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  4. Association between functional outcomes and psychological variables in persons with spinal cord injury

Association between functional outcomes and psychological variables in persons with spinal cord injury

Scientific Reports, 2023 · DOI: https://doi.org/10.1038/s41598-023-50252-8 · Published: December 18, 2023

Spinal Cord InjuryMental HealthRehabilitation

Simple Explanation

This study aimed to understand how physical abilities relate to mental health in people with spinal cord injuries (SCIs). It looked at factors like depression, anxiety, sleep quality, and suicide risk. The study found that better functional independence, especially in self-care and mobility, was linked to lower levels of depression, anxiety, and suicide risk. Specific activities like feeding oneself and preventing pressure sores were particularly important. The findings suggest that focusing on improving a person's ability to perform daily activities can help improve their mental well-being after a spinal cord injury. Developing assistive devices can be helpful.

Study Duration
2019-2021
Participants
259 persons with SCIs
Evidence Level
Not specified

Key Findings

  • 1
    SCIM III subdivisions 1 and 3 showed a negative correlation with K-BDI-II, indicating that self-care and mobility functions are linked to depression levels.
  • 2
    Feeding and mobility in bed, as well as actions to prevent pressure injuries, were identified as functional factors associated with all four psychological variables (depression, anxiety, sleep quality, and suicide risk).
  • 3
    Marital status and age were significantly associated with suicide risk; unmarried individuals and younger individuals showed increased suicide risk.

Research Summary

This study investigated the relationship between functional performance and psychological factors, including depression, anxiety, sleep quality, and suicide risk, in persons with SCI. The results showed that the total SCIM III, SCIM III subdivision 1 (self-care), subdivision 3 (transfer and ambulation), and UEMS were negatively correlated with psychological variables. Independent feeding and the ability to move independently to prevent pressure injuries were the most important functional abilities related to psychological factors.

Practical Implications

Rehabilitation Strategies

Rehabilitation strategies should be developed based on the individual’s physical performance, and the functional independence of the individual must be reinforced while providing optimal psychological support.

Assistive Technology

The development of assistive devices can functionally improve the independence of persons with SCI and possibly alleviate their psychological problems.

Clinical Focus

Clinicians should elaborate on the patients’ rehabilitation plans and set specific goals for related treatments in the rehabilitation setting, focusing on ADLs and functional outcomes.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Selection bias due to inclusion of participants in rehabilitation settings
  • 3
    Difficulty establishing causality

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