S Xue1, S Arya1, A Embuldeniya2, H Narammalage2, T da Silva1,3, S Williams2, A Ravindran3,4. 1. Faculty of Medicine, University of Toronto, Toronto, ON, Canada. 2. Department of Psychiatry, Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka. 3. Division of Mood and Anxiety Disorders, Centre for Addiction and Mental Health (CAMH), Toronto, ON, Canada. 4. Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
Abstract
STUDY DESIGN: Cross-sectional, questionnaire-based study. OBJECTIVES: To test the hypothesis that self-perceived functional impairment and religiosity/spirituality (S/R) predict depression among traumatic spinal cord injury (SCI) patients in Sri Lanka. SETTING: Ragama Rheumatology and Rehabilitation Hospital, Ragama, Sri Lanka. METHODS: The Spinal Cord Independence Measure, Benefit Through Spirituality/Religiosity Scale, Sheehan Disability Inventory and Beck Depression Inventory-II (BDI-II) were administered to 61 consenting in-patients with traumatic SCI between June and July 2014. A linear regression model on BDI-II score was developed to examine the impact of self-perceived functional impairment and S/R activities on psychiatric outcomes in context of various sociodemographic variables. RESULTS: Psychiatric consequences of SCI were reflected in a 41% prevalence of depression. Thirty-six percent (R2=0.36) of the variance in BDI-II scores (F(5, 55)=6.07, P<0.001) was explained by the regression model. Functional impairment (β=0.54, t(55)=4.73, P<0.001) and perceived benefit through S/R activities (β=-0.31, t(55)=-2.55, P<0.05) emerged as the strongest predictors for depression severity. CONCLUSIONS: Perceived functional impairment in work, social and family domains predicted depressive symptomatology among SCI inpatients in Sri Lanka, while perceived benefit through S/R protected against depression. The findings emphasize the need for rehabilitative programming to support patients' S/R activities and mental wellbeing, promoting reintegration into their community roles.
STUDY DESIGN: Cross-sectional, questionnaire-based study. OBJECTIVES: To test the hypothesis that self-perceived functional impairment and religiosity/spirituality (S/R) predict depression among traumatic spinal cord injury (SCI) patients in Sri Lanka. SETTING:Ragama Rheumatology and Rehabilitation Hospital, Ragama, Sri Lanka. METHODS: The Spinal Cord Independence Measure, Benefit Through Spirituality/Religiosity Scale, Sheehan Disability Inventory and Beck Depression Inventory-II (BDI-II) were administered to 61 consenting in-patients with traumatic SCI between June and July 2014. A linear regression model on BDI-II score was developed to examine the impact of self-perceived functional impairment and S/R activities on psychiatric outcomes in context of various sociodemographic variables. RESULTS:Psychiatric consequences of SCI were reflected in a 41% prevalence of depression. Thirty-six percent (R2=0.36) of the variance in BDI-II scores (F(5, 55)=6.07, P<0.001) was explained by the regression model. Functional impairment (β=0.54, t(55)=4.73, P<0.001) and perceived benefit through S/R activities (β=-0.31, t(55)=-2.55, P<0.05) emerged as the strongest predictors for depression severity. CONCLUSIONS: Perceived functional impairment in work, social and family domains predicted depressive symptomatology among SCI inpatients in Sri Lanka, while perceived benefit through S/R protected against depression. The findings emphasize the need for rehabilitative programming to support patients' S/R activities and mental wellbeing, promoting reintegration into their community roles.
Authors: Steven C Kirshblum; Michael M Priebe; Chester H Ho; William M Scelza; Anthony E Chiodo; Lisa-Ann Wuermser Journal: Arch Phys Med Rehabil Date: 2007-03 Impact factor: 3.966
Authors: Helen McColl; Craig Higson-Smith; Sarah Gjerding; Mostafa H Omar; Basma Abdel Rahman; Mona Hamed; Aida S El Dawla; Miriam Fredericks; Nicole Paulsen; Gugu Shabalala; Carmen Low-Shang; Fernando Valadez Perez; Liliana S Colin; Aurora D Hernandez; Eliomara Lavaire; Arely Pa Zuñiga; Lucia Calidonio; Carmen L Martinez; Yasser Abu Jamei; Zeyad Awad Journal: Int J Ment Health Syst Date: 2010-06-18