Ann Rehabil Med.  2012 Dec;36(6):815-820.

Resilience as a Possible Predictor for Psychological Distress in Chronic Spinal Cord Injured Patients Living in the Community

• Shin JI
• Chae JH
• Min JA
• Lee CU
• Hwang SI
• Lee BS
• Han SH
• Ju HI
• Lee CY

Abstract

OBJECTIVE
To investigate whether higher resilience level predicts low levels of psychological distress in chronic SCI patients living in the community. METHOD: Thirty seven patients (mean age 41.5+/-10.9, male : female=28 : 9) with chronic spinal cord injury (duration 8.35+/-7.0 years) living in the community are included, who were hospitalized for annual checkups from November, 2010 to May, 2011. First, their spinal cord injury level, completeness and complications were evaluated. The patients completed questionnaires about their educational status, religion, employment status, marital status, medical and psychological history and also the following questionnaires: Hospital Anxiety and Depression Scale (HADS), Connor-Davidson Resilience Scale (CD-RISC), Alcohol Use Disorders Identification Test-alcohol consumption questions (AUDIT-C) and Health-related quality of life (EQ-5D). The patients were divided into two subgroups: patients with HADS > or =13 are classified as high psychological distress group and others as low psychological distress group. We compared the two groups to find statistically significant differences among the variables.
RESULTS
CD-RISC, EQ-5D and employment status are significantly different between two groups (p<0.05). In a forward stepwise regression, we found that EQ-5D had a greater contribution than CD-RISC to the psychological distress level.
CONCLUSION
In addition to health-related quality of life, resilience can be suggested as a possible predictor of psychological distress in chronic SCI patients.

Keyword

Resilience; Predictor; Spinal cord injuries

MeSH Terms

Anxiety
Dapsone
Depression
Educational Status
Employment
Humans
Male
Marital Status
Quality of Life
Spinal Cord
Spinal Cord Injuries
Surveys and Questionnaires
Dapsone

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