Outcomes of post-spinal cord injury marriages

DeVivo, Michael J.; Hawkins, LaVerne N.; Richards, J. S.; Go, Bette K.

doi:10.1016/0003-9993(94)90208-9

Cited by 28 publications

(42 citation statements)

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“…However, marriage rates are low and divorce rates high among the spinal cord injured. 23 This suggests the importance of interventions that enhance opportunities to develop interpersonal relationships and enhance overall participation.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for mortality after spinal cord injury in the USA

2013

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Study design: Cohort study. Objectives: First, to examine three sets of risk and protective factors for mortality after spinal cord injury (SCI), with an emphasis on health and secondary conditions. Second, to extend earlier work with several methodologic enhancements and addition of new predictors. Setting: Twenty hospitals designated as SCI Model Systems (SCIMSs) of care in the United States. Methods: Altogether, 8183 adults with traumatic SCI who received at least one follow-up evaluation between November 1995 and October 2006 from one of the SCIMSs were included in the study. There were 76 262 person-years and 1381 deaths at the end of June 2011. Mortality status determined by National Death Index and Social Security Death Index searches. Three successive sets of risk factors were evaluated with a logistic regression model on person-year observations to estimate the chance of dying in any given year. Results: Several biographic and injury, socio-environmental and health factors were significantly related to the odds of mortality. A history of pneumonia or kidney calculus was associated with greater odds of mortality, whereas deep vein thrombosis was not. Poor general health, decline in health over the past year, hospitalization and a grade 3 or 4 pressure ulcer were also related to mortality. Consistent with a mediating effect, odds ratios declined with the addition of each successive set of factors. Conclusion: The relationship of biographic and injury characteristics with mortality after SCI is mediated by socio-environmental and health factors. Assessment of these variables enhances our ability to identify individuals at risk for excess mortality.

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Section: Discussionmentioning

confidence: 99%

Risk factors for mortality after spinal cord injury in the USA

2013

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“…83 Unfortunately, US figures showed that the majority of people with SCI (54.2%) are single at discharge from rehabilitation, and divorce rates in people with SCI are higher compared with the population of the same age and gender. 84 Another SCI Model Systems study showed that the proportion of married people with SCI varied from 31% at 5 years post SCI to 43% at 25 years post SCI. 85 Kreuter et al 38 reported 37.7% married or cohabiting people with SCI in Sweden.…”

Section: Methodsmentioning

confidence: 99%

Psychosocial issues in spinal cord injury: a review

2012

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Study design: Review. Objectives: To review literature on subjective well-being (SWB; mental health and life satisfaction) and on psychological and social support factors associated with these outcomes in people with spinal cord injury (SCI), in order to identify gaps in scientific knowledge and recommend research priorities. Setting: Non applicable. Methods: Narrative review of the SCI literature on life satisfaction and mental health (depression, anxiety, post-traumatic stress syndrome) outcomes in people with SCI. Further, reviews were performed of the SCI literature on psychological and social support variables associated with SWB and on psychosocial interventions aimed to improve SWB. Results: People with SCI experience, on average, higher levels of distress and lower levels of life satisfaction compared with the general population. Individual differences, however, are large, and most people with SCI adapt well to their condition. A set of psychological and social support factors is strongly related to SWB. Intervention studies on cognitive behavioural therapy or coping effectiveness training to improve SWB show promising results, but suffer from methodological weaknesses (for example, lack of randomization and small sample size). Conclusion: There is a need for cohort studies with sufficient sample size, which include people early after onset of SCI in order to enhance our understanding of the course of mental health and well-being after SCI. Cohort studies could also identify which people are at risk for long-term impairment of SWB. Finally, intervention studies on psychosocial interventions are needed to identify which interventions may improve SWB of people with SCI.

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“…11 However, despite variable percentages across different countries, people with SCI are often single and their divorce rates are higher than those of the general population. 12,13 Furthermore, studies in SCI populations confirm that the quality of social support is much more important than the quantity of support, and that the perception of not being passive recipients of support but people taking advantage of help for active social integration and participation is a crucial factor. 4,13 For these reasons, further investigation is needed to deepen our knowledge of the associations between social support and relationship quality in SCI populations, especially for those relationships that are more relevant in terms of life cycle issues and impact on QoL.…”

Section: Introductionmentioning

confidence: 99%

Relationship quality and perceived social support in persons with spinal cord injury

2014

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Study design: This is a cross-sectional study. Objectives: The objective of this study was to examine the associations among the quality of couple relationship, perceived social support and health-related quality of life (HRQoL) in persons with spinal cord injury (SCI). Setting: The study was conducted in Italy. Methods: Forty-three persons with SCI were administered questionnaires for the evaluation of relationship quality (Dyadic Adjustment Scale), perceived social support (Multidimensional Scale of Perceived Social Support) and HRQoL (Short Form 36). Results: Many significant correlations between the scores of relationship quality and social support were detected. Relationship quality also correlated with relevant measures of HRQoL, such as Mental Health and Vitality. No correlation between spousal support and HRQoL was found, whereas friends' support correlated with Physical Role Functioning. Conclusions: Data suggest that the perception of social support is strictly related to relationship quality and that marital satisfaction might be related to relevant aspects of HRQoL more likely than social support itself.

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Outcomes of post-spinal cord injury marriages

Cited by 28 publications

References 0 publications

Risk factors for mortality after spinal cord injury in the USA

Risk factors for mortality after spinal cord injury in the USA

Psychosocial issues in spinal cord injury: a review

Relationship quality and perceived social support in persons with spinal cord injury

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