Perceived functional impairment and spirituality/religiosity as predictors of depression in a Sri Lankan spinal cord injury patient population

Xue, Siqi; Arya, Sumedha; Embuldeniya, A.; Narammalage, H; Silva, T da; Williams, Shehan; Ravindran, Arun

doi:10.1038/sc.2016.56

Cited by 8 publications

(6 citation statements)

References 37 publications

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“…Therefore, it is expected that men with a more severe locomotor disability (that is tetraplegia) should exhibit a higher risk of depression compared to men with paraplegia. On the contrary, in our study of men with chronic SCI, neurological characteristics, including the level and completeness of the lesion and the physical, functional independence, were not significantly different between depressed and not depressed men, as previously reported [ 7 , 10 , 37 , 43 , 44 , 45 , 46 ]. This is in line with our previous study, in which men with a cervical lesion, despite lower functional independence, exhibited significantly lower psychological distress than those with thoraco-lumbar lesions [ 15 ].…”

Section: Discussionsupporting

confidence: 64%

“…The presence of depressive symptoms and their severity were assessed by the interviewer-assisted self-report Beck Depression Inventory-II (BDI-II) [ 34 ] which was administered at admission by the same psychologist (F.C.). The BDI-II is a 21-item screening tool for depressive symptoms [ 19 , 35 ], largely used for people with SCI [ 21 , 36 , 37 ]. Previously published cut-off points identified patients with “no depression” (score <14) and “mild to severe depression” (≥14) [ 20 , 34 ].…”

Section: Methodsmentioning

confidence: 99%

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Erectile Dysfunction Is the Main Correlate of Depression in Men with Chronic Spinal Cord Injury

Barbonetti

D’Andrea

Castellini

et al. 2021

JCM

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Depression is the most prevalent psychological issue after a spinal cord injury (SCI) and is associated with noticeable disability, mortality and health expenditure. As SCI mainly occurs in sexually active men at a young age, and can lead to them suffering from an organic neurogenic erectile dysfunction (ED), we supposed that ED could be a major correlate of depressive status in men with SCI. As documented by a Beck Depression Inventory-II (BDI-II) score ≥14, depression was reported in 17 out of 57 men with a chronic SCI (29.8%). They exhibited a significantly higher prevalence of ED and a more severe bowel and bladder dysfunction when compared to the group without depression. At the multiple logistic regression analysis, depression showed a significant independent association with ED (OR = 19.0, 95% CI: 3.1, 203.3; p = 0.004) and, to a lesser extent, with a severe impairment of bowel and bladder function (OR = 0.84; 95% CI: 0.72, 0.94; p = 0.01). Depression was observed in 43.7% of men with ED and only in 12.0% of those without ED (p = 0.002). In conclusion, healthcare providers should give the right level of importance to the management of ED in men with SCI, as this represents a major independent correlate of depression, which, in turn, might hinder physical rehabilitation and exacerbate physical health issues related to SCI.

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Section: Discussionsupporting

confidence: 64%

Section: Methodsmentioning

confidence: 99%

Erectile Dysfunction Is the Main Correlate of Depression in Men with Chronic Spinal Cord Injury

Barbonetti

D’Andrea

Castellini

et al. 2021

JCM

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“…The BENEFIT Through spirituality/religiosity scale (chronic diseases and spinal cord injury) (Bussing and Koenig 2008;Xue et al 2016 (Monod et al 2010(Monod et al , 2012a • The Advance Cancer Patients' Distress Scale (Fischbeck et al 2013 Very recently, just before the application of our search protocols, two spirituality/religiosity measures gained validation, both in cancer care. First the QRFPC25, a measure of religiosity and spirituality was validated and shown to be reliable in 156 people with neoplastic disease (Kouloulias et al 2017).…”

mentioning

confidence: 99%

Measuring Spirituality and Religiosity in Clinical Settings: A Scoping Review of Available Instruments

Austin¹,

Macdonald²,

MacLeod

2018

Religions

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Aims: Numerous measures exist that assess dimensions of spirituality and religiosity in health, theological and social settings. In this review, we aim to identify and evaluate measures assessing factors relating to spirituality and religiosity in clinical settings. Methods: A systematic literature search was conducted using PubMed, EMBASE and PsycINFO databases with search terms relating to spirituality, religiosity that also included well-being, needs, distress and beliefs used in self-reporting and clinician-administered measures. Only articles relating to the validation and subsequent administration of measures used in clinical settings were eligible for review. Results: Of 75 measures selected for initial screening, 25 had been validated and used in clinical settings and were reviewed for this study. Most measures were validated in oncological and palliative care settings where the Functional Assessment of Chronic Illness Therapy Spiritual Well-being (FACIT-Sp12) and the World Health Organization Quality of Life Spiritual, Religious and Personal Beliefs (WHOQOL-SRPB) were most validated and frequently used. Only six measures were found that assessed spiritual distress and/or the needs of which only two had been investigated more than twice. Two measures assessing spirituality and religious beliefs in healthcare staff were also reviewed. Conclusions: This review provides a current summary of measures evaluating several dimensions of spirituality and religiosity used in clinical settings. Currently there is a lack of reliable measures evaluating spiritual needs and distress.

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“…Through his cross-sectional questionnaire based study, he conveyed the importance of the rehabilitative programs which support patients’ spirituality/religiosity activities and mental wellbeing. 33 A similar study based on a focus group research design examined the coping mechanism after SCI. The findings suggested that family support as well as spiritual practices provided solace, consolation, and inner quiet to participants, especially during difficult times, helping them participate in community activities, build confidence.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators during Community Reintegration of People with Spinal Cord Injury: A Qualitative Study

Mohan,

Deb

2023

J Caring Sci

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Introduction: Spinal cord injury (SCI) individuals face challenges in community reintegration due to various factors. This study explores the barriers and facilitators affecting their reintegration, aiming to understand and address their diverse needs and challenges in different cultural contexts. Methods: The present qualitative study was conducted between December 2021 to June 2022 among 71 SCI individuals as data saturation was achieved. Data was collected via structured in-depth interview. Participants were identified through purposive sampling method, admitted, or visited to rehabilitation center, India. Data was analyzed according to Braun and Clarke’s thematic analysis method using MAXQDA 2020. Results: Data analysis led to the emergence of four major themes and several sub-themes specific to the single problem domain. The four major themes of barriers included environmental, cultural, psychological and health-related barriers. However, four facilitators (Family support, financial stability, religious practices, friends and leisure activity) came up which may help in overcoming from the challenges faced by the SCI individuals. Conclusion: People with SCI face various problems in their care, management and social lives. It is important to give attention to their needs along with comprehensive health support and strengthen the patient-provider interaction. This may generate a sense of self efficacy, self-esteem and promotes the mental well-being of people with spinal cord injuries. Working on the above mentioned issues can help SCI people in low- and middle-income countries become more integrated into their communities.

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Perceived functional impairment and spirituality/religiosity as predictors of depression in a Sri Lankan spinal cord injury patient population

Cited by 8 publications

References 37 publications

Erectile Dysfunction Is the Main Correlate of Depression in Men with Chronic Spinal Cord Injury

Erectile Dysfunction Is the Main Correlate of Depression in Men with Chronic Spinal Cord Injury

Measuring Spirituality and Religiosity in Clinical Settings: A Scoping Review of Available Instruments

Barriers and Facilitators during Community Reintegration of People with Spinal Cord Injury: A Qualitative Study

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