Article

Psychological morbidities and positive psychological outcomes in people with traumatic spinal cord injury in Mainland China

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Abstract

Study design

Cross-sectional survey.

Objectives

To explore the prevalences of three psychological morbidities (posttraumatic stress disorder, anxiety, and depression) and two positive psychological outcomes (resilience and posttraumatic growth) in people with spinal cord injury (SCI). To examine the relationships between the five aforementioned variables and to determine the predictors of the three psychological morbidities.

Setting

Shanghai Sunshine Rehabilitation Center, Mainland China.

Methods

Participants included 300 adults with SCI in one rehabilitation center in Shanghai. Standardized self-report measures were used. Sociodemographic, injury, and psychological variables were assessed. Descriptive analyses were used to calculate the prevalences of five psychological outcome variables. Pearson correlation analyses were conducted to examine the relationships between the five psychological variables and regression analyses were conducted to determine the predictors of posttraumatic stress disorder (PTSD), anxiety, and depression.

Results

Of the 300 respondents, 35%, 29%, and 27% exceeded the clinical cutoff score for PTSD, anxiety, and depression, respectively. About 32% reported good resilience, and 51% reported moderate to high levels of posttraumatic growth (PTG). Three psychological morbidities showed positive correlations between each other while significant negative relationships with the resilience and PTG. Hierarchical regressions indicated that both the extent of environmental barriers and resilience were the significant predictors of PTSD, anxiety, and depression.

Conclusion

High prevalences of psychological morbidities were found in the SCI population in Mainland China. They should be identified and intervened early in the rehabilitation process. Some positive psychological techniques that focus on increasing resilience and promoting PTG would likely be beneficial for the SCI population.

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Acknowledgements

We thank all the persons who participated in this study and the Shanghai Sunshine Hospital. This work was supported by the project of the Shanghai Disabled Person’s Federation (K2016027).

Author information

Affiliations

  1. Department of Psychosomatic Medicine, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China

    • Yanbo Wang
    •  & Xudong Zhao
  2. Department of Occupational and Social Rehabilitation, Sunshine Rehabilitation Center, Shanghai, China

    • Haixia Xie

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Conflict of interest

The authors declare that they have no conflict of interest.

Corresponding authors

Correspondence to Yanbo Wang or Xudong Zhao.