Prospective Study of the Occurrence of Psychological Disorders and Comorbidities After Spinal Cord Injury

Craig, Ashley; Perry, Kathryn Nicholson; Guest, Rebecca; Tran, Yvonne; Dezarnaulds, Annalisa; Hales, Alison; Ephraums, Catherine; Middleton, James

doi:10.1016/j.apmr.2015.02.027

Cited by 150 publications

(140 citation statements)

References 34 publications

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“…Exclusion criteria included individuals with a head injury (type not specified) and those with chronic physical or psychological comorbidities (for example, cardiovascular disease, diabetes mellitus, rheumatic disease and psychosis). Four studies 23,26,29,30 identified adjunct treatments (that is, psychotropic medication prescription), which may impact prevalence estimates for anxiety.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…For this same reason, a subgroup of individuals with paraplegia was examined from the study by Nestoros. 35 The study by Craig et al 23 was one of the few studies that provided diagnostic data based on clinical interview, hence variations in time point assessments were additionally examined. The final sample comprised of 18 independent studies.…”

Section: Eligibility Criteriamentioning

confidence: 99%

“…The full-texts of these studies were subsequently examined by both authors. 1,8,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40] The reference lists of these studies and published SCI review papers 2,10,11,41 were additionally examined. Although this process did not lead to the discovery of any new studies, it helped ensure that all relevant papers were identified.…”

Section: Eligibility Criteriamentioning

confidence: 99%

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Anxiety prevalence following spinal cord injury: a meta-analysis

Dorstyn

2016

Spinal Cord

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Study design: Meta-analysis. Objectives: Prevalence estimates indicate that anxiety following spinal cord injury (SCI) is a common problem. However, methodological differences between studies may impact the clinical interpretation of these data. Methods: Data from 18 independent studies (N participants = 3158), which reported the prevalence of an anxiety disorder or associated symptoms, were identified from the Embase, PubMed and PsycInfo databases. Proportions were the primary effect size estimate. Confidence intervals, fail-safe Ns and the I 2 statistic were additionally calculated to identify the extent to which findings were robust and consistent across studies. Results: Five per cent of participants met the criteria for either GAD or panic disorder, with Agoraphobia identified in 2.5%. These diagnostic data were, however, limited to two studies. Higher rates were noted for self-reported 'caseness' of anxiety, with 27% reporting clinically significant symptoms. Anxiety prevalence estimates varied across the individual self-report measures (range: 15-32%). Method of administration (range: 26-32%) did not impact significantly on these estimates nor did recruitment source, with similarly high anxiety levels reported by hospital (27%) and community (29%) samples. Conclusions: Early identification and treatment of anxiety are important in SCI rehabilitation, with a subgroup of individuals experiencing chronic symptoms. Further research is needed to establish guidelines for the interpretation of self-report data, including the use of clinical cutoffs.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Eligibility Criteriamentioning

confidence: 99%

Section: Eligibility Criteriamentioning

confidence: 99%

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Anxiety prevalence following spinal cord injury: a meta-analysis

Dorstyn

2016

Spinal Cord

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“…Studies of participants with more recent SCIs (3-24 months post-injury) report prevalence rates between 14% -44% [3][4][5] , whereas studies involving participants with more distant SCIs (> 2 years) report prevalence rates of 1% -13% [6][7][8] . However, it should be noted that one study did find a prevalence rate of only 1% in a sample of participants with a recent SCI 9 . This study is one of the few studies to employ a psychiatric interview to establish a diagnosis of PTSD, whereas most other similar studies Notice: This is the author's version of a work that was accepted for publication in Spinal Cord.…”

mentioning

confidence: 99%

“…Research on posttraumatic stress following SCI finds prevalence rates of 1% -44% for posttraumatic symptoms [3][4][5][6][7][8][9][10] . This wide disparity in prevalence rates mostly stems from variation in the amount of time-since-injury of the participant sample.…”

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confidence: 99%

Event centrality as a unique predictor of posttraumatic stress symptoms and perceived disability following spinal cord injury

et al. 2017

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An overview of the rehabilitation and psychiatric diagnoses of patients referred to a psychiatry consult liaison service at an inpatient rehabilitation hospital

Daly

Steinberg

Boyle

et al. 2023

PM&R

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BackgroundPatients presenting for inpatient rehabilitation following injury or illness are commonly affected by comorbid psychiatric illness. Currently, little is known about the utilization of a psychiatry consult service in an inpatient rehabilitation hospital.ObjectiveTo identify which rehabilitation patient populations most frequently received psychiatric consultation and recognize the most common psychiatric comorbidities after the implementation of a psychiatry consult liaison (PCL) service.DesignA retrospective observational study in the form of a chart review examining the utilization patterns of a psychiatric consultation liaison service in the inpatient rehabilitation setting. Chart review was performed to extract patient demographics (age and sex), rehabilitation diagnosis, cause of rehabilitation diagnosis (intentional, accident, self‐inflicted, or disease), reason for referral to psychiatry, and psychiatric diagnosis on initial consultation. Statistical software was used for statistical analysis to answer the pre‐specified research questions.SettingA 178 bed, free‐standing, academic rehabilitation hospital located in an urban Canadian center.PatientsAny patient admitted to the inpatient rehabilitation hospital who received a psychiatric consultation between September 2016 and December 2019 was eligible for inclusion.ResultsA total of 1016 charts were reviewed in the initial chart review and 1008 were included. The most common rehabilitation diagnoses that were associated with a psychiatric consult were (% admissions receiving consultation): amputations (38%); burns (35%), neurologic disorder (28%), deconditioning (14%), and musculoskeletal injury (7%). Although 20% of patients did not meet criteria for a psychiatric diagnosis, most common psychiatric diagnoses included mood disorder, adjustment disorder, neurocognitive disorder, and delirium.ConclusionThere are significant perceived needs for psychiatric services in the inpatient rehabilitation setting. Although some patient groups such as patients with amputations, burns, and trauma may exhibit the highest utilization, the service supports mental health needs from many patient groups.

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Prospective Study of the Occurrence of Psychological Disorders and Comorbidities After Spinal Cord Injury

Cited by 150 publications

References 34 publications

Anxiety prevalence following spinal cord injury: a meta-analysis

Anxiety prevalence following spinal cord injury: a meta-analysis

Event centrality as a unique predictor of posttraumatic stress symptoms and perceived disability following spinal cord injury

An overview of the rehabilitation and psychiatric diagnoses of patients referred to a psychiatry consult liaison service at an inpatient rehabilitation hospital

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