Indicators of psychological distress in postacute spinal cord injured individuals.
2005 (English)In: Spinal Cord, ISSN 1362-4393, E-ISSN 1476-5624, Vol. 43, no 4, 223-229 p.Article in journal (Refereed) PublishedText
STUDY DESIGN::Consecutive inclusion of spinal cord injured patients admitted for postacute rehabilitation from June 2000 to January 2002. OBJECTIVE::Assessment of prevalence of indicators of psychological distress in the subacute and early chronic stages after acute-onset spinal cord injury (SCI). SETTING::A Swedish rehabilitation center. METHODS::In all, 36 patients participated. Psychological assessment was obtained at admission, discharge and 6 months follow-up by psychological measures based on the DSM-IV (ie Becks Depression Inventory, SPIFA, SCID-screen, AUDIT) and clinical interview. Ongoing psychotropic medication was noted. RESULTS::Clinical depression was infrequent. However, ongoing psychotropic medication was common, possibly indicating a relatively high incidence of underlying depressive and anxiety disorders. In all, 25%of the sample showed indicators of high alcohol consumption. Few patients had a previously diagnosed personality disorder. By contrast, there was frequent occurrence of personality traits outside normal ranges. CONCLUSION::Medication of psychological problems commonly occurs after SCI, especially for depression and anxiety. There are indications of alcohol overconsumption in a substantial minority of SCI patients. The study raises the question of whether suppression of psychological symptoms by drug therapy is the optimal treatment of such problems in a rehabilitation process. SPONSORSHIP::This study was funded by grants from‘Stiftelsen Tekniska Hjälpmedelåt Handikappade’.Spinal Cord (2005) 43, 223-229. doi:andlt;highlightandgt;10.1038andlt;/highlightandgt;/andlt;highlightandgt;sj.scandlt;/highlightandgt;.andlt;highlightandgt;3101703andlt;/highlightandgt;; Published online 7 December 2004 [ABSTRACT FROM AUTHOR]
Place, publisher, year, edition, pages
Nature Publishing Group, 2005. Vol. 43, no 4, 223-229 p.
IdentifiersURN: urn:nbn:se:liu:diva-126328DOI: 10.1038/sj.sc.3101703PubMedID: 15583705OAI: oai:DiVA.org:liu-126328DiVA: diva2:913674