Header

UZH-Logo

Maintenance Infos

Describing functioning and health after spinal cord injury in the light of psychological-personal factors


Geyh, Szilvia; Kunz, Simon; Müller, Rachel; Peter, Claudio (2016). Describing functioning and health after spinal cord injury in the light of psychological-personal factors. Journal of Rehabilitation Medicine, 48(2):219-234.

Abstract

Objective: To describe and explore functioning and health of persons with spinal cord injury from the perspective of psychological-personal factors in the light of the International Classification of Functioning, Disability and Health (ICF) framework.
Methods: Data from 511 participants regarding feelings, thoughts and beliefs, motives, and patterns of experience and behaviour were analysed. Measurement instruments included the Mental Health Index-5, Positive and Negative Affect Schedule, Hospital Anxiety and Depression Scale, Appraisal of Life Events Scale, 5 items from the World Health Organization Quality of Life Scale, Purpose in Life Test-Short Form, General Self-Efficacy Scale, Big Five Inventory-21, Social Skills Inventory-SF, Brief COPE. The distribution of the selected psychological-personal factors-indicators was examined using descriptive statistics. Differences between SCI subgroups by sex, age,
age at injury, time since injury, aetiology and severity of injury were explored using analysis of variance (ANOVA) and F-tests.
Results: Participants who were older and sustained their spinal cord injury more recently experienced more depressed mood, less positive affect, less challenge appraisal, lower life satisfaction, lower purpose in life, and lower self-efficacy. They reported lower social skills, less usage of the coping strategies humour, positive reframing, and acceptance, and more usage of the coping strategies denial and self-distraction. Overall, effect sizes were small.
Discussion: Although study participants appeared to be well adjusted to spinal cord injury, those who sustained their injury at an older age and more recently reported more negative experiences. Quantitative description and exploration of the psychological-personal aspects of health will enable hypotheses to be formulated for further research, and suggest a need for tailored interventions for those at risk of less favourable outcomes.

Abstract

Objective: To describe and explore functioning and health of persons with spinal cord injury from the perspective of psychological-personal factors in the light of the International Classification of Functioning, Disability and Health (ICF) framework.
Methods: Data from 511 participants regarding feelings, thoughts and beliefs, motives, and patterns of experience and behaviour were analysed. Measurement instruments included the Mental Health Index-5, Positive and Negative Affect Schedule, Hospital Anxiety and Depression Scale, Appraisal of Life Events Scale, 5 items from the World Health Organization Quality of Life Scale, Purpose in Life Test-Short Form, General Self-Efficacy Scale, Big Five Inventory-21, Social Skills Inventory-SF, Brief COPE. The distribution of the selected psychological-personal factors-indicators was examined using descriptive statistics. Differences between SCI subgroups by sex, age,
age at injury, time since injury, aetiology and severity of injury were explored using analysis of variance (ANOVA) and F-tests.
Results: Participants who were older and sustained their spinal cord injury more recently experienced more depressed mood, less positive affect, less challenge appraisal, lower life satisfaction, lower purpose in life, and lower self-efficacy. They reported lower social skills, less usage of the coping strategies humour, positive reframing, and acceptance, and more usage of the coping strategies denial and self-distraction. Overall, effect sizes were small.
Discussion: Although study participants appeared to be well adjusted to spinal cord injury, those who sustained their injury at an older age and more recently reported more negative experiences. Quantitative description and exploration of the psychological-personal aspects of health will enable hypotheses to be formulated for further research, and suggest a need for tailored interventions for those at risk of less favourable outcomes.

Statistics

Citations

Dimensions.ai Metrics
18 citations in Web of Science®
19 citations in Scopus®
Google Scholar™

Altmetrics

Downloads

4 downloads since deposited on 11 Nov 2016
2 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Physical Therapy, Sports Therapy and Rehabilitation
Health Sciences > Rehabilitation
Language:English
Date:February 2016
Deposited On:11 Nov 2016 14:00
Last Modified:07 Sep 2021 15:34
Publisher:Foundation for Rehabilitation Information
ISSN:1650-1977
Additional Information:Collaborators: Deriaz O, Baumberger M, Gmünder HP, Curt A, Schubert M, Hug K, Hund-Georgiadis M, Koch HG, Styger U, Landolt H, Schaumann-Von Stosch R, Brach M, Stucki G, Brinkhof M, Thyrian C.
OA Status:Gold
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.2340/16501977-2027
PubMed ID:26935045

Download

Gold Open Access

Download PDF  'Describing functioning and health after spinal cord injury in the light of psychological-personal factors'.
Preview
Content: Published Version
Language: English
Filetype: PDF
Size: 419kB
View at publisher
Licence: Creative Commons: Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)