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  4. Psychological Factors Affecting Alcohol Use after Spinal Cord Injury

Psychological Factors Affecting Alcohol Use after Spinal Cord Injury

Spinal Cord, 2011 · DOI: 10.1038/sc.2010.160 · Published: May 1, 2011

Spinal Cord InjuryMental Health

Simple Explanation

This study examines factors influencing alcohol consumption among individuals with spinal cord injuries (SCI). It looks at personality traits and socioeconomic status to see how they relate to different levels of alcohol use. The researchers found that certain personality traits like impulsivity, sensation-seeking, and aggression were linked to heavier drinking. Higher income and education levels were also associated with increased alcohol consumption. These findings suggest that addressing psychological factors and socioeconomic status could be important in developing interventions to prevent or reduce heavy alcohol use among people with SCI.

Study Duration
Data collected 2007-2009, follow-up to data from 1997-1998
Participants
1,435 participants with spinal cord injury
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Impulsive sensation seeking, neuroticism/anxiety, and aggression/hostility were associated with increased odds of heavy drinking among individuals with SCI.
  • 2
    Higher annual household income and education levels were both associated with heavy alcohol use in this population.
  • 3
    Males were more likely to be heavy drinkers than females, while those with more severe injuries were less likely to be heavy drinkers.

Research Summary

This study assessed risk factors, including personality and socio-economic indicators, associated with alcohol use after SCI. The study found that impulsive sensation seeking, aggression-hostility, and neuroticism-anxiety were significantly associated with drinking. The study also found that persons with lower annual household income and lower education were less likely to be moderate or heavy drinkers than persons with high annual income and higher education.

Practical Implications

Targeted Interventions

Identifying individuals with personality traits such as high impulsive sensation seeking early after SCI can allow for more directed prevention strategies.

Socioeconomic Considerations

Awareness of the relationship between income/education and alcohol use can inform comprehensive support programs.

Risk Behavior Understanding

Understanding the continuation of risky behavior post-SCI is crucial for designing effective interventions.

Study Limitations

  • 1
    Self-report data may be subject to recall bias.
  • 2
    Limited measurement of SES and psychological factors.
  • 3
    Blacks were more likely to be missing data on the outcome than whites.

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