دورية أكاديمية

Impact of psychological characteristics in self-management in individuals with traumatic spinal cord injury.

التفاصيل البيبلوغرافية
العنوان: Impact of psychological characteristics in self-management in individuals with traumatic spinal cord injury.
المؤلفون: Munce SE; Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada., Straus SE; Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, Ontario, Canada., Fehlings MG; Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Voth J; Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada., Nugaeva N; Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada., Jang E; Department of Applied Psychology and Human Development, Ontario Institute for Studies in Education, Toronto, Ontario, Canada., Webster F; Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada., Jaglal SB; Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.; Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada.; Department of Physical Therapy, University of Toronto, Toronto, Canada.
المصدر: Spinal cord [Spinal Cord] 2016 Jan; Vol. 54 (1), pp. 29-33. Date of Electronic Publication: 2015 Jun 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Stockton Press Country of Publication: England NLM ID: 9609749 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1476-5624 (Electronic) Linking ISSN: 13624393 NLM ISO Abbreviation: Spinal Cord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Houndmills, Basingstoke, Hampshire, UK : Stockton Press, c1996-
مواضيع طبية MeSH: Depression/*etiology , Self Care/*methods , Spinal Cord Injuries/*psychology, Adult ; Aged ; Cross-Sectional Studies ; Female ; Health Surveys ; Humans ; Logistic Models ; Male ; Middle Aged ; Psychiatric Status Rating Scales ; Self Efficacy ; Spinal Cord Injuries/complications ; Spinal Cord Injuries/therapy ; Statistics, Nonparametric
مستخلص: Study Design: Cross-sectional survey.
Objective: To examine the association between psychological characteristics in self-management and probable depression status in individuals with a traumatic spinal cord injury (SCI).
Setting: Community-dwelling individuals with traumatic SCI living across Canada.
Methods: Individuals with SCI were recruited by email via the Rick Hansen Institute as well as an outpatient hospital spinal clinic. Data were collected by self-report using an online survey. Standardized questionnaires were embedded within a larger survey and included the Hospital Anxiety and Depression Scale (HADS), the short version of the Patient Activation Measure (PAM), the Moorong Self-Efficacy Scale (MSES) and the Pearlin-Schooler Mastery Scale (PMS).
Results: Individuals with probable depression (n=25) had lower self-efficacy (67.9 vs 94.2, P<0.0001), mastery (18.9 vs 22.9, P<0.0001) and patient activation (60.4 vs 71.6, P<0.0001) as well as higher anxiety (9.0 vs 5.5, P<0.0001), compared with their non-depressed counterparts (n=75). A logistic regression determined that lower self-efficacy and mastery scores as well as less time since injury were associated with depression status (P=0.002; P=0.02 and P=0.02, respectively). Individuals with higher anxiety scores were almost 1.5 times more likely to be depressed, while older age was positively associated with depression status (P=0.016 and P=0.024, respectively).
Conclusion: Interventions for depression in SCI, including a self-management program, should target factors such as self-efficacy and mastery, which could improve secondary medical complications and overall quality of life.
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معلومات مُعتمدة: Canada Canadian Institutes of Health Research
تواريخ الأحداث: Date Created: 20150610 Date Completed: 20161005 Latest Revision: 20181113
رمز التحديث: 20240513
مُعرف محوري في PubMed: PMC5399135
DOI: 10.1038/sc.2015.91
PMID: 26055818
قاعدة البيانات: MEDLINE
الوصف
تدمد:1476-5624
DOI:10.1038/sc.2015.91