TY  - JOUR
PY  - 2018//
TI  - Psychosocial and health outcomes of adults with violently acquired pediatric spinal cord injury
JO  - Topics in spinal cord injury rehabilitation
A1  - January, Alicia M.
A1  - Kirk, Suzanne
A1  - Zebracki, Kathy
A1  - Chlan, Kathleen M.
A1  - Vogel, Lawrence C.
SP  - 363
EP  - 370
VL  - 24
IS  - 4
N2  - <b>Objective:</b> To describe the psychosocial and medical outcomes of individuals with pediatric-onset spinal cord injury (SCI) as a result of violent injuries. <b>Methods:</b> This was a cross-sectional study assessing adult outcomes associated with pediatric-onset SCI. Participants completed measures assessing demographics, injury characteristics, secondary conditions, and psychosocial functioning. <b>Results:</b> Participants included 483 adults (ages 19-51 years; <i>M</i> = 32.89, <i>SD</i> = 6.81) who sustained an SCI prior to age 19 (0-18 years; <i>M</i> = 14.25, <i>SD</i> = 4.40). Participants tended to have complete injuries (68%) and tetraplegia (53%) and were predominantly male (63%) and Caucasian (85%). The violent (<i>n</i> = 42) and nonviolent (<i>n</i> = 441) etiology groups tended to be similar in terms of gender. The violent etiology (VE) group, however, was significantly more likely to have paraplegia (χ<sup>2</sup> = 7.45, <i>p</i> =.01), identify as an ethnic minority (χ<sup>2</sup> = 5.40, <i>p</i> =.02), and have decreased odds of completing a college degree (odds ratio [OR], 0.40; 95% CI, 0.19-0.83). After controlling for significant covariates, individuals in the VE group were more likely to have moderate depression symptoms (OR, 3.73; 95% CI, 1.35-10.30) and significantly lower odds of economic independence (OR, 0.39; 95% CI, 0.19-0.84). The VE group was also 2 times as likely as the nonviolent group to report a pressure injury (OR, 2.04; 95% CI, 1.05-3.94) or activity interfering pain (OR, 2.34; 95% CI, 1.15-4.74). <b>Conclusion:</b> The results of this study reveal significantly greater psychosocial health concerns and more medical complications for individuals with violent SCI than those with nonviolent SCI. Children with an SCI from a violent etiology may warrant additional attention and services aimed at promoting stability and long-term resilience.<p />  <p>Language: en</p>
LA  - en
SN  - 1082-0744
UR  - http://dx.doi.org/10.1310/sci17-00012
ID  - ref1
ER  -