A longitudinal study of depression in survivors of spinal cord injury

Saunders, Lee L.; Krause, James S.; Focht, Kendrea L.

doi:10.1038/sc.2011.83

Cited by 81 publications

(83 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[1][2][3] This includes the role of negative self-evaluations and coping behaviours in the adjustment process, 4 the impact of chronic neuropathic pain on psychological outcome 4,5 and gender differences in rates of depression post-SCI. 3 Although researchers have made important contributions towards identifying negative outcomes for individuals with SCI using the deficit-based paradigm, 2 it has not assisted researchers in finding ways to prevent psychological problems from developing. 2,6,7 In comparison, the strength-based model of mental health, which evolved from the positive psychology movement, focuses on the variables that buffer against mental illness.…”

Section: Introductionmentioning

confidence: 99%

Examining factors that contribute to the process of resilience following spinal cord injury

2013

View full text Add to dashboard Cite

Study design: Cross-sectional survey. Objective: To examine factors that contribute to the process of positive adjustment, or resilience, in an adult community sample with spinal cord injury (SCI). Setting: South Australian Spinal Cord Injury Service, Hampstead Rehabilitation Centre, South Australia, Australia Methods: A postal survey comprising standardised measures of resilience (Connor-Davidson Resilience Scale-10 item), self-efficacy (Moorong Self-Efficacy Scale), locus of control (Locus of Control of Behaviour Scale) and psychological distress (Depression Anxiety Stress Scale-21 item). Results: Of 60 respondents, 58% reported moderate to high levels of resilience. Resilience correlated significantly with high selfefficacy (r ¼ 0.68, Po0.01), internal locus of control (r ¼ À0.52, Po0.01) and low psychological distress (depression r ¼ À0.68, Po0.01; anxiety r ¼ À0.55, Po0.01; stress r ¼ À0.67, Po0.01). In comparison, resilience was not significantly influenced by degree of neuropathic pain (r ¼ À0.23, P40.05), time since injury (r ¼ À0.14, P40.05), gender (t (58) ¼ À0.92, P40.05), lesion completeness (t (57) ¼ À0.86, P40.05), or SCI diagnosis (t (58) ¼ À1.21, P40.05). A multiple regression indicated that psychological distress and self-efficacy were the only two variables that uniquely contributed to resilient behaviour. Conclusion: Resilience is an important psychological process in the longer-term management of SCI which can be promoted by targeting rehabilitation interventions towards mood management in addition to self efficacy beliefs. Larger-scale research will help to validate these results.

show abstract

Section: Introductionmentioning

confidence: 99%

Examining factors that contribute to the process of resilience following spinal cord injury

2013

View full text Add to dashboard Cite

show abstract

“…Another study showed Black and White females with SCI were more likely to have PMD than White males with SCI. 35 The above studies underscore the importance of identifying mediators and implementing statistical controls for other important variables that may be related to depressive symptomatology. Our purpose was to enhance our understanding of depressive symptomatology after SCI related to racial-ethnic differences, while also assessing the relationship of other risk and protective factors for depressive symptoms, including demographic, injury, and socioeconomic variables, health behaviors, and health factors.…”

mentioning

confidence: 99%

Depressive symptomatology after spinal cord injury: A multi-center investigation of multiple racial-ethnic groups

