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  4. Risk Factors for Posttraumatic Stress Disorder in Persons With Spinal Cord Injury

Risk Factors for Posttraumatic Stress Disorder in Persons With Spinal Cord Injury

Top Spinal Cord Inj Rehabil, 2012 · DOI: 10.1310/sci1803-253 · Published: July 1, 2012

Spinal Cord InjuryMental Health

Simple Explanation

Many events causing spinal cord injury (SCI) are traumatic and can lead to posttraumatic stress disorder (PTSD). This study examined risk factors for PTSD symptoms in 71 persons with SCI. The study found that 11% of participants had full PTSD, and 20% had partial PTSD after their SCI. Trauma history, peritraumatic reactions, and intolerance of uncertainty predicted PTSD symptoms. The study highlights that early identification and psychological interventions for patients at risk of PTSD could prevent its development after SCI.

Study Duration
Not specified
Participants
71 persons with SCI
Evidence Level
Not specified

Key Findings

  • 1
    11% of the participants met the criteria for full PTSD, and an additional 20% met the criteria for partial PTSD at some point after their SCI.
  • 2
    Trauma history significantly predicted 8% of the variance in PTSD symptoms, indicating that previous traumatic experiences increase vulnerability.
  • 3
    Peritraumatic reactions predicted 32% of the variance in PTSD symptoms, highlighting the importance of immediate emotional and physical responses to trauma.

Research Summary

This study investigated the prevalence of PTSD and associated risk factors in persons with SCI, using a structured clinical interview. It found that 11% had full PTSD and 20% had partial PTSD. The study identified trauma history, peritraumatic reactions, and intolerance of uncertainty as significant predictors of PTSD symptoms in this population. The findings suggest that early assessment and intervention focusing on these risk factors could help prevent PTSD development in individuals with SCI.

Practical Implications

Early identification of at-risk patients

Assess peritraumatic reactions early in rehabilitation to identify those at risk for PTSD.

Psychotherapeutic interventions

Provide empirically validated psychotherapeutic interventions like cognitive-behavioral therapy to prevent PTSD development.

Strategies to increase tolerance for uncertainty

Implement strategies to help patients increase their tolerance for uncertainty, potentially reducing hypervigilance symptoms.

Study Limitations

  • 1
    Correlational nature of the study
  • 2
    Retrospective design
  • 3
    Representativeness of the sample

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