van Diemen T, Tran Y, Stolwijk-Swuste JM, et al. - A longitudinal inception cohort study was conducted to ascertain latent trajectory classes of self-efficacy (SE), depressive mood, and anxiety in people with spinal cord injury (SCI) and the interrelationships between these trajectories. Researchers recruited a total of 268 individuals, men (68.3%), mean age 55.6 years almost half had a traumatic SCI (50.4) and tetraplegia(53.7%), the minority had a motor complete SCI (32.2). The University of Washington Self-efficacy Scale was used to measure self-efficacy. They further used the Hospital Anxiety and Depression Scale to evaluate distress and perform dual trajectory modeling analyses. According to the findings, distinct trajectories of SE, depressive mood, and anxiety were distinguished and high probabilities that SE trajectories were interrelated to the trajectories from depressive mood and anxiety were confirmed. The data demonstrate that concurrent screening for SE and distress might best detect people at risk for adjustment problems.