Cao

Gregory

et al. 2016

The Journal of Spinal Cord Medicine

View full text Add to dashboard Cite

Objective: To identify (1) racial-ethnic differences in depressive symptomatology after spinal cord injury (SCI) and (2) the relationship of multiple additional factors to depressive symptoms, including health behaviors, employment, fatigue, and pain interference. Design: Cross-sectional Setting: Data were collected at 3 specialty hospitals in different regions of the USA (Southeastern, Mountain, Western). Participants: Participants (N = 1,063) were identified from outpatient records of the 3 hospitals with oversampling of racial-ethnic minority groups. Interventions: N/A Main Outcome Measure(s): The outcome, depressive symptomatology, was measured by the Older Adult Health and Mood Questionnaire (OAHMQ). Participant demographic and injury characteristics were measured as statistical controls, as well as other variables including health behavior factors, depression/stress relief medication usage, fatigue, and pain interference. The multivariate analyses were developed using OLS regression models and logistic regression models. Results: Employment was protective for depressive symptomatology, whereas fatigue, pain interference, and binge drinking were risk factors for higher OAHMQ scores. Although there were no bivariate racial-ethnic differences in depressive symptoms, fatigue and pain interference had suppression effects on the relationship between race-ethnicity and depressive symptomatology. After controlling for fatigue and pain interference, Hispanic participants had significantly lower OAHMQ scores and lower odds of probable major depression (PMD) than non-Hispanic Whites and Blacks. Conclusions: Fatigue and pain interference are associated with both race-ethnicity and depressive symptomatology. Assuming the same level of fatigue and pain interference, Hispanics will have a lower risk of depressive symptoms than non-Hispanic Whites and Blacks.

show abstract

“…[5][6][7][8] Depression is the most common type of psychological distress experienced after SCI. 9 Depression in persons with SCI has been associated with a variety of negative health outcomes including reduction in quality of life, less independence in activities of daily living (ADLs), increased frequency of pressure sores and urinary tract infections, greater medical expenses, and higher risk of suicide or requests for terminating life. 7,9,10 It is important to investigate factors that influence an individual's ability to successfully adapt after injury to better understand how to treat and prevent these negative health outcomes.…”

mentioning

confidence: 99%

“…9 Depression in persons with SCI has been associated with a variety of negative health outcomes including reduction in quality of life, less independence in activities of daily living (ADLs), increased frequency of pressure sores and urinary tract infections, greater medical expenses, and higher risk of suicide or requests for terminating life. 7,9,10 It is important to investigate factors that influence an individual's ability to successfully adapt after injury to better understand how to treat and prevent these negative health outcomes. Previous research has identified several variables critical to an individual's ability to respond positively after an SCI, including resilience, social support, and absence of depression.…”

mentioning

confidence: 99%

Effects of Adult Romantic Attachment and Social Support on Resilience and Depression in Individuals with Spinal Cord Injuries

Dodd

Driver

Warren

et al. 2015

Topics in Spinal Cord Injury Rehabilitation

View full text Add to dashboard Cite

Background:Spinal cord injury (SCI) can cause psychological consequences that negatively affect quality of life. It is increasingly recognized that factors such as resilience and social support may produce a buffering effect and are associated with improved health outcomes. However, the influence of adult attachment style on an individual's ability to utilize social support after SCI has not been examined. Objective: The purpose of this study was to examine relationships between adult romantic attachment, perceived social support, depression, and resilience in individuals with SCI. In addition, we evaluated potential mediating effects of social support and adult attachment on resilience and depression. Methods: Participants included 106 adults with SCI undergoing inpatient rehabilitation. Individuals completed measures of adult attachment (avoidance and anxiety), social support, resilience, and depression. Path analysis was performed to assess for presence of mediation effects. Results: When accounting for the smaller sample size, support was found for the model (comparative fit index = .927; chi square = 7.86, P = .01; β = -0.25, standard error [SE ] = -2.93, P < .05). The mediating effect of social support on the association between attachment avoidance and resilience was the only hypothesized mediating effect found to be significant (β = -0.25, SE = -2.93, P < .05). Conclusion: Results suggest that individuals with SCI with higher levels of attachment avoidance have lower perceived social support, which relates to lower perceived resilience. Assessing attachment patterns during inpatient rehabilitation may allow therapists to intervene to provide greater support.

show abstract

A longitudinal study of depression in survivors of spinal cord injury

Cited by 81 publications

References 22 publications

Examining factors that contribute to the process of resilience following spinal cord injury

Examining factors that contribute to the process of resilience following spinal cord injury

Depressive symptomatology after spinal cord injury: A multi-center investigation of multiple racial-ethnic groups

Effects of Adult Romantic Attachment and Social Support on Resilience and Depression in Individuals with Spinal Cord Injuries

Contact Info

Product

Resources

About