use to manage their life situation as well as the association between SOC and coping behaviours. Objective: The aims of this cross-sectional study were to assess coping behaviours and to explore the association between SOC and coping behaviours in persons with LEoP. Methods: In total, 93 ambulant persons (52% women, mean [SD] age 74 [8] years) with clinically and electromyographically verified LEoP responded to a postal survey with the Sense of Coherence Scale 13 items (SOC-13) and the Brief Cope Scale. Three linear regression analyses were used to explore the association between SOC and problem-focused coping, emotion-focused coping and less useful coping, controlling for age and sex. Results: The most-used coping behaviours belonged to the categories problem-focused and emotion-focused coping. We found a significant negative association between SOC and less useful coping; less useful coping explained 34% of the variance of SOC (adj R2 = 0.34, p < 0.001), whereas age and sex were not significant in the analyses. Conclusions: Persons with LEoP primarily use problem-focused and emotion-focused coping behaviours, which suggests that generally they have adapted well to their disability. Regardless of age and sex, persons with lower SOC scores use less useful coping behaviours, which suggests that they are not as well adapted. These results can facilitate the development of rehabilitation interventions that help persons with LEoP adapt to their situation with a life-long disability.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adaptation, Disabled persons, Post-poliomyelitis syndrome, Psychological, Rehabilitation, Sense of coherence
in
Annals of Physical and Rehabilitation Medicine
volume
65
issue
3
article number
101577
publisher
Elsevier Masson SAS
external identifiers
  • scopus:85120935136
  • pmid:34624546
ISSN
1877-0657
DOI
10.1016/j.rehab.2021.101577
language
English
LU publication?
yes
id
ed2c55f6-cea1-4447-8be3-eb108497de4e
date added to LUP
2022-01-25 14:09:52
date last changed
2024-03-09 01:58:22
@article{ed2c55f6-cea1-4447-8be3-eb108497de4e,
  abstract     = {{<p>Background: Sense of coherence (SOC), comprising “comprehensibility”, “manageability” and “meaningfulness”, is important for successful adaptation in persons with late effects of polio (LEoP) and can be used as an estimate of the ability to cope with stressors. Coping behaviours are the actions a person performs to reduce stress and can be divided into problem-focused coping, emotion-focused coping and less useful coping. Our knowledge is very limited of what coping behaviours persons with LEoP use to manage their life situation as well as the association between SOC and coping behaviours. Objective: The aims of this cross-sectional study were to assess coping behaviours and to explore the association between SOC and coping behaviours in persons with LEoP. Methods: In total, 93 ambulant persons (52% women, mean [SD] age 74 [8] years) with clinically and electromyographically verified LEoP responded to a postal survey with the Sense of Coherence Scale 13 items (SOC-13) and the Brief Cope Scale. Three linear regression analyses were used to explore the association between SOC and problem-focused coping, emotion-focused coping and less useful coping, controlling for age and sex. Results: The most-used coping behaviours belonged to the categories problem-focused and emotion-focused coping. We found a significant negative association between SOC and less useful coping; less useful coping explained 34% of the variance of SOC (adj R2 = 0.34, p &lt; 0.001), whereas age and sex were not significant in the analyses. Conclusions: Persons with LEoP primarily use problem-focused and emotion-focused coping behaviours, which suggests that generally they have adapted well to their disability. Regardless of age and sex, persons with lower SOC scores use less useful coping behaviours, which suggests that they are not as well adapted. These results can facilitate the development of rehabilitation interventions that help persons with LEoP adapt to their situation with a life-long disability.</p>}},
  author       = {{Nolvi, Maria and Brogårdh, Christina and Jacobsson, Lars and Lexell, Jan}},
  issn         = {{1877-0657}},
  keywords     = {{Adaptation; Disabled persons; Post-poliomyelitis syndrome; Psychological; Rehabilitation; Sense of coherence}},
  language     = {{eng}},
  number       = {{3}},
  publisher    = {{Elsevier Masson SAS}},
  series       = {{Annals of Physical and Rehabilitation Medicine}},
  title        = {{Sense of coherence and coping behaviours in persons with late effects of polio}},
  url          = {{http://dx.doi.org/10.1016/j.rehab.2021.101577}},
  doi          = {{10.1016/j.rehab.2021.101577}},
  volume       = {{65}},
  year         = {{2022}},
}