Association of depression and pain interference with disease-management self-efficacy in community-dwelling individuals with spinal cord injury
| Autor: | Chihya Hung, Marco Yiu Chung Pang, Yen-Ho Wang, Kwan-Hwa Lin, Janice J. Eng, Pei-Fang Tang |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cross-sectional study medicine.medical_treatment Population Pain Physical Therapy Sports Therapy and Rehabilitation Young Adult Quality of life Assisted Living Facilities medicine Humans Pain Management Young adult education Spinal cord injury Spinal Cord Injuries Depression (differential diagnoses) education.field_of_study Rehabilitation Depression business.industry Social Support General Medicine Middle Aged Center for Epidemiologic Studies Depression Scale medicine.disease Self Efficacy Cross-Sectional Studies Quality of Life Physical therapy Female business |
| Zdroj: | Journal of Rehabilitation Medicine. 41:1068-1073 |
| ISSN: | 1650-1977 |
| DOI: | 10.2340/16501977-0455 |
| Popis: | Objective: To determine factors influencing disease-management self-efficacy in individuals with spinal cord injury. Design: A cross-sectional study. Subjects/patients: Forty-nine community-dwelling individuals with chronic spinal cord injury (mean age 44 years) participated in the study. Methods: Each subject was evaluated for disease-management self-efficacy (Self-efficacy for Managing Chronic Disease), depression (10-item Center for Epidemiologic Studies Depression Scale), pain interference (Pain Interference Scale), and availability of support (Interpersonal Support Evaluation List short form). Multiple regression analysis was performed to determine the relative contributions of these factors to disease-management self-efficacy. Results: The mean disease-management self-efficacy score was 6.5 out of 10 (standard deviation 1.6). Bivariate correlation analysis showed that higher self-efficacy was significantly correlated with longer time since injury (r = 0.367, p = 0.010), better social support (r = 0.434, p = 0.002), lower pain interference (r = –0.589, p < 0.001), and less severe depressive symptoms (r = –0.463, p = 0.001). In multiple regression analysis, only lower pain interference and less severe depressive symptoms were significantly associated with higher disease-management self-efficacy (F 4,44 = 10.249, R 2 = 0.482, p < 0.001). Conclusion: Disease-management self-efficacy is suboptimal in many community-living people with spinal cord injury. This research suggests that rehabilitation of patients with spinal cord injury should include self-efficacy-enhancing strategies. Alleviation of depressive symptoms and pain self-management may be important for improving diseasemanagement self-efficacy in this population, but this requires further study. |
| Databáze: | OpenAIRE |
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