Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activity
Objectives: To assess the presence of depressive symptoms among older adults with long-term spinal cord injury and investigate the association with sociodemographic and injury characteristics; and to determine how potentially modifiable factors, i.e. secondary health conditions, sense of coherence,...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2017-07-01
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| Series: | Journal of Rehabilitation Medicine |
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| Online Access: |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2259
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| _version_ | 1819002391636213760 |
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| author | Sophie Jörgensen Kathleen A. Ginis Susanne Iwarsson Jan Lexell |
| author_facet | Sophie Jörgensen Kathleen A. Ginis Susanne Iwarsson Jan Lexell |
| author_sort | Sophie Jörgensen |
| collection | DOAJ |
| description | Objectives: To assess the presence of depressive symptoms among older adults with long-term spinal cord injury and investigate the association with sociodemographic and injury characteristics; and to determine how potentially modifiable factors, i.e. secondary health conditions, sense of coherence, coping strategies and leisure-time physical activity, are associated with depressive symptoms.
Design: Cross-sectional study.
Subjects: A total of 122 individuals (70% men, injury levels C1–L5, American Spinal Injury Association Impairment Scale A–D), mean age 63 years, mean time since injury 24 years.
Methods: Data from the Swedish Aging with Spinal Cord Injury Study, collected using the Geriatric Depression Scale-15, the 13-item Sense of Coherence Scale, the Spinal Cord Lesion-related Coping Strategies Questionnaire and the Physical Activity Recall Assessment for people with Spinal Cord Injury. Associations were analysed using multivariable linear regression. Results: A total of 29% reported clinically relevant depressive symptoms and 5% reported probable depression. Sense of coherence, the coping strategy Acceptance, neuropathic pain and leisure-time physical activity explained 53% of the variance in depressive symptoms.
Conclusion: Older adults with long-term spinal cord injury report a low presence of probable depression. Mental health may be supported through rehabilitation that strengthens the ability to understand and confront life stressors, promotes acceptance of the injury, provides pain management and encourages participation in leisure-time physical activity. |
| first_indexed | 2024-12-20T23:04:22Z |
| format | Article |
| id | doaj.art-4bd74c568f6f4fa89533a46bbfb25656 |
| institution | Directory Open Access Journal |
| issn | 1650-1977 1651-2081 |
| language | English |
| last_indexed | 2024-12-20T23:04:22Z |
| publishDate | 2017-07-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj.art-4bd74c568f6f4fa89533a46bbfb256562022-12-21T19:23:54ZengMedical Journals SwedenJournal of Rehabilitation Medicine1650-19771651-20812017-07-0149864465110.2340/16501977-22592340Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activitySophie Jörgensen0Kathleen A. GinisSusanne IwarssonJan Lexell Department of Health Sciences, Lund University, SE-221 00 Lund, Sverige. sophie.jorgensen@med.lu.se. Objectives: To assess the presence of depressive symptoms among older adults with long-term spinal cord injury and investigate the association with sociodemographic and injury characteristics; and to determine how potentially modifiable factors, i.e. secondary health conditions, sense of coherence, coping strategies and leisure-time physical activity, are associated with depressive symptoms. Design: Cross-sectional study. Subjects: A total of 122 individuals (70% men, injury levels C1–L5, American Spinal Injury Association Impairment Scale A–D), mean age 63 years, mean time since injury 24 years. Methods: Data from the Swedish Aging with Spinal Cord Injury Study, collected using the Geriatric Depression Scale-15, the 13-item Sense of Coherence Scale, the Spinal Cord Lesion-related Coping Strategies Questionnaire and the Physical Activity Recall Assessment for people with Spinal Cord Injury. Associations were analysed using multivariable linear regression. Results: A total of 29% reported clinically relevant depressive symptoms and 5% reported probable depression. Sense of coherence, the coping strategy Acceptance, neuropathic pain and leisure-time physical activity explained 53% of the variance in depressive symptoms. Conclusion: Older adults with long-term spinal cord injury report a low presence of probable depression. Mental health may be supported through rehabilitation that strengthens the ability to understand and confront life stressors, promotes acceptance of the injury, provides pain management and encourages participation in leisure-time physical activity. https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2259 adaptation,psychologicalageingdepressionexerciserehabilitationsenseofcoherencespinalcordinjury |
| spellingShingle | Sophie Jörgensen Kathleen A. Ginis Susanne Iwarsson Jan Lexell Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activity Journal of Rehabilitation Medicine adaptation,psychological ageing depression exercise rehabilitation senseofcoherence spinalcordinjury |
| title | Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activity |
| title_full | Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activity |
| title_fullStr | Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activity |
| title_full_unstemmed | Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activity |
| title_short | Depressive symptoms among older adults with long-term spinal cord injury: Associations with secondary health conditions, sense of coherence, coping strategies and physical activity |
| title_sort | depressive symptoms among older adults with long term spinal cord injury associations with secondary health conditions sense of coherence coping strategies and physical activity |
| topic | adaptation,psychological ageing depression exercise rehabilitation senseofcoherence spinalcordinjury |
| url |
https://www.medicaljournals.se/jrm/content/html/10.2340/16501977-2259
|
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