Volume 2, Issue 4 ( 2017)                   Iran J Neurosurg 2017, 2(4): 9-14 | Back to browse issues page

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Mousavi V. Quality of Life in Patients with Spinal Cord Injury: The Role of Depressed Mood . Iran J Neurosurg. 2017; 2 (4) :9-14
URL: http://irjns.org/article-1-77-en.html
Ph.d, Associate Professor in Department of Psychology, University of Guilan, Rasht, Iran , mousavi180@yahoo.com
Abstract:   (2490 Views)

Background & Aim: Disabilities resulting from road accidents, especially spinal cord injury, which often occur in the early or middle ages of life, cause psychiatric symptoms and worsen the quality of life in these people. The present study aimed to determine the role of depressed mood in the quality of life of patients with spinal cord injury in Guilan Province (in the north of Iran).
Methods & Materials/Patients: The present research was a cross-sectional, descriptive study. The statistical population included all patients in Spinal Cord Injury Association of Guilan Province, 97 of whom were selected as the sample based on convenience sampling method. The required data were collected using an author-made demographics questionnaire, the Spinal Cord Injury Quality-of-Life-23 questionnaire, and Beck Depression Inventory- Short Form. After removal of demographic confounders, Pearson correlation coefficient, independent student t-test, and hierarchical regression model were used for statistical analysis of the obtained data in SPSS.
Results: Correlation coefficients showed that there is a significant and direct relationship between depressed mood and quality of life (P<0.0001). This means that the quality of life in spinal cord injury patients declines with the increase in depressed mood (higher scores in the Spinal Cord Injury Quality-of-Life-23 questionnaire imply the lower quality of life). Hierarchical regression analysis also indicated that, after the elimination of confounding variables (injury duration, gender, type of injury, having bedsore, and using catheter, nurse, diaper, and wheelchair), depressed mood led to predict 70% of the joint changes in quality of life score (F=23.77, P<0.0001).
Conclusion: The study findings emphasize the prevention and treatment of depressed mood to improve the quality of life in patients with SCI.

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Type of Study: Research | Subject: Gamma Knife Radiosurgery

