Body Image in Patients With Spinal Cord Injury During Inpatient Rehabilitation

Diemen, Tijn van; Leeuwen, Christel M. C. van; Nes, Ilse J. W. van; Geertzen, Joannes; Post, Marcel W M

doi:10.1016/j.apmr.2016.10.015

Cited by 25 publications

(18 citation statements)

References 33 publications

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“…Individuals with SCI and their partners were both least satisfied with their 'sexual life', which is in accordance with earlier research [15,18,40]. It is likely that the SCI and related physical (e.g., bladder and/or bowel incontinence) [2] and mental (e.g., impaired body image) [41] problems influence their sexual relationship [42].…”

Section: Mental Health and Life Satisfaction: Relationship And Comparsupporting

confidence: 87%

Mental health and life satisfaction of individuals with spinal cord injury and their partners 5 years after discharge from first inpatient rehabilitation

et al. 2018

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Study design Cross-sectional study. Objectives To describe and compare mental health and life satisfaction between individuals with spinal cord injury (SCI) and their partners 5 years after discharge from first inpatient rehabilitation; and to examine if injury severity moderates the association between individuals' with SCI and their partners' mental health and life satisfaction. Setting Dutch community. Methods Sixty-five individuals with SCI and their partners completed a self-report questionnaire. Main outcome measures were the mental health subscale of the Short-Form Health Survey and the Life Satisfaction Questionnaire. Results Levels of mental health and life satisfaction of individuals with SCI and partners were similar, with median scores of 76 and 4.8 versus 76 and 4.6, respectively. Moderate to strong correlations between individuals with SCI and their partners were found for the mental health (r S = 0.35) and life satisfaction scores (r S = 0.51). These associations were generally stronger in the subgroup of individuals with less severe SCI. Associations between scores on separate life domains ranged from negligible (0.05) to moderate (0.53). Individuals with SCI and their partners were least satisfied with their 'sexual life'. Compared with their partners, individuals with SCI were significantly more satisfied in the domains 'leisure situation', 'partnership relation' and 'family life', and less satisfied in 'self-care ability'. Conclusions This study showed similarities but also differences in mental health and life satisfaction between individuals with SCI and their partners. In clinical practice, attention on mental health and life satisfaction should, therefore, focus on different domains for individuals with SCI and partners.

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Section: Mental Health and Life Satisfaction: Relationship And Comparsupporting

confidence: 87%

Mental health and life satisfaction of individuals with spinal cord injury and their partners 5 years after discharge from first inpatient rehabilitation

et al. 2018

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“…We surmise that this may have been less relevant to the participants in our study as the median time since SCI was 15 years. 22 This was the experience of one the authors with a lived experience with SCI: she initially did not like to wear a leg bag, or have a bump showing where the catheter bag was, however after 21 years, she now feels this issue is easy to manage simply by choosing the proper clothing. While limiting fluids is a common behavior among people with SCI (as it can help to reduce the frequency of CIC and limit incontinence) our results would suggest that this is not a high priority concern compared to the other issues.…”

Section: Discussionmentioning

confidence: 99%

Using conjoint analysis to measure the importance of psychosocial traits in the choices of bladder management after spinal cord injury

Welk

Myers

Kennelly

et al. 2021

Neurourology and Urodynamics

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To conduct a conjoint analysis experiment to better understand the psychosocial priorities related to bladder management in individuals after spinal cord injury (SCI). Methods: We developed a conjoint analysis survey that included 11 psychosocial attributes phrased in the context of bladder management (including attributes for urinary infections, and incontinence). We then performed a multi-center prospective cross-sectional study of adults with existing SCI which consisted of a baseline interview, followed by the online conjoint analysis survey (delivered through Sawtooth software). Hierarchical Bayes random effects regression analysis was used to determine the relative importance of the attributes.Results: A total of 345 people complete the study. There was good representation of both men and women, and individuals with cervical and thoracic or lower lesions. The most important attribute was the frequency of urinary infections. Age, sex, and level of SCI were generally not related to the attributes measured in the study. In the subgroup of 256 patients who used a catheter for bladder management, significantly more importance was placed on urinary tract infections, time, fluid intake, and social life among indwelling catheter users compared to intermittent catheter users.Conclusions: Most bladder-related psychosocial priorities are not impacted by a patient's age, sex or level of SCI. Differences in psychosocial priorities between indwelling and intermittent catheter users may represent factors that should be focused on to optimize bladder management after SCI.

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“…Significant reductions in general distress were also observed, although the majority of participants still reported significant distress at the end of rehabilitation. Several studies have also identified average improvements in depressive symptoms (Craig et al, 2017a; Kennedy et al, 2010; van Diemen et al, 2017; White et al, 2010), anxiety symptoms (van Diemen et al, 2017), and life satisfaction (van Koppenhagen et al, 2009; White et al, 2010) during inpatient rehabilitation. Altogether, these findings indicate that, although the psychological adaptation process to a potentially traumatic event such as an SCI may extend over several years (Dijkers, 2005), individuals already show signs of positive adjustment shortly after injury.…”

Section: Discussionmentioning

confidence: 99%

“…Studies analyzing average changes in adaptation outcomes have identified increases in life satisfaction between rehabilitation admission and discharge (van Koppenhagen et al, 2009; White et al, 2010) but inconsistent findings regarding mental health. Some studies have identified no average changes in mental health (van Leeuwen et al, 2015), others have reported average decreases in depressive symptoms but not in anxiety symptoms (Kennedy et al, 2010), and others have found average decreases in both depressive and anxiety symptoms during inpatient rehabilitation (van Diemen et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Longitudinal changes in psychological adaptation outcomes during spinal cord injury inpatient rehabilitation.

Aparício¹,

Carrard²,

Kunz³

et al. 2021

Rehabilitation Psychology

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Objectives: To determine average changes and individuals' patterns of change in depressive symptoms, anxiety symptoms, general distress, and life satisfaction between admission to spinal cord injury inpatient rehabilitation and discharge; and to identify factors associated with change. Method: Longitudinal data collection as part of a national cohort study (N = 281). Changes in the psychological adaptation outcomes were analyzed using latent change score models. Reliable change indexes were calculated for each outcome to identify individuals' patterns of change. Biopsychosocial factors were examined as covariates of change. Results: On average, depressive symptoms, anxiety symptoms, and general distress decreased between admission and discharge, while life satisfaction increased. According to the reliable change indexes, several adaptation patterns were identified. The proportion of individuals following each pattern varied depending 491 Rehabilitation Psychology

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Body Image in Patients With Spinal Cord Injury During Inpatient Rehabilitation

Abstract: During participants' first inpatient rehabilitation stay after SCI, body image progressed toward a healthier state. Body image explains part of the variance in depression and anxiety, and the entire rehabilitation team should be targeting interventions to improve body image.

Cited by 25 publications

References 33 publications

Mental health and life satisfaction of individuals with spinal cord injury and their partners 5 years after discharge from first inpatient rehabilitation

Mental health and life satisfaction of individuals with spinal cord injury and their partners 5 years after discharge from first inpatient rehabilitation

Using conjoint analysis to measure the importance of psychosocial traits in the choices of bladder management after spinal cord injury

Longitudinal changes in psychological adaptation outcomes during spinal cord injury inpatient rehabilitation.

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