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Citation
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Munce SE, Straus SE, Fehlings MG, Voth J, Nugaeva N, Jang E, Webster F, Jaglal SB. Spinal Cord 2015; 54(1): 29-33. |
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Affiliation
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1] Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada [2] Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada [3] Department of Physical Therapy, University of Toronto, Toronto, Canada. |
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Abstract
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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.Spinal Cord advance online publication, 9 June 2015; doi:10.1038/sc.2015.91.
Language: en |