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  4. Access limitations and level of psychological distress during the COVID-19 pandemic in a geographically-limited sample of individuals with spinal cord injury

Access limitations and level of psychological distress during the COVID-19 pandemic in a geographically-limited sample of individuals with spinal cord injury

The Journal of Spinal Cord Medicine, 2022 · DOI: 10.1080/10790268.2021.2013592 · Published: January 1, 2022

Spinal Cord InjuryCOVID-19Mental Health

Simple Explanation

The COVID-19 pandemic and related restrictions have significantly impacted vulnerable populations, especially those with spinal cord injuries (SCI), potentially affecting their mental and physical health. Individuals with SCI often require specialized equipment and caregiver assistance, making them more susceptible to the negative impacts of social distancing and limited access to resources during the pandemic. This study aimed to assess the changes in access to necessary resources and psychological well-being in individuals with SCI during the COVID-19 pandemic, compared to pre-pandemic data.

Study Duration
4 months
Participants
51 individuals with traumatic SCI
Evidence Level
Cohort telephone survey study

Key Findings

  • 1
    The study found that a significant percentage of participants reported limited access to regular activities, healthcare information, PPE, food, and medication refills during the COVID-19 pandemic.
  • 2
    There were statistically significant increases in depressive symptoms and decreases in resilience among participants compared to their pre-COVID-19 levels.
  • 3
    Increased restriction to access (healthcare information and services, food, PPE, normal activities) may have impacted depressive symptoms.

Research Summary

This study evaluated the impact of the COVID-19 pandemic on access to resources and psychological well-being in individuals with SCI, comparing data collected before and during the pandemic. The findings revealed significant limitations in access to essential resources and increased depressive symptoms and decreased resilience among participants during the pandemic. The study highlights the need for targeted strategies to enhance access, outreach, information sharing, and social support for the SCI community in preparation for future public health emergencies.

Practical Implications

Enhanced Access Strategies

Develop and implement strategies to ensure individuals with SCI have uninterrupted access to healthcare information, medication refills, PPE, food, and other essential resources during public health emergencies.

Mental Health Support

Provide increased mental health support and resources, such as telehealth services and support groups, to address the psychological distress experienced by individuals with SCI during times of crisis.

Community Preparedness

Establish community infrastructure to facilitate the rapid distribution of healthcare supplies and the rollout of telehealth and internet-based support services for vulnerable populations.

Study Limitations

  • 1
    Small sample size
  • 2
    Geographically restricted area (South Florida)
  • 3
    Data collected during a small snapshot of time

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