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Impact of psychological characteristics in self-management in individuals with traumatic spinal cord injury
- Source :
- Spinal Cord; January 2016, Vol. 54 Issue: 1 p29-33, 5p
- Publication Year :
- 2016
-
Abstract
- 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.
Details
- Language :
- English
- ISSN :
- 13624393
- Volume :
- 54
- Issue :
- 1
- Database :
- Supplemental Index
- Journal :
- Spinal Cord
- Publication Type :
- Periodical
- Accession number :
- ejs37626255
- Full Text :
- https://doi.org/10.1038/sc.2015.91