Depression and anxiety in spinal cord injured patients during the subacute rehabilitation phase: From dusk till dawn Omurilik yaralanmali hastalarda subakut rehabilitasyon sürecinde depresyon ve anksiyete: Alacakaranliktan şafaǧa?
Journal of Rheumatology and Medical Rehabilitation, cilt.21, sa.3, ss.65-72, 2010 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 3
- Basım Tarihi: 2010
- Dergi Adı: Journal of Rheumatology and Medical Rehabilitation
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.65-72
- Anahtar Kelimeler: Anxiety, Depression, Spinal cord injuries
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
This is a prospective, cross sectional study that consecutive inclusion of spinal cord injured (SCI) patients admitted for subacute rehabilitation to our rehabilitation center. The purpose of this study was to assess anxiety and depressive symptoms in SCI patients and identify the contrubuting factors during the inpatient rehabilitation phase. A total of, 36 patients (27 males, 9 females, mean age 32.3 with a range of 18-56) were included in the study. Only those patients who were at least one month post injury, no head injuries or any preexisting psychopathology, at least 17 years of age and at most 55 years of age, able to read Turkish and were asked to participate in the study voluntarily. Demographic data and functional outcome measurements were recorded during the rehabilitation phase. A comprehensive battery of instruments was used to asses the psychological morbidity by the same psychologist. Beck Depression Inventory (BDI), Beck Hopelessnes Scale (BHS) and The Spielberg State-Trait Anxiety Inventory (STAI) were applied to screen depression and anxiety. Of the study group, 14 patients (38,9%) were found to be depressed and 26 patients (72,2%) were found to be anxious at the beginning of the rehabilitation phase. BDI, BHS and STAI scores demonstrated a significant pattern whereby scores of depression and anxiety showed a significant decrease at the end of the rehabilitation period. Highly significant positive correlations were found between prerehabilitation and post rehabilitation mean depression and anxiety scores. Negative correlations were found between prerehabilitation depression and anxiety scores and women gender, younger age, single status, and higher ASIA grades (A,B). Our study shows that many patients with SCI are severely anxious and depressed at the beginning of their rehabilitation phase depending on sociodemographic and clinical characteristics of themselves'. As an optimistic finding significant reduction in these scores combined across time during the rehabilitation phase. So, it is necessary to follow SCI patients during their rehabilittaion stay regarding the presence of depression and anxiety and provide pyschological care. Besides, further studies are required to identify the course of such symptoms in SCI patients who live in the community. Copyright © 2010 by Türk Tibbi Rehabilitasyon Kurumu Derneǧi.