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.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Xue S,Arya S,Embuldeniya A,Narammalage H,da Silva T,Williams S,Ravindran Adoi
10.1038/sc.2016.56subject
Has Abstractpub_date
2016-12-01 00:00:00pages
1158-1163issue
12eissn
1362-4393issn
1476-5624pii
sc201656journal_volume
54pub_type
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