Resilience as a Possible Predictor for Psychological Distress in Chronic Spinal Cord Injured Patients Living in the Community.
10.5535/arm.2012.36.6.815
- Author:
Jung In SHIN
1
;
Jeong Ho CHAE
;
Jung Ah MIN
;
Chang Uk LEE
;
Sung Il HWANG
;
Bum Suk LEE
;
Sang Hoon HAN
;
Hye In JU
;
Cha Yeon LEE
Author Information
1. Department of Rehabilitation Medicine, National Rehabilitation Hospital, Seoul 142-884, Korea.
- Publication Type:Original Article
- Keywords:
Resilience;
Predictor;
Spinal cord injuries
- MeSH:
Anxiety;
Dapsone;
Depression;
Educational Status;
Employment;
Humans;
Male;
Marital Status;
Quality of Life;
Spinal Cord;
Spinal Cord Injuries;
Surveys and Questionnaires
- From:Annals of Rehabilitation Medicine
2012;36(6):815-820
- CountryRepublic of Korea
- Language:English
-
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 > or =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.