@article{ref1,
title="Impact of psychological characteristics in self-management in individuals with traumatic spinal cord injury",
journal="Spinal Cord",
year="2015",
author="Munce, S. E. P. and Straus, S. E. and Fehlings, Michael G. and Voth, J. and Nugaeva, N. and Jang, E. and Webster, F. and Jaglal, S. B.",
volume="54",
number="1",
pages="29-33",
abstract="STUDY DESIGN: Cross-sectional survey. <br><br>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. <br><br>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). <br><br>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). <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="1362-4393",
doi="10.1038/sc.2015.91",
url="http://dx.doi.org/10.1038/sc.2015.91"
}