The association of age, pain, and fatigue with physical functioning and depressive symptoms in persons with spinal cord injury

Abstract

Results: Pain and fatigue were independently associated with depression, but only pain was associated with physical functioning. Additionally, depression was more severe among middle-aged participants relative to younger or older participants. Physical functioning declined with increasing age, as well as with higher level of injury. Conclusions: The findings support the need for continued development of effective treatments for both pain and fatigue in order to prevent and mitigate the negative effects these symptoms can have on functioning.

Resilience Predicts Functional Outcomes in People Aging With Disability: A Longitudinal Investigation

“…43 The physical functioning item bank has demonstrated validity in samples of people with physical impairments. 27,44 In the present sample, the internal consistency coefficients for the physical functioning scale at t1 and t4 were .93 and .93, respectively, indicating excellent reliability.…”

Pain and fatigue as mediators of the relationship between mobility aid usage and depressive symptomatology in ambulatory individuals with SCI

“…5 Fatigue can negatively affect the quality of life 17 and is associated with aging, injury severity, physiological and psychosocial functioning, spasticity, pain, depression, the use of mobility aids and many behavioral risk factors. 3,5,8,15,18–20 Similar to the associations between mobility aid usage and pain observed in an ambulatory chronic SCI population, high levels of fatigue are significantly related to unilateral cane use and wheelchair usage less than 50% of the time. 4 …”

The course of fatigue after acute spinal cord injury

“…13,14,16,17,19 We collected data on medical comorbidities from our subjects' medical charts. Medical conditions were common in our study population, but we had no way of assessing their severity, current clinical relevance or relationship to fatigue.…”

“…8 Fatigue is an important concern to people living and aging with SCI in the community, and may contribute to decline in function and loss of independence. [9][10][11][12][13] In summary, fatigue is an important problem in people with SCI, which can affect function, mobility and quality of life.…”