Analysis on the influencing factors of anxiety and depression in spinal cord injury patients based on patient-environment-occupation model_West China Medical Journal

Authors：

WANG Fengyi , LI Zhi , YU Hongling , PI Zhiqiang , LIN Yang ,  YANG Yonghong

Center of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YANG Yonghong, Email: nicole308@126.com

Keywords：

Spinal cord injury; Anxiety; Depression; Related factor; Person-environment-occupation model

DOI：

10.7507/1002-0179.201601057

Video：

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Objective To identify related factors of anxiety and depression in spinal cord injury (SCI) patients based on patient-environment-occupation (PEO) model, and provide evidences for clinical practice. Methods A total of 241 patients with SCI treated between April 2014 and April 2015 were collected as the study subjects. All the patients were confirmed with SCI through CT or MRI, and had physical dysfunction. Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were applied in all the 241 SCI patients to measure their psychological state. Meanwhile, PEO factors such as demographic information as well as ability of activities of daily living (ADL) and relatives’ stress were assessed by self-made questionnaire, Modified Barthel Index (MBI) and Relatives’ Stress Scale (RSS). Then, multiple stepwise regression was applied to identify significant covariance with SAS/SDS as dependent variables and other 14 factors as independent variables. Results The regression equation showed that only SDS, MBI, living environment and disease course were significantly associated with SAS. Only SAS, MBI and RSS were significantly associated with SDS. Conclusions The ability of ADL and environment are significantly correlated with psychological state of SCI patients. Early intervention of ADL and decreasing environmental barriers are needed to improve patients’ psychological state.

Citation： WANG Fengyi, LI Zhi, YU Hongling, PI Zhiqiang, LIN Yang, YANG Yonghong. Analysis on the influencing factors of anxiety and depression in spinal cord injury patients based on patient-environment-occupation model. West China Medical Journal, 2017, 32(3): 408-412. doi: 10.7507/1002-0179.201601057 Copy

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13.	Dorstyn DS, Mathias JL, Denson LA. Psychological intervention during spinal rehabilitation: a preliminary study. Spinal Cord, 2010, 48(10): 756-761.
14.	Williams R, Murray A. Prevalence of depression after spinal cord injury: a meta-analysis. Arch Phys Med Rehabil, 2015, 96(1): 133-140.
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1. 李建军, 周红俊, 洪毅, 等. 2002 年北京市脊髓损伤发病率调查. 中国康复理论与实践, 2004, 10(7): 412-413.
2. Song HY. Modeling social reintegration in persons with spinal cord injury. Disabil Rehabil, 2005, 27(3): 131-141.
3. Metzler MJ, Metz GA. Analyzing the barriers and supports of knowledge translation using the PEO model. Can J Occup Ther, 2010, 77(3): 151-158.
4. Greene JG, Smith R, Gardiner M,et al. Measuring behavioural disturbance of elderly demented patients in the community and its effects on relatives: a factor analytic study. Age Ageing, 1982, 11(2): 121-126.
5. Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol, 1989, 42(8): 703-709.
6. Samakouri M, Bouhos G, Kadoglou M,et al. Standardization of the Greek version of Zung’s Self-rating Anxiety Scale (SAS). Psychiatrike, 2012, 23(3): 212-220.
7. Chagas MH, Tumas V, Loureiro SR,et al. Validity of a Brazilian version of the Zung self-rating depression scale for screening of depression in patients with Parkinson's disease. Parkinsonism Relat Disord, 2010, 16(1): 42-45.
8. Bonanno GA, Kennedy P, Galatzer-Levy IR,et al. Trajectories of resilience, depression, and anxiety following spinal cord injury. Rehabil Psychol, 2012, 57(3): 236-247.
9. Cuff L, Fann JR, Bombardier CH,et al. Depression, pain intensity, and interference in acute spinal cord injury. Top Spinal Cord Inj Rehabil, 2014, 20(1): 32-39.
10. Min JA, Lee CU, Hwang SI,et al. The moderation of resilience on the negative effect of pain on depression and post-traumatic growth in individuals with spinal cord injury. Disabil Rehabil, 2014, 36(14): 1196-1202.
11. Nogueira PC, Rabeh SA, Caliri MH,et al. Burden of care and its impact on health-related quality of life of caregivers of individuals with spinal cord injury. Rev Lat Am Enfermagem, 2012, 20(6): 1048-1056.
12. Strong S, Rigby P, Stewart D,et al. Application of the Person-Environment-Occupation model: a practical tool. Can J Occup Ther, 1999, 66(3): 122-133.
13. Dorstyn DS, Mathias JL, Denson LA. Psychological intervention during spinal rehabilitation: a preliminary study. Spinal Cord, 2010, 48(10): 756-761.
14. Williams R, Murray A. Prevalence of depression after spinal cord injury: a meta-analysis. Arch Phys Med Rehabil, 2015, 96(1): 133-140.
15. Rintala DH. Predictive validity of social support relative to psychological well-being in men with spinal cord injury. Rehabil Psychol, 2013, 58(4): 422-428.

West China Medical Journal

Analysis on the influencing factors of anxiety and depression in spinal cord injury patients based on patient-environment-occupation model

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