Psychological distress and user experiences with health care provision in persons living with spinal cord injury for more than 20 years

Fractures and musculoskeletal ailments in persons 20+ years after a traumatic spinal cord injury in Norway

“…We included persons with traumatic SCI, injured more than 20 years ago and admitted for initial rehabilitation at Sunnaas Rehabilitation Hospital (SunRH) between 1961 and 1982. The data collection, which took place in 2004/5, has been previously described [11]. In short, participants answered a questionnaire in face-to-face interview.…”

Grieving a disrupted biography: an interpretative phenomenological analysis exploring barriers to the use of mindfulness after neurological injury or impairment

“…The efficacy of mindfulness in the management of psychological distress has been widely evidenced in Multiple Sclerosis [ 3 ] and SCI [ 23 ]. Such psychological distress is common after SCI and MS, even up to twenty years after diagnosis [ 5 ], therefore is a key target for improving long-term outcomes for people living with sensory loss in the community [ 44 ]. Within the current study, results consistently demonstrated that mindfulness practice was used to approach difficult emotions, managing catastrophizing and worry.…”

“…Core mindfulness techniques include increased breath awareness and focusing on the present moment by paying attention to physical sensations, therefore minimising maladaptive cognitive reactivity [2]. Mindfulness has been implicated as a stress-buffering strategy which can reduce the psychological distress, depression, pain and worry associated with living with chronic illness [3][4][5]. Mindfulness-based practices employ strategies that promote acceptance of (ill-)health through non-judgemental observation of thoughts and feelings [1].…”

Normalization of disrupted clock gene expression in males with tetraplegia: a crossover randomized placebo-controlled trial of melatonin supplementation

“…Regulators other than melatonin, e.g., food and social activities, may also affect peripheral clock genes differently in subjects with SCI compared with able-bodied. Disruption of rhythms has been shown to lead to a variety of conditions including sleeping-disorders, depression, and cancer [25], conditions found to be more frequent in SCI [25][26][27][28][29]. A dysregulated peripheral clock in tetraplegia may be a contributing factor of the increased risk of such disorders and indeed there is evidence that the use of Circadin (melatonin) over prolonged period of time has a positive effect on sleep related disturbances in elderly people with low melatonin levels [30].…”