Spinal Cord Injury and Mental Health

Migliorini, Christine; Tonge, Bruce John; Taleporos, George

doi:10.1080/00048670801886080

Cited by 133 publications

(123 citation statements)

References 30 publications

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“…Three multicentre trials contributed to 59% of the sample. 26,30,40 Sample characteristics Consistent with global patterns of SCI, 47 the majority of participants were middle aged and male (Table 2). Most had longstanding SCI, having lived with their injury for an average of 9 years (range: 2 months to 66 years), with January et al 26 examining adults with paediatric-onset SCI.…”

Section: Study Characteristicsmentioning

confidence: 70%

“…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%

“…As data used for a meta-analysis should be sourced from independent samples, the studies were also checked so that there was no overlap in the samples utilised. 42 Six studies 25,[30][31][32][33][34] were subsequently pooled into two studies. Specifically, only the study providing the largest sample size was included.…”

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: 70%

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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“…1 With self-reported distress levels increasing post-discharge, the continued mental health needs of this patient group are also evident. 1,19 These results need to be interpreted in light of the methodological difficulties. Power analyses (Table 3) indicate that the study was underpowered.…”

Section: Discussionmentioning

confidence: 99%

Psychological intervention during spinal rehabilitation: a preliminary study

2009

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Study design: A repeated measures, non-randomised controlled trial. Objective: To examine the effectiveness of individualised cognitive behaviour therapy (CBT) on the psychological adjustment of patients undergoing rehabilitation for newly acquired spinal cord injury. Setting: South Australian Spinal Cord Injury Service, Hampstead Rehabilitation Centre, South Australia, Australia. Methods: Eleven participants received individual CBT as part of their spinal rehabilitation. Selfreported levels of depression, anxiety and stress were assessed before the intervention, at week 12 of rehabilitation and at 3 months post-discharge, using the depression, anxiety and stress scales (DASS-21). Functional independence was also assessed, using the Functional Independence Measure (FIM). Responses were compared with 13 participants, closely matched on demographic and injury variables, who received standard psychological care (that is, assessment and monitoring only). Results: Depression scores for treatment participants showed a significant time effect, with worsening symptoms reported at three-month follow-up, after CBT was discontinued. In contrast, the DASS-21 scores of standard care participants remained at subclinical levels throughout the study. Clinical improvements in symptoms of anxiety and stress were also reported by the treatment group as inpatient therapy progressed. Conclusion: Targeted, individualised psychological treatment contributed to short-term, meaningful improvements in emotional outcomes for individuals reporting psychological morbidity after recent spinal injury. The results also highlight the need for ongoing access to specialised, psychological services post-discharge. Replication of these results with a larger sample is required before definitive conclusions can be drawn.

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