Stigma following acquired brain injury and spinal cord injury: relationship to psychological distress and community integration in the first-year post-discharge.

Autor:	Ownsworth T; The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.; School of Applied Psychology, Griffith University, Brisbane, Australia., Mols H; The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia., O'Loghlen J; The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.; School of Applied Psychology, Griffith University, Brisbane, Australia., Xie Y; The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.; RECOVER Injury Research Centre, The University of Queensland, Brisbane, Australia., Kendall M; The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.; Division of Rehabilitation, Metro South Health Hospital and Health Service, Brisbane, Australia., Nielsen M; The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.; Division of Rehabilitation, Metro South Health Hospital and Health Service, Brisbane, Australia., Mitchell J; The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.; School of Applied Psychology, Griffith University, Brisbane, Australia., Jones R; The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.; Division of Rehabilitation, Metro South Health Hospital and Health Service, Brisbane, Australia., Geraghty T; The Hopkins Centre, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.; Division of Rehabilitation, Metro South Health Hospital and Health Service, Brisbane, Australia.
Jazyk:	angličtina
Zdroj:	Disability and rehabilitation [Disabil Rehabil] 2024 May; Vol. 46 (9), pp. 1796-1806. Date of Electronic Publication: 2023 May 02.
DOI:	10.1080/09638288.2023.2205173
Abstrakt:	Purpose: This study aimed to compare stigma levels after acquired brain injury (ABI) and spinal cord injury (SCI) during the first 12-months post-discharge and investigate relationships between stigma, psychological distress and community integration. Methods: 110 adults with ABI (55%) or SCI (45%) were recruited from brain and spinal cord injury inpatient rehabilitation units of a tertiary healthcare facility. They were administered Neuro-QOL Stigma subscale and Depression Anxiety and Stress Scales (DASS-21) at discharge, 3-months and 12-months post-discharge, and Community Integration Measure at 12-months post-discharge. Results: Stigma levels did not significantly differ between individuals with ABI and SCI. However, stigma significantly decreased between discharge and 12-months post-discharge for the total sample. Stigma was positively associated with psychological distress at discharge and 3-months post-discharge, but not at 12-months post-discharge. Lower functional status and power wheelchair use were associated with higher stigma at 12-months post-discharge. Stigma at 3-months post-discharge predicted community integration at 12-months post-discharge, controlling for psychological distress and functional status. Conclusion: Experience of stigma in the first few months post-discharge may negatively impact individuals' community reintegration. The early post-discharge period may be a pivotal time for supporting individuals to explore disability and injury-related appraisals and enhance connection to their community.
Databáze:	MEDLINE
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