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Depressive symptoms among older adults with long-Term spinal cord injury : Associations with secondary health conditions, sense of coherence, coping strategies and physical activity

Jörgensen, Sophie LU ; Martin Ginis, Kathleen A.; Iwarsson, Susanne LU and Lexell, Jan LU (2017) In Journal of Rehabilitation Medicine2001-01-01+01:00 49(8). p.644-651
Abstract

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... (More)

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.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adaptation, Ageing, Depression, Exercise, Psychological, Rehabilitation, Sense of coherence, Spinal cord injury
in
Journal of Rehabilitation Medicine2001-01-01+01:00
volume
49
issue
8
pages
8 pages
publisher
Taylor & Francis
external identifiers
  • scopus:85028709786
  • wos:000410760700005
ISSN
1650-1977
DOI
10.2340/16501977-2259
language
English
LU publication?
yes
id
7dc996c4-c5c9-4171-9df2-d5bd512e8384
date added to LUP
2017-10-10 14:49:48
date last changed
2018-01-16 13:22:38
@article{7dc996c4-c5c9-4171-9df2-d5bd512e8384,
  abstract     = {<p>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.</p>},
  author       = {Jörgensen, Sophie and Martin Ginis, Kathleen A. and Iwarsson, Susanne and Lexell, Jan},
  issn         = {1650-1977},
  keyword      = {Adaptation,Ageing,Depression,Exercise,Psychological,Rehabilitation,Sense of coherence,Spinal cord injury},
  language     = {eng},
  number       = {8},
  pages        = {644--651},
  publisher    = {Taylor & Francis},
  series       = {Journal of Rehabilitation Medicine2001-01-01+01:00},
  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},
  url          = {http://dx.doi.org/10.2340/16501977-2259},
  volume       = {49},
  year         = {2017},
}