1. Chulay M, Burns S. AACN essentials of critical care nursing pocket handbook. McGraw-Hill Professional; 2010. [PMID] [PMCID]
2. Nesic‐Taylor O, Cittelly D, Ye Z, Xu GY, Unabia G, Lee JC, Svrakic NM, Liu XH, Youle RJ, Wood TG, McAdoo D. Exogenous Bcl‐xl fusion protein spares neurons after spinal cord injury. J Neurosci Res. 2005 Mar 1;79(5):628-37. [DOI:10.1002/jnr.20400] [PMID]
3. Sipski ML, Richards JS. Spinal cord injury rehabilitation: state of the science. Am J Phys Med Rehabil. 2006 Apr 1;85(4):310-42. [DOI:10.1097/01.phm.0000202105.87011.bf] [PMID]
4. Hollisaz MT, Khedmat H, Yari F. A randomized clinical trial comparing hydrocolloid, phenytoin and simple dressing for the treatment of pressure ulcer. BMC Dermatol. 2004; 4 (1):18-22. [DOI:10.1186/1471-5945-4-18] [PMID] [PMCID]
5. Cristian A. Living with spinal cord injury: A wellness approach. Demos Medical Publishing, Inc; 2004.
6. Fayers PM, Machin D. Quality of life: the assessment, analysis and interpretation of patient-reported outcomes. John Wiley & Sons; 2013 May 23.
7. Shahandeh H, Wameghi R, Hatamizadeh N, Kazemnejad A. quality of life among people with spinal cord injuries. Quarterly Journal of the School of Public Health and Institute of Public Health Research (SJSPH). 2005; 3 (3) :1-8
8. Baghiani Moghadam M H, Ehrampoush M H. Principles of health services, Tehran, Asar-e-Sobhan, 2014.
9. Bakhtiyari M, Salehi M, Zayeri F, Mobasheri F, Yavari P, Delpishe A, Karimlou M. Quality of life among Disabled and Non-Disabled Individuals A Comparative Study. irje. 2012 Sep 15;8(2):65-72.
10. Dijkerso M. A meta-analysis of the effect of disablement components. Adapted Physical Activity Quarterly. 2007;15(3):829-40.
11. Haran MJ, Lee BB, King MT, Marial O, Stockler MR. Health status rated with the medical outcomes study 36-item short-form health survey after spinal cord injury. Arch Phys Med Rehabil. 2005 Dec 31;86(12):2290-5. [DOI:10.1016/j.apmr.2005.07.293] [PMID]
12. Silver J, Ljungberg I, Libin A, Groah S. Barriers for individuals with spinal cord injury returning to the community: a preliminary classification. Disabil Health J. 2012 Jul 31;5(3):190-6. [DOI:10.1016/j.dhjo.2012.03.005] [PMID]
13. Krause JS, Kemp B, Coker J. Depression after spinal cord injury: relation to gender, ethnicity, aging, and socioeconomic indicators. Arch Phys Med Rehabil. 2000 Aug 31;81(8):1099-109. [DOI:10.1053/apmr.2000.7167] [PMID]
14. Kennedy P, Rogers BA. Anxiety and depression after spinal cord injury: a longitudinal analysis. Arch Phys Med Rehabil. 2000 Jul 31;81(7):932-7. [DOI:10.1053/apmr.2000.5580] [PMID]
15. Williams R, Murray A. Prevalence of depression after spinal cord injury: a meta-analysis. Arch Phys Med Rehabil. 2015 Jan 31;96(1):133-40. [DOI:10.1016/j.apmr.2014.08.016] [PMID]
16. Oderud T. Surviving spinal cord injury in low income countries: original research. African Journal of Disability. 2014 Jan 1;3(2):1-9. [DOI:10.4102/ajod.v3i2.80] [PMID] [PMCID]
17. Nas K, Yazmalar L, Şah V, Aydın A, Öneş K. Rehabilitation of spinal cord injuries. World J Orthop. 2015 Jan 18;6(1):8. https://doi.org/10.5312/wjo.v6.i1.1 [DOI:10.5312/wjo.v6.i1.8]
18. Krejcie RV, Morgan DW. Determining sample size for research activities.Educ. Psychol. Meas. 1970 Sep;30(3):607-10. [DOI:10.1177/001316447003000308]
19. Elfström M, Rydén A, Kreuter M, Taft C, Sullivan M. Relations between coping strategies and health-related quality of life in patients with spinal cord lesion. J Rehabil Med 2005;37:9- [DOI:10.1080/16501970410034414] [PMID]
20. Jain NB, Sullivan M, Kazis LE, Tun CG, Garshick E. Factors associated with health-related quality of life in chronic spinal cord injury. Am J Phys Med Rehabil 2007;86:387-96. [DOI:10.1097/PHM.0b013e31804a7d00] [PMID] [PMCID]
21. Ebrahimzadeh MH, Makhmalbaf H, Soltani-Moghaddas SH, Mazloumi SM. The spinal cord injury quality-of-life-23 questionnaire, Iranian validation study. J Res Med Sci: the official journal of Isfahan University of Medical Sciences. 2014 Apr;19(4):349.
22. Beck AT, Beck RW. Screening depressed patients in family practice: A rapid technic. Postgrad Med. 1972 Dec 1;52(6):81-5. [DOI:10.1080/00325481.1972.11713319] [PMID]
23. Steer RA, Beck AT, Garrison B. Applications of the beck depression inventory. In Assessment of depression 1986 (pp. 123-142). Springer Berlin Heidelberg. [DOI:10.1007/978-3-642-70486-4_13]
24. Beck AT, Steer RA, Brown GK. Beck depression inventory-II. San Antonio. 1996;78(2):490-8.
25. Azkhosh M. [Application of psychological tests and clinical diagnosis]. 3rd ed. Tehran:Ravan 2008:224-6.
26. Hartoonian N, Hoffman JM, Kalpakjian CZ, Taylor HB, Krause JK, Bombardier CH. Evaluating a Spinal Cord Injury–Specific Model of Depression and Quality of Life. Arch Phys Med Rehabil. 2014 Mar 31;95(3):455-65. [DOI:10.1016/j.apmr.2013.10.029] [PMID]
27. Müller R, Peter C, Cieza A, Post MW, Van Leeuwen CM, Werner CS, et al. Social skills: a resource for more social support, lower depression levels, higher quality of life, and participation in individuals with spinal cord injury?. Arch Phys Med Rehabil. 2015 Mar 31;96(3):447-55. [DOI:10.1016/j.apmr.2014.09.006] [PMID]
28. Shin JC, Goo HR, Yu SJ, Kim DH, Yoon SY. Depression and quality of life in patients within the first 6 months after the spinal cord injury. Ann Rehabil Med. 2012 Feb 1;36(1):119-25. [DOI:10.5535/arm.2012.36.1.119] [PMID] [PMCID]
29. Tate DG, Forchheimer M, Bombardier CH, Heinemann AW, Neumann HD, Fann JR. Differences in quality of life outcomes among depressed spinal cord injury trial participants. Arch Phys Med Rehabil. 2015 Feb 28;96(2):340-8. [DOI:10.1016/j.apmr.2014.09.036] [PMID]
30. Orenczuk S, Slivinski J, Teasell RW: Depression following spinal cord injury. In Eng JJ, Teasell RW, Miller WC et al (eds): Spinal Cord Injury Rehabilitation Evidence. Vancouver, 2006: 10.1–10.19. 195.

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