Abstract
Introduction: Psychosocial adjustment is crucial for mental health and well-being after a Spinal Cord Injury (SCI), as poor psychosocial adjustment may contribute to depression, anxiety, reduced quality of life, and ruined social relationships. Hope and coping mechanisms are crucial for psychosocial adjustment in SCI, which is widely acknowledged globally.
Objectives: To find out the impact of hope and coping on psychosocial adjustment after SCI in the rehabilitation centre of Bangladesh.
Methods: A cross-sectional study was conducted among the 109 participants receiving rehabilitation services from the Centre for the Rehabilitation of the Paralysed (CRP). Data was collected using the Adult Hope Scale, Brief Cope, and The Psychosocial Adjustment to Illness Scale (PAIS-SR). A descriptive and analytical analysis was performed using the SPSS 20 version.
Results: The mean age of the participants was 33.76 ±13.24 years, with 88% being male and 12% female. Among the participants, 37.6% had tetraplegia, and 62.4% had paraplegia. 68.8% of participants exhibited low hope. As for coping, Problem-focused and emotion-focused coping were both moderately low, and avoidant coping was less prevalent, with mean 52.70 ± 15.28, 52.73 ± 9.10, and 43.75 ± 10.71, respectively. The psychosocial adjustment level was moderately low, with a mean of 1.5361 ±.65805. The psychosocial adjustments were negatively correlated with hope (r= -.447**), problem-focused coping (r= -.397**), and emotion-focused coping (r= -.244*).
Conclusion: The rehabilitation program must focus on cultivating hope, enhancing coping mechanisms, and considering psychosocial adjustment factors to improve the psychosocial adjustment of people with SCI.