Effect of life reconstruction training on anxiety and depression among individuals with chronic spinal cord injury and their caregivers
10.3969/j.issn.1006-9771.2025.11.010
- VernacularTitle:生活重建训练对慢性期脊髓损伤患者及其照顾者焦虑和抑郁的效果
- Author:
Haixia XIE
1
;
Xinxing HU
;
Hua ZHAI
;
Peipei LIN
;
Jianhui HE
;
Jia ZHANG
;
Xiaowan DONG
;
Fengshui CHANG
Author Information
1. 同济大学附属养志康复医院(上海市阳光康复中心),上海市 201619
- Publication Type:Journal Article
- Keywords:
spinal cord injury;
anxiety;
depression;
life reconstruction training;
influencing factors
- From:
Chinese Journal of Rehabilitation Theory and Practice
2025;31(11):1333-1341
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of life reconstruction training on anxiety and depression among individuals with chronic spinal cord injury(SCI)and their caregivers,and to analyze the influencing factors.Methods A total of 216 SCI patients and 79 caregivers who participated in life reconstruction training were recruited from the Hope House for SCI individuals in Shanghai Yangzhi Rehabilitation Hospital from May,2017 to Octo-ber,2019.They were assessed with Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)be-fore and after intervention.Results After intervention,the scores of SAS and SDS decreased(P<0.05)in both SCI patients and their caregivers.SAS scores were more likely to reduce in SCI patients who suffered anxiety at admission(OR=2.315,95%CI 1.328 to 4.033,P=0.003)and their caregivers(OR=3.632,95%CI 1.270 to 10.390,P=0.016),as well as non-agricultural-registered SCI patients(OR=1.908,95%CI 1.074 to 3.391,P=0.028).Being unmarried,having an injury duration≥21 years,injury due to disease,and having depression at admission significantly promoted the reduction in SDS scores among SCI patients(P<0.05).Caregivers with a junior-high-school education or less were more likely to experience reductions in scores of SAS and SDS compared with those with higher education(P<0.05).Caregivers with five to 15 years of caregiving experience achieved more anxiety reduction(OR=7.155,95%CI 1.806 to 28.342,P=0.005).Conclusion Life reconstruction training is effective on anxiety and depression among individuals with chronic SCI and their caregivers.It is recommended to prioritize anxiety interventions for patients with rural household registra-tion in China,along with depression management for the married/divorced/widowed individuals,with<21 years since injury,and trauma-induced lesions.For caregivers,it is needed to focus to anxiety and depression in better-educated individuals,as well as anxiety in those with either<5 or≥15 years of caregiving experience.
