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. 2017 May;62(2):186-197.
doi: 10.1037/rep0000150.

Evaluation of a Concentric Biopsychosocial Model of Well-Being in Persons With Spinal Cord Injuries

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Evaluation of a Concentric Biopsychosocial Model of Well-Being in Persons With Spinal Cord Injuries

Susan Miller Smedema. Rehabil Psychol. .

Abstract

Objective: The objective of this study was to evaluate a concentric biopsychosocial model of well-being in individuals with spinal cord injuries (SCI).

Method: Adults (N = 235) with SCI participated in this study. A cross-sectional design with hierarchical regression and Andrew Hayes' (2013) PROCESS mediation analysis procedure was used to evaluate the model.

Results: Each step of the hierarchical regression on life satisfaction, in which biological variables were entered first, social variables were entered second, and psychological variables were entered third, was significant. Examining the standardized partial coefficients, pain, interpersonal self-efficacy, social support, hope-agency, and self-esteem were all significantly associated with life satisfaction, controlling for variables in each outward ring of the concentric model. Four serial mediational analyses were also conducted in which the social and psychological variables significantly partially mediated the relationship between pain and life satisfaction.

Conclusions: The results provide support for a concentric biopsychosocial model of well-being in persons with SCI. Rehabilitation interventions should focus on augmenting biopsychosocial factors to allow for maximum improvement in well-being outcomes in individuals with SCI. (PsycINFO Database Record

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