Resilience as a Possible Predictor for Psychological Distress in Chronic Spinal Cord Injured Patients Living in the Community
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Objective To investigate whether higher resilience level predicts low levels of psychological distress in chronic SCI patients living in the community.Method Thirty seven patients (mean age 41.5±10.9, male : female=28 : 9) with chronic spinal cord injury (duration 8.35±7.0 years) living in the community are included, who were hospitalized for annual checkups from November, 2010 to May, 2011. First, their spinal cord injury level, completeness and complications were evaluated. The patients completed questionnaires about their educational status, religion, employment status, marital status, medical and psychological history and also the following questionnaires: Hospital Anxiety and Depression Scale (HADS), Connor-Davidson Resilience Scale (CD-RISC), Alcohol Use Disorders Identification Test-alcohol consumption questions (AUDIT-C) and Health-related quality of life (EQ-5D). The patients were divided into two subgroups: patients with HADS ≥13 are classified as high psychological distress group and others as low psychological distress group. We compared the two groups to find statistically significant differences among the variables.Results CD-RISC, EQ-5D and employment status are significantly different between two groups (p<0.05). In a forward stepwise regression, we found that EQ-5D had a greater contribution than CD-RISC to the psychological distress level.Conclusion In addition to health-related quality of life, resilience can be suggested as a possible predictor of psychological distress in chronic SCI patients.
Abstract
Objective To investigate whether higher resilience level predicts low levels of psychological distress in chronic SCI patients living in the community.Method Thirty seven patients (mean age 41.5±10.9, male : female=28 : 9) with chronic spinal cord injury (duration 8.35±7.0 years) living in the community are included, who were hospitalized for annual checkups from November, 2010 to May, 2011. First, their spinal cord injury level, completeness and complications were evaluated. The patients completed questionnaires about their educational status, religion, employment status, marital status, medical and psychological history and also the following questionnaires: Hospital Anxiety and Depression Scale (HADS), Connor-Davidson Resilience Scale (CD-RISC), Alcohol Use Disorders Identification Test-alcohol consumption questions (AUDIT-C) and Health-related quality of life (EQ-5D). The patients were divided into two subgroups: patients with HADS ≥13 are classified as high psychological distress group and others as low psychological distress group. We compared the two groups to find statistically significant differences among the variables.Results CD-RISC, EQ-5D and employment status are significantly different between two groups (p<0.05). In a forward stepwise regression, we found that EQ-5D had a greater contribution than CD-RISC to the psychological distress level.Conclusion In addition to health-related quality of life, resilience can be suggested as a possible predictor of psychological distress in chronic SCI patients.
참고문헌 (18)
- Migliorini C, "Spinal cord injury and mental health", Aust N Z J Psychiatry, 42, pp.309~314 (2008)
- Connor KM, "Development of a new resilience scale: the Connor-Davidson Resilience Scale", Depress Anxiety, 18, pp.76~82 (2003)
- Catalano D, "The buffering effect of resilience on depression among individuals with spinal cord injury: a structural equation model", Rehabil Psychol, 56, pp.200~211 (2011)
- White B, "Resilience and indicators of adjustment during rehabilitation from a spinal cord injury", Rehabil Psychol, 55, pp.23~32 (2010)
- Bjelland I, "The validity of the hospital anxiety and depression scale. An updated literature review", J Psychosom Res, 52, pp.69~77 (2002)
- Reinert DF, "The alcohol use disorders identification test: an update of research findings", Alcohol Clin Exp Res, 31, pp.185~199 (2007)
- Rabin R, "EQ-5D: a measure of health status from the Euroqol Gro", Ann Med, 33, pp.337~343 (2001)
- Whynes DK, "Correspondence between EQ-5D health state classifications and EQ VAS scores", Health Qual Life Outcomes, 6, pp.94~ (2008)
- Woolrich RA, "A preliminary psychometric evaluation of the Hospital Anxiety and Depression Scale (HADS) in 963 people living with a spinal cord injury", Psychol Health Med, 11, pp.80~90 (2006)
- Schonherr MC, "Participation and satisfaction after spinal cord injury: results of a vocational and leisure outcome study", Spinal Cord, 43, pp.241~248 (2005)
- Ji Cheol Shin, "Depression and Quality of Life in Patients within the First 6 Months after the Spinal Cord Injury", Annals of Rehabilitation Medicine, 36(1), pp.119~125 (2012), 대한재활의학회
- Elfstrom ML, "Conditionrelated coping strategies in persons with spinal cord lesion: a cross-national validation of the spinal cord lesion-related coping strategies questionnaire in four community samples", Spinal Cord, 45, pp.420~428 (2007)
- Elfstrom ML, "Linkages between coping and psychological outcome in the spinal cord lesioned: development of scl-related measures", Spinal Cord, 40, pp.23~29 (2002)
- Alriksson-Schmidt AI, "Quality of life and resilience in adolescents with a mobility disability", J Pediatr Psychol, 32, pp.370~379 (2007)
- Whynes DK, "Responsiveness of the EQ-5D to HADSidentified anxiety and depression", J Eval Clin Pract, 15, pp.820~825 (2009)
- Andresen EM, "Performance of health-related quality-of-life instruments in a spinal cord injured population", Arch Phys Med Rehabil, 80, pp.877~884 (1999)
- Ploughman M, "Factors influencing healthy aging with multiple sclerosis: a qualitative study", Disabil Rehabil, 34, pp.26~33 (2012)
- Ferguson AD, "Psychological factors after traumatic amputation in landmine survivors: the bridge between physical healing and full recovery", Disabil Rehabil, 26, pp.931~938 (2004)