Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activity

Jörgensen, Sophie; Ginis, Kathleen A. Martin; Iwarsson, Susanne; Lexell, Jan

doi:10.2340/16501977-2259

Cited by 23 publications

(21 citation statements)

References 27 publications

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“…The SASCIS is a population‐based, longitudinal cohort study assessing persons 50 years of age or older and at least 10 years after a traumatic or nontraumatic SCI. The results from our previous studies are overall positive, showing that older adults with long‐term SCI in Sweden have some strategies and characteristics that may support healthy aging .…”

Section: Introductionmentioning

confidence: 73%

“…The overall aim is to contribute to the knowledge base of factors associated with healthy aging in individuals with long‐term SCI. We have previously described the methodology of the SASCIS , secondary health conditions, activity limitations and life satisfaction , participation in leisure time physical activity , participation restrictions and housing accessibility , and depressive symptoms and psychological resources in this population. In the present study, cross‐sectional data on the following CVD risk factors were included in the analyses: (1) BMI, (2) WC, (3) BP, (4) tobacco use, (5) FPG, and (6) lipid profiles.…”

Section: Methodsmentioning

confidence: 99%

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Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Jörgensen

Hill

Lexell

2019

PM&R

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Section: Introductionmentioning

confidence: 73%

Section: Methodsmentioning

confidence: 99%

Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Jörgensen

Hill

Lexell

2019

PM&R

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“…41 These results further strengthen the notion that pain and pain management should be routinely assessed in follow-up programs for older adults with long-term SCI. 15,42,43 Strengths and limitations Several strengths of the SASCIS have previously been presented, such as the representative study sample and the use of reliable, valid and internationally recognized assessment tools, uniformity of data collection and very limited missing data. 16,43 We used cross-sectional data in the analyses which limits conclusions about causal relationships between variables.…”

Section: Associations Between Life Satisfaction and Sociodemographicsmentioning

confidence: 99%

Global and domain-specific life satisfaction among older adults with long-term spinal cord injury

Jörgensen

Hedgren

Sundelin

et al. 2019

The Journal of Spinal Cord Medicine

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Objective: Although life expectancy after spinal cord injury (SCI) has increased, knowledge of life satisfaction and associated factors among older adults with long-term SCI is still very limited. The objective of this study was, therefore, to assess global and domain-specific life satisfaction among older adults with long-term SCI and investigate the association with sociodemographics, injury characteristics and secondary health conditions. Design: Cross-sectional cohort study. Data from the Swedish Aging with Spinal Cord Injury Study (SASCIS). Setting: Community settings in southern Sweden. Participants: Seventy-eight individuals (32% women, injury levels C1-L3, American Spinal Injury Association Impairment Scale (AIS) AD) mean age 68 years, mean time since injury 31 years. Interventions: Not applicable. Outcome measures: The Life Satisfaction Questionnaire (LiSat-11). Results: The participants were at least rather satisfied with most of the 11 life domains. They rated the lowest satisfaction with sexual life, activities of daily living and somatic health. Having a partner and being vocationally active was associated with greater satisfaction with life as a whole and with several other life domains. Participants with AIS D injuries were less satisfied with their somatic health than those with tetraplegia AIS A-C and paraplegia AIS A-C injuries. More secondary health conditions were negatively associated with satisfaction in five life domains. Conclusion: Life satisfaction can be affected many years after SCI. The social context, participation in meaningful activities and minimizing secondary health conditions seem to be important for maintaining life satisfaction in older adults with a long-term injury.

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“…The associations between acceptance and depression were investigated in 26 studies [11,13,18,25,33,[37][38][39][40][41][45][46][47]49,51,[57][58][59][60][61][62][63][64][65][66][67]. Greater acceptance was associated with lower depression in most cross-sectional studies [13,25,33,[37][38][39][40][41]47,57,58,[60][61][62][63]66], with only two studies reporting non-significant correlations [51,67]. When socio-demographic factors, injury-related variables, and additional psychosocial variables were controlled for, acceptance was a significant predictor of depression in four studies [13,40,61,…”

Section: Depressionmentioning

confidence: 99%

The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review

Aaby

Ravn

Kasch³

et al. 2019

Spinal Cord

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Study Design: Systematic review. Objectives: To identify, critically appraise, and synthesize research findings on the associations between acceptance, quality of life (QOL), and mental health outcomes in individuals living with spinal cord injury (SCI). Methods: Five databases (PubMed, PsycINFO, Embase, Web of Science, and Scopus) were systematically searched. Studies were included if they provided findings on the association between acceptance and QOL, mental health outcomes, or both in an SCI population aged 16 years or older. Only peer-reviewed original quantitative and qualitative studies were included. Screening, quality assessment, and data extraction were conducted independently by two researchers. Findings were tabulated and synthesized by outcome. Results: Forty-one studies were included. Greater acceptance was consistently associated with greater global and psychological QOL, life satisfaction, sense of well-being, mental health, and with lower levels of depression and anxiety. Inconsistent evidence was found with regards to social QOL and post-traumatic stress disorder. Acceptance was generally not associated with adjustment outcomes further than two years into the future. Study quality of the quantitative studies was mostly fair (n = 17) followed by good (n = 13), and poor (n = 9). Conclusion: Health-care professionals may regard acceptance as a psychological resource they can aim to support in improving QOL and mental health following SCI. A range of methodological and conceptual limitations were present in the research. Future studies should prioritize longitudinal designs, consider dyadic effects, explore subjective meaning(s) of acceptance, and investigate the effectiveness of therapeutic approaches that stimulate the acceptance process. AA was responsible for designing and writing the review protocol, conducting the literature search, screening identified records, conducting quality assessment, extracting and synthesizing data, interpreting results, creating figures and tables, and writing the manuscript. SLR was responsible for screening identified records, conducting quality assessment, and extracting and synthesizing data. She further contributed with guidance and continuous feedback on the review protocol, tables and figures, and revisions of the manuscript. HK contributed with guidance and continuous feedback on the review protocol, tables and figures, and revisions of the manuscript. TEA was responsible for arbitrating potentially eligible studies and further contributed with guidance and continuous feedback on the review protocol, tables and figures, and revisions of the manuscript.

show abstract

Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activity

Cited by 23 publications

References 27 publications

Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Cardiovascular Risk Factors Among Older Adults With Long‐Term Spinal Cord Injury

Global and domain-specific life satisfaction among older adults with long-term spinal cord injury

The associations of acceptance with quality of life and mental health following spinal cord injury: a systematic review

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