Objective: The authors examined the relation of caregiver problem- solving abilities to patient adjustment. Design: Correlational methods were used to test the hypothesis. Participants: Data from 11 male and 55 female caregivers were matched with data from 38 men and 18 women with recent spinal cord injuries. Main Outcome Measures: The Acceptance of Disability Scale score and pressure sore diagnosis were the outcome measures. Results: Caregiver tendencies to impulsively and carelessly solve problems were associated with lower acceptance of disability and were significantly predictive of pressure sore diagnosis among those returning for a medical evaluation 1 year later. Conclusions: Caregiver characteristics are associated with the adjustment of persons with SCI and warrant consideration in terms of psychological interventions and health policy.