Survival in traumatic spinal cord injury

Geisler, W O; Jousse, A T; Wynne-Jones, M; Breithaupt, D. J.

doi:10.1038/sc.1983.60

Cited by 153 publications

(62 citation statements)

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“…4 ± 6 The relevance of the psychological consequences is demonstrated by the rate of suicide and divorce among SCI patients; both are greater than in the general population and are on the increase. 7 Anxiety and depression may have a considerable impact on functioning. Severe depressive episodes can cause health problems such as loss of weight, social problems such as loss of job and ®nancial problems.…”

Section: Introductionmentioning

confidence: 99%

Psychological investigation of spinal cord injury patients

et al. 1997

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Spinal cord injuries (SCI) often have psychological consequences, primarily anxiety and depression, which may interfere with rehabilitation possibilities, with adjustment to the impairment and therefore with the possibility of returning to previous familiar social life and work. To assess the degree of anxiety and depression in SCI patients, and to study the factors contributing to their genesis, 100 SCI in-and out-patients were administered questionnaires for self-rating anxiety and depression. A group of newly injured patients was followed up for a year after their discharge to study the evolution of the two psychological syndromes. These two psychological pathologies in SCI patients were respectively 13% (anxiety) and 16% (depression). Some characteristics were signi®cantly associated with a higher risk of developing psychological distress: the presence of severe complications, the lack of autonomy, and low educational level. We did not observe any modi®cation of the psychological picture over time. The lack of reduction in anxiety and depression over time could mean that the two pathologies are maintained by the obstacles SCI patients meet every day resulting from their neurological de®cit. Our data justify the provision of psychological services for SCI patients in the rehabilitation centres; these services should still be available to the patients even after discharge.

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Section: Introductionmentioning

confidence: 99%

Psychological investigation of spinal cord injury patients

et al. 1997

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“…9 However, it is impor tant to follow up patients into the long term as indicators of long term adjustment such as suicide, self neglect and divorce rates amongst people with SCI suggest that not everyone adjusts well. 10 The following is a 2 year follow up of a controlled longitudinal study investigating the psychological impact of spinal cord injury. The study initially assessed the ex tent of SCI persons' depression and anxiety over the first year in comparison to an able bodied control group matched for age, sex, education and occupation.…”

Section: Introductionmentioning

confidence: 99%

A longitudinal investigation into anxiety and depression in the first 2 years following a spinal cord injury

1994

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This study is a 1 year extension of a controlled 1 year follow up study of spinal cord injured persons. The study assessed the extent of spinal cord injury (SCI) persons' depression and anxiety in comparison to an able bodied control group matched for age, sex, education and as far as possible, occupation. Psychological adjustment to SCI was assessed in terms of scores on the Trait Anxiety Inventory and the Beck Depression Inventory. Results obtained at the 2 year follow up were not significantly changed from those obtained over the first year. There was no significant improvement in anxiety and depression scores in the SCI group 2 years post injury. Examination of the SCI scores suggest that psychological morbidity was confined to a group of approximately 30% of persons, whilst the remaining persons were not severely anxious or depressed. Traditional stage models of adjustment to SCI which suggest that the passage of time is associated with better adjustment were not supported by the present data.

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“…With improved medical management, life span expectancies now average 30 years (DeVivo et al, 1980). Suicide, however, is now one of the three leading causes of death following SCI (Geisler et al, 1983;Le and Price, 1982). Consequently, a better understanding of psychosocial factors and adjustment following SCI is critical.…”

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confidence: 99%

Adjustment to spinal cord injury: stage theory revisited

et al. 1991

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SummaryTo better understand adjustment following spinal cord injury (SCI), 106 subjects from two samples (N = 53 each) were administered the SCL-90-R, a symptom checklist, and the Multidimensional Health Locus of Control scales. Sample I subjects were admitted for rehabilitation during 1981 to 1982 and sample 2 subjects were admitted during 1984 to 1986. Sample 2 subjects entered rehabilitation programs more quickly after injury and reported more anxiety, phobic anxiety, and hostility than sample I subjects. Within each sample, there was no evidence for a relationship between age or time since injury and health beliefs or psychological distress. This study does not support stage theory for adjustment after catastrophic injury, but does suggest the importance of understanding the impact of social policy changes in adjustment follO'Wing spinal cord injury.

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Survival in traumatic spinal cord injury

Cited by 153 publications

References 1 publication

Psychological investigation of spinal cord injury patients

Psychological investigation of spinal cord injury patients

A longitudinal investigation into anxiety and depression in the first 2 years following a spinal cord injury

Adjustment to spinal cord injury: stage theory revisited